Clinic of Pediatrics, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey.
Department of Pediatric Nursing, University of Health Sciences, Gülhane School of Nursing, Ankara, Turkey.
Balkan Med J. 2018 Jan 20;35(1):93-100. doi: 10.4274/balkanmedj.2016.1415. Epub 2017 Oct 17.
Today, more than 90% of adolescents with chronic conditions survive into adulthood and move from pediatric care to adult care for the management of their chronic illness. It is important to grant autonomy and ensure that adolescents/young adults are ready to use the adult health care system prior to the transfer of care. However, the lack of a transition readiness assessment tool that is validated, patient-centered, and appropriate to developmental differences in pediatric care is a major obstacle for the transition of care from pediatric services to adult services.
This study examined the validity and reliability of the Turkish version of the Transition Readiness Assessment Questionnaire, which assesses the readiness for transition from pediatric to adult health care for adolescents/young adults with diabetes mellitus.
Methodological study.
Participants were 109 adolescents/young adults with type 1 diabetes mellitus aged 14-21 years. After permission was obtained to adapt the Transition Readiness Assessment Questionnaire, the Turkish Transition Readiness Assessment Questionnaire and self-care scale were administered to participants through face-to-face interviews at two pediatric endocrinology clinics. Validity was evaluated by exploratory and confirmatory factor analysis and content-scope validity assessment; reliability was evaluated by item-total score correlation and continuity methods. Internal reliability was assessed by Cronbach's alpha coefficient and criterion validity assessment.
The item analysis, exploratory factor analysis, and confirmatory factor analysis identified five basic dimensions, with high internal consistency (0.89-0.75). The ratio χ2/df and other conformity indices were a good fit to the data. The correlation coefficient in the analyses of test-retest scores was 0.86 for the total scale (p<0.05), and the Cronbach's alpha coefficient was 0.88 for overall scale.
The Turkish Transition Readiness Assessment Questionnaire is a valid and reliable measure of the transition readiness of adolescents/young adults with diabetes mellitus in Turkey. The Transition Readiness Assessment Questionnaire assesses the self-management abilities and health care transition knowledge of adolescents/young adults with diabetes mellitus who need special health care. It can also serve as a guide for health care professionals in detecting the educational fields that are necessary for acquiring self-management and self-care abilities.
如今，超过 90%的患有慢性病的青少年能够存活至成年，并在儿童保健的基础上，进一步接受成人保健，以管理其慢性病。在将其转至成人保健之前，确保青少年/年轻人有自主权并能够准备好使用成人保健系统是十分重要的。然而，缺乏经过验证、以患者为中心且适合儿科保健中发育差异的过渡准备评估工具，是从儿科服务向成人服务过渡的主要障碍。
本研究旨在检验用于评估青少年/年轻人糖尿病从儿科向成人保健过渡准备情况的过渡准备评估问卷土耳其语版本的有效性和可靠性。
方法学研究。
参与者为 109 名年龄在 14-21 岁的 1 型糖尿病青少年/年轻人。在获得过渡准备评估问卷改编许可后，通过在两家儿科内分泌诊所进行的面对面访谈，向参与者发放土耳其语版过渡准备评估问卷和自我护理量表。通过探索性和验证性因子分析以及内容范围有效性评估来评估有效性；通过项目总分相关性和连续性方法评估可靠性。采用克朗巴赫α系数评估内部信度，并评估效标效度。
项目分析、探索性因子分析和验证性因子分析确定了五个基本维度，具有较高的内部一致性（0.89-0.75）。χ2/df 比值和其他拟合度指标与数据拟合良好。总量表的重测分数分析的相关系数为 0.86（p<0.05），总量表的克朗巴赫α系数为 0.88。
土耳其语版过渡准备评估问卷是一种有效的、可靠的土耳其青少年/年轻人糖尿病过渡准备评估工具。过渡准备评估问卷可用于评估需要特殊保健的青少年/年轻人的自我管理能力和保健过渡知识。它还可以为保健专业人员提供指导，帮助他们发现获得自我管理和自我护理能力所需的教育领域。
