Influencing factors of transition readiness in adolescents with chronic diseases：A meta-analysis

Abstract

Abstract: Objective To explore the factors influencing transition readiness in adolescents with chronic diseases by the meta-analysis. Methods Both of the Chinese databases including CNKI,Wanfang Data,VIP,CBM and English databases including PubMed,EMbase,Cochrane Library,Web of Science were searched by computer,and supplemented by manual search from inception to March 20,2022. The literature screening,data extraction and quality evaluation were performed independently by two researchers. RevMan 5.3 and Stata 17.0 were included to perform meta-analysis. Results A total of 18 literatures were included,all of which were cross-sectional studies. The meta-analysis showed that the age,health literacy and self-efficacy were all influencing factors of transition readiness（r=0.38,0.34,0.48,95%CI：0.22-0.54,0.26-0.42,0.34-0.61,all P<0.05）. Conclusion Age,health literacy and self-efficacy are influencing factors of transition readiness of adolescents with chronic diseases,and the targeted clinical transition programs based on this can be formulated to improve the transition readiness of adolescents with chronic diseases.

Key words: Adolescent, Chronic disease, Transition readiness, Influencing factors

CLC Number:

R181.2

HAN Jingyi, SONG Wenjing, LIU Guoqing, DUAN Lianmei, LI Qianxing, WANG Ying. Influencing factors of transition readiness in adolescents with chronic diseases：A meta-analysis. [J]OCCUPATION AND HEALTH, 2023, 39(13): 1852-1855.

References

[1] STRAUS E J.Challenges in measuring healthcare transition readiness:Taking stock and looking forward[J].J Pediatr Nurs,2019,46:109-117.
[2] ROHATINSKY N,RISLING T,KUMARAN M,et al.Healthcare transition in pediatrics and young adults with inflammatory bowel disease:A scoping review[J].Gastroenterol Nurs,2018,41(2):145-158.
[3] 米杰,高利旺.从慢性非传染性疾病发育起源机制看儿童期防治重要性[J].中国儿童保健杂志,2021,29(12):1273-1275.
[4] 杨亚琳. Orem自护理论在学龄期哮喘儿童自我护理中的应用及效果评价[D].太原:山西医科大学,2020.
[5] 陈俐俐. 儿童1型糖尿病的流行病学及治疗进展[D].石家庄:河北医科大学,2016.
[6] 徐虹. 儿童肾脏病早期发现的策略探讨[J].中国实用儿科杂志,2018, 33(2):89-92.
[7] BLUM R W,GARELL D,HODGMAN C H,et al.Transition from child-centered to adult health-care systems for adolescents with chronic conditions.A position paper of the Society for Adolescent Medicine[J]. J Adolesc Health,1993,14(7):570-576.
[8] MADDUX M H,RICKS S,BASS J.Patient and caregiver perspectives on transition and transfer[J].Clin Pediatr (Phila),2017,56(3):278-283.
[9] VARTY M,POPEJOY L L.A systematic review of transition readiness in youth with chronic disease[J].West J Nurs Res,2020,42(7):554-566.
[10] JENSEN P T,PAUL G V,LACOUNT S,et al.Assessment of transition readiness in adolescents and young adults with chronic health conditions[J].Pediatr Rheumatol Online J,2017,15(1):70.
[11] 曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
[12] GREENLAND S.Quantitative methods in the review of epidemiologic literature[J].Epidemiol Rev,1987,9:1-30.
[13] CANTÚ-QUINTANILLA G,FERRIS M,OTERO A,.Validation of the UNC TRxANSITION Scale TMVersion 3 among mexican adolescents with chronic kidney disease[J].J Pediatr Nurs,2015,30(5):e71-e81.
[14] CHISOLM D J,KEEDY H E,HART L C,et al.Exploring health literacy,transition readiness,and healthcare utilization in medicaid chronically ill youth[J].J Adolesc Health,2021,69(4):622-628.
[15] COHEN S E,HOOPER S R,JAVALKAR K,et al.Self-management and transition readiness assessment:Concurrent,predictive and discriminant validation of the STARx questionnaire[J].J Pediatr Nurs,2015,30(5):668-676.
[16] EKIM A,KOLAY M,OCAKCI A F.Readiness for transition from pediatric to adult care for adolescents with chronic heart disease[J].J Spec Pediatr Nurs,2018,23(1):e12199.
[17] FENTON N,FERRIS M,KO Z,et al.The relationship of health care transition readiness to disease-related characteristics,psychosocial factors,and health care outcomes:Preliminary findings in adolescents with chronic kidney disease[J].J Pediatr Rehabil Med,2015,8(1):13-22.
[18] GONZÁLEZ F,ROIZEN M,RODRÍGUEZ C M,et al.Validation of the argentine spanish version of transition readiness assessment questionnaire for adolescents with chronic conditions[J].Arch Argent Pediatr,2017,115(1):18-27.
[19] HART L C,POLLOCK M,HILL S,et al.Association of transition readiness to intentional self-regulation and hopeful future expectations in youth with illness[J].Acad Pediatr,2017,17(4):450-455.
[20] JAVALKAR K,FENTON N,COHEN S,et al.Socioecologic factors as predictors of readiness for self-management and transition,medication adherence,and health care utilization among adolescents and young adults with chronic kidney disease[J].Prev Chronic Dis,2014,11:E117.
[21] JOHNSON M A,JAVALKAR K,VAN TILBURG M,et al.The relationship of transition readiness,self-efficacy,and adherence to preferred health learning method by youths with chronic conditions[J].J Pediatr Nurs,2015,30(5):e83-e90.
[22] KITTIVISUIT S,LERKVALEEKUL B,SOPONKANAPORN S,et al.Assessment of transition readiness in adolescents in Thailand with rheumatic diseases:A cross-sectional study[J].Pediatr Rheumatol Online J,2021,19(1):101.
[23] NAZARETH M,RICHARDS J,JAVALKAR K,et al.Relating health locus of control to health care use,adherence,and transition readiness among youths with chronic conditions,north carolina,2015[J].Prev Chronic Dis,2016,13:E93.
[24] PAKDEEPROM B,IN-IW S,CHINTANADILOK N,et al.Promoting factors for transition readiness of adolescent chronic illnesses:Experiences in Thailand[J].J Med Assoc Thai,2012,95(8):1028-1034.
[25] SATO Y,OCHIAI R,ISHIZAKI Y,et al.Validation of the japanese transition readiness assessment questionnaire[J].Pediatr Int,2020, 62(2):221-228.
[26] SHEANON N M,BEAL S J,KICHLER J C,et al.Readiness for transition to adult care in adolescents and young adults with Turner syndrome[J].J Pediatr Endocrinol Metab,2020,33(9):1165-1171.
[27] STEPHENS S B,RAPHAEL J L,ZIMMERMAN C T,et al.The utility of self-determination theory in predicting transition readiness in adolescents with special healthcare needs[J].J Adolesc Health,2021, 69(4):653-659.
[28] TRAINO K A,BAKULA D M,SHARKEY C M,et al.The role of grit in health care management skills and health-related quality of life in college students with chronic medical conditions[J].J Pediatr Nurs,2019,46:72-77.
[29] TORUN T,ÇAVU袁行行O袁行行LU H,DO袁行行RU D,et al.The effect of self-efficacy,social support and quality of life on readiness for transition to adult care among adolescents with cystic fibrosis in Turkey[J].J Pediatr Nurs,2021,57:e79-e84.
[30] VERMA T,ROHAN J.Examination of transition readiness,medication adherence,and resilience in pediatric chronic illness populations:A pilot study[J].Int J Environ Res Public Health,2020,17:E1905.
[31] UZARK K,SMITH C,DONOHUE J,et al.Assessment of transition readiness in adolescents and young adults with heart disease[J]. J Pediatr,2015,167(6):1233-1238.
[32] JOHNSON K,ROCQUE B,HOPSON B,et al.The reliability and validity of a newly developed spina bifida-specific transition readiness assessment questionnaire:Transition readiness assessment questionnaire-supplement(TRAQ-SB)[J].J Pediatr Rehabil Med,2019,12(4):415-422.
[33] BROOKS A J,SMITH P J,COHEN R,et al.UK guideline on transition of adolescent and young persons with chronic digestive diseases from paediatric to adult care[J].Gut,2017,66(6):988-1000.
[34] MASSEY P M,PRELIP M,CALIMLIM B M,et al.Contextualizing an expanded definition of health literacy among adolescents in the health care setting[J].Health Educ Res,2012,27(6):961-974.
[35] 白媛媛,王焕倩,昝子晴,等.儿童青少年健康素养评估工具的研究进展[J].中国健康教育,2021,37(9):838-841.
[36] TREADWELL M,JOHNSON S,SISLER I,et al.Self-efficacy and readiness for transition from pediatric to adult care in sickle cell disease[J].Int J Adolesc Med Health,2016,28(4):381-388.
[37] BANDURA A.Self-efficacy:Toward a unifying theory of behavioral change[J].Psychol Rev,1977,84(2):191-215.
[38] CUMMINGS E,HAUSER J,CAMERON-TUCKER H,et al.Enhancing self-efficacy for self-management in people with cystic fibrosis[J].Stud Health Technol Inform,2011,169:33-37.