A systematic review of transition readiness and transfer satisfaction measures for adolescents with chronic illness
Abstract
BACKGROUND: The transition from pediatric to adult health care can be challenging for adolescents with chronic illnesses. As a result, many adolescents are unable to transfer to adult health care successfully. Adequate measurement of transition readiness and transfer satisfaction with disease management is necessary in order to determine areas to target for intervention towards improving transfer outcomes. OBJECTIVES: This study aims to systematically review and critically appraise research on transition readiness and transfer satisfaction measures for adolescents with chronic illnesses as well as to assess the psychometric quality of these measures. METHODS: Electronic searches were conducted in MEDLINE, EMBASE, CINAHL, PsychINFO, ERIC, and ISI Web of Knowledge for transition readiness and transfer satisfaction measures for adolescents with chronic health conditions. Two reviewers independently selected articles for review and assessed methodological quality. RESULTS: In all, eight readiness and six satisfaction measures met the inclusion criteria, for a total of 14 studies, which were included in the final analysis. None of these measures have well-established evidence of reliability and validity. Most of the measures were developed ad hoc by the study investigators, with minimal to no evidence of reliability and/or validity using the Cohen criteria and COSMIN checklist. CONCLUSION: This research indicates a major gap in our knowledge of transitional care in this population, because there is currently no well-validated questionnaire that measures readiness for transfer to adult health care. Future research must focus on the development of well-validated transition readiness questionnaires, the validation of existing measures, and reaching consensus on outcomes of successful transfer.
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There is a paucity of research examining a broad spectrum of health outcomes based on transition readiness scores and/or use of these tools in AYA with chronic conditions.
“There is a paucity of research examining a broad spectrum of health outcomes, including developmental and biopsychosocial outcomes (eg, adherence, self-efficacy, QoL) based on transition readiness scores and/or use of these tools in AYA with chronic conditions.537,542”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [542]
Several general (non-disease specific) transition readiness tools have been created, with variable psychometric properties.
“Several general (non-disease specific) transition readiness tools have been created, with variable psychometric properties.542”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [542]
Longitudinal studies of transition readiness tools have not been conducted.
“Further, whereas these tools have been designed to assess progress towards transition readiness over time,451 longitudinal studies have not been conducted.537,542”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [542]
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- Authors
- Stinson, J., Kohut, S. A., Spiegel, L., White, M., Gill, N., Colbourne, G., Sigurdson, S., Duffy, K. W., Tucker, L., Stringer, E., Hazel, B., Hochman, J., Reiss, J., & Kaufman, M.
- Affiliations
- Hospital for Sick Children (CA)
- Montreal Children's Hospital (CA)
- University of British Columbia (CA)
- Dalhousie University (CA)
- Montreal General Hospital (CA)
- Women's College Hospital (CA)
- University of Florida Health (US)
- Corresponding author
- Stinson, Jennifer
- ORCID
- Venue
- International Journal of Adolescent Medicine and Health
- Publisher
- Walter de Gruyter GmbH
- Published
- 2013-07-06
- Volume
- 26
- Issue
- 2
- Pages
- 159-174
- ISSN
- 0334-0139 (ISSN-L)
- 2191-0278
- OpenAlex
- W2153389222
- Cited by
- 121
- References
- 34
- Citations by year
- 2026: 9 · 2025: 6 · 2024: 7 · 2023: 13 · 2022: 4 · 2021: 10 · 2020: 9 · 2019: 13 · 2018: 14 · 2017: 9 · 2016: 8 · 2015: 9 · 2014: 8 · 2013: 1
- FWCI
- 19.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Adolescent Medicine and Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Keywords
- transition to adult care, transition readiness, adolescents with chronic illness, psychometric validation, reliability and validity, disease management, care transitions
- MeSH terms
- Adolescent, Chronic Disease, Humans, Patient Satisfaction, Transition to Adult Care
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