دورية أكاديمية
أعرض في EDS

Transition readiness assessment in adolescents and young adults with rheumatic diseases: The Singapore experience.

التفاصيل البيبلوغرافية
العنوان: Transition readiness assessment in adolescents and young adults with rheumatic diseases: The Singapore experience.
المؤلفون: Teh KL; Rheumatology and Immunology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore., Hoh SF; Division of Nursing, KK Women's and Children's Hospital, Singapore, Singapore., Chan SB; Rheumatology and Immunology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore., Gao X; Division of Nursing, KK Women's and Children's Hospital, Singapore, Singapore., Das L; Rheumatology and Immunology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore., Book YX; Rheumatology and Immunology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore., Arkachaisri T; Rheumatology and Immunology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore.; Duke-NUS Medical School, Singapore, Singapore.
المصدر: International journal of rheumatic diseases [Int J Rheum Dis] 2022 Mar; Vol. 25 (3), pp. 344-352. Date of Electronic Publication: 2022 Jan 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley on behalf of the Asia Pacific League of Associations for Rheumatology Country of Publication: England NLM ID: 101474930 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1756-185X (Electronic) Linking ISSN: 17561841 NLM ISO Abbreviation: Int J Rheum Dis Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Oxford, UK] : Wiley on behalf of the Asia Pacific League of Associations for Rheumatology
مواضيع طبية MeSH: Self Report*, Rheumatic Diseases/*therapy , Transition to Adult Care/*organization & administration, Adolescent ; Child ; Cross-Sectional Studies ; Female ; Follow-Up Studies ; Humans ; Incidence ; Male ; Retrospective Studies ; Rheumatic Diseases/epidemiology ; Singapore/epidemiology ; Surveys and Questionnaires ; Time Factors ; Young Adult
مستخلص: Background: Transition from pediatric to adult care is a challenging time for adolescents and young adults (AYA) with rheumatic diseases. Validated tools have been developed to assess transition readiness.
Aim: To evaluate transition readiness among AYA with rheumatic diseases and to identify factors associated with transition readiness.
Methods: Patients ≥15 years old were enrolled into our transition program and administered a Transition Readiness Assessment Tool (TRAT) from July 2017. The TRAT consists of 3 components: (a) patient's perception on importance of transition and confidence toward transition on a Likert scale 0-10; (b) assessment of knowledge on medical and healthcare usage using a set of 23 questions; (c) transition readiness using the Transition Readiness Assessment Questionnaire (TRAQ). Differences between groups were compared to identify factors associated with transition readiness.
Results: Transition readiness assessment was performed in 152 patients. The median score for perception on transition importance was 7.0 (5.0-8.8) and the median score for confidence in transition was 7.0 (5.0-9.0). Majority of the patients (>50%) lack knowledge in health insurance, carrying health information, healthcare privacy changes and making own healthcare decision. Patients <20 years old were also deficient in knowledge in navigating healthcare systems. TRAQ scores were lowest in areas pertaining to healthcare insurance and obtaining financial help.
Conclusion: Healthcare insurance literacy and self-management skills were lacking in the assessment of transition readiness in AYA with rheumatic diseases. Targeted intervention in these areas will improve transition readiness and promote successful transition processes.
(© 2022 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.)
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فهرسة مساهمة: Keywords: adolescents; healthcare transition; rheumatology; transition readiness assessment; young adults
تواريخ الأحداث: Date Created: 20220106 Date Completed: 20220318 Latest Revision: 20220318
رمز التحديث: 20221213
DOI: 10.1111/1756-185X.14277
PMID: 34989472
قاعدة البيانات: MEDLINE
الوصف
تدمد:1756-185X
DOI:10.1111/1756-185X.14277