Chapados Pascale, Monarque Marika, Melo Ariane, Provost Carole, Laverdière Caroline, Sultan Serge, Desjardins Leandra
clinical psychology Psy.D(c), Sainte-Justine University Health Centre; Department of Psychology, Université de Montréal.
clinical psychology Ph.D.(c), Sainte-Justine University Health Centre; Department of Psychology, Université de Montréal.
Can Oncol Nurs J. 2025 Jul 1;35(4):554-570. doi: 10.5737/23688076354554. eCollection 2025.
This study aimed to 1) describe adolescent cancer survivors' transition readiness and self-reported goals in a limited clinical sample; and 2) investigate healthcare providers' (HCPs') perspectives about a nurse-led clinical utilization of the Transition Readiness Assessment Questionnaire (TRAQ) and its subsequent discontinuation in a long-term follow-up (LTFU) pediatric oncology clinic. Data were collected from adolescent survivors (n = 7) at a tertiary pediatric hospital, while in-depth interviews were conducted with HCPs (n = 3) from the LTFU oncology clinic. Qualitative data revealed barriers, facilitators, and strategies for TRAQ implementation, relating to the tool, HCPs, adolescents, and the clinical context. The understanding of the barriers and facilitators to TRAQ use will support a structured implementation plan for TRAQ use in future clinical practice. Analysis revealed varying levels of readiness for transition to adult care services among patients and identified themes in their self-set goals, supporting the need for transition readiness supports in this population.
1）在一个有限的临床样本中描述青少年癌症幸存者的过渡准备情况及自我报告的目标；2）调查医疗服务提供者（HCPs）对于在一家长期随访（LTFU）儿科肿瘤诊所由护士主导临床使用《过渡准备评估问卷》（TRAQ）及其后续停用的看法。数据收集自一家三级儿科医院的青少年幸存者（n = 7），同时对LTFU肿瘤诊所的HCPs（n = 3）进行了深入访谈。定性数据揭示了与该工具、HCPs、青少年及临床背景相关的TRAQ实施的障碍、促进因素及策略。对TRAQ使用的障碍和促进因素的理解将为未来临床实践中TRAQ的结构化实施计划提供支持。分析揭示了患者向成人护理服务过渡的准备程度各不相同，并确定了他们自我设定目标中的主题，支持了这一人群对过渡准备支持的需求。
