University of Texas at Austin School of Nursing, Austin, TX, USA.
University of Rochester School of Nursing, Rochester, NY, USA.
J Asthma. 2023 May;60(5):991-999. doi: 10.1080/02770903.2022.2119864. Epub 2022 Sep 14.
Asthma is the leading chronic health condition in adolescents, yet little is known about adolescents' readiness to transition into adult-focused care. This study examines transition readiness in middle and late adolescents with asthma.
This cross-sectional descriptive study was conducted in 2019 with 41 adolescents (16-20 years old) with asthma. Transition readiness was measured with the 20-item Transition Readiness Assessment Questionnaire (TRAQ), which comprises five subscales.
Slight majorities of the sample comprised females (58.5%) and minority adolescents (56%). The sample's overall mean score on the TRAQ was 3.89 (±0.63; possible range 1-5). Managing daily activities was associated with talking with providers subscale ( = 0.36; < 0.01), but not with other TRAQ subscales. Females reported greater scores for managing medications than did males, with mean = 4.2 vs. 3.6 ( = -2.15, = 0.04). Transition readiness did not differ by race or health insurance type. However, scores on arranging transportation to medical appointments were lower among minority adolescents than whites (4.17 vs. 4.8, = 2.56, = 0.01). Better asthma control was associated with higher scores on talking with providers ( =0.42; < 0.01), but not with other subscale domains.
Overall transition readiness is suboptimal in middle to late adolescents with asthma. Adolescents' capacity to manage daily activities is not a valid indicator of transition readiness in disease self-management. It is important to consider gender, race, and asthma control in understanding transition readiness in adolescents with asthma.
哮喘是青少年中主要的慢性健康问题，但人们对青少年准备过渡到以成人为中心的护理知之甚少。本研究旨在探讨哮喘中、晚期青少年的过渡准备情况。
本横断面描述性研究于 2019 年进行，共纳入 41 名（16-20 岁）哮喘青少年。使用 20 项过渡准备评估问卷（TRAQ）来衡量过渡准备情况，该问卷包括五个分量表。
研究样本中，女性（58.5%）和少数族裔青少年（56%）占略多数。TRAQ 的总体平均得分为 3.89（±0.63；可能范围 1-5）。日常活动管理与与提供者交谈的分量表相关（ =0.36； <0.01），但与其他 TRAQ 分量表无关。女性报告在管理药物方面的得分高于男性，均值分别为 4.2 分和 3.6 分（ =−2.15， =0.04）。过渡准备情况不因种族或健康保险类型而异。然而，少数民族青少年安排交通去看医生的得分低于白人，分别为 4.17 分和 4.8 分（ =2.56， =0.01）。更好的哮喘控制与与提供者交谈（ =0.42； <0.01）的得分较高相关，但与其他分量表领域无关。
哮喘中、晚期青少年的总体过渡准备情况不理想。青少年日常活动管理能力不能作为疾病自我管理过渡准备的有效指标。在理解哮喘青少年的过渡准备情况时，考虑性别、种族和哮喘控制非常重要。
