Parents and teens identified TIDM management resources, which reflected a chain of communication: teens asked parents for help and advice, while parents consulted providers and clinics. This has implications for how questions and concerns are addressed during and after the transition to adulthood and independent self-management. In AEAs with sickle cell disease, maintaining this process required continued parental involvement in management, despite AEAs and their parents recognizing the need to shift responsibility to the AEAs themselves (Speller-Brown et al., 2015). Beginning to shift this process to a more teen-driven one may ameliorate some of these challenges. When appropriate, providers can assist families by shifting interactions to teens and seeing teens alone.