青少年慢性病过渡准备评估工具的心理测量学特性的系统评价。
A systematic review of the psychometric properties of transition readiness assessment tools in adolescents with chronic disease.
机构信息
Discipline of Paediatrics, School of Women's & Children's Health, Medicine UNSW, University of New South Wales, Sydney, Australia.
出版信息
BMC Pediatr. 2014 Jan 9;14:4. doi: 10.1186/1471-2431-14-4.
BACKGROUND
Health care transition of adolescents with chronic conditions may be unsuccessful when patients have not acquired the necessary skills and developmental milestones. It is therefore critical for health care providers to assess the readiness for transition of their adolescent patients. This is currently hindered by the lack of a recognised, well-established transition-readiness assessment tool.
METHODS
We conducted a systematic review of all transition-readiness tools for adolescents with chronic medical conditions published in peer-reviewed journals. Tools were rated by the methodological quality of the validation studies, and the psychometric measurement qualities of each tool.
RESULTS
Ten different assessment tools were identified. Seven targeted specific diseases and 3 tools were generic. Most tools were poorly validated with only one tool, the Transition Readiness Assessment Questionnaire (TRAQ) demonstrating adequate content validity, construct validity, and internal consistency.
CONCLUSION
The TRAQ was the best-validated transition-readiness tool, with additional benefits of disease-neutrality. Further research should focus on testing the predictive validity of this tool, and exploring correlation with transition-outcomes, in an international population.
背景
当患者尚未掌握必要的技能和发展里程碑时，青少年慢性病患者的医疗过渡可能会不成功。因此，医疗保健提供者评估其青少年患者的过渡准备情况至关重要。目前这受到缺乏公认的、成熟的过渡准备评估工具的阻碍。
方法
我们对发表在同行评议期刊上的所有针对慢性疾病青少年的过渡准备工具进行了系统评价。通过验证研究的方法学质量和每个工具的心理测量学测量质量对工具进行了评分。
结果
确定了十种不同的评估工具。七种针对特定疾病，三种为通用工具。大多数工具的验证效果较差，只有一种工具，即过渡准备评估问卷（TRAQ），表现出足够的内容效度、结构效度和内部一致性。
结论
TRAQ 是经过充分验证的过渡准备工具，具有疾病中立的额外优势。进一步的研究应侧重于在国际人群中测试该工具的预测有效性，并探索与过渡结果的相关性。
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