A mixed methods exploratory study assessing youth knowledge, self-efficacy and mental health outcomes in transition to adult healthcare
Background: Transition from adolescence to adulthood is a change in status yielding self-sufficiency, independence, and participation in adult roles. There are numerous efforts to define transition elements and encourage formalized processes readying youth for adulthood, yet significant challenges r...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Health Care Transitions |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949923225000029 |
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| author | Jennifer G. Andrews Rena Shifren Richard Wahl Wendy Parent-Johnson Scott Klewer |
| author_facet | Jennifer G. Andrews Rena Shifren Richard Wahl Wendy Parent-Johnson Scott Klewer |
| author_sort | Jennifer G. Andrews |
| collection | DOAJ |
| description | Background: Transition from adolescence to adulthood is a change in status yielding self-sufficiency, independence, and participation in adult roles. There are numerous efforts to define transition elements and encourage formalized processes readying youth for adulthood, yet significant challenges remain. Methods: We recruited individuals who were age 12 years or older and not transitioned or 18 years and older who transitioned within 24 months to complete questionnaires and participate in a focus group. Results: 25 participants (Mean age 17.9 years) completed questionnaires and 76 % participated in focus groups. Youth 18 years and older had mean scores in the reason for concern range on 7 of 9 NIH Toolbox scales de. Transition readiness was lower in adults across all five categories. Key themes include misunderstanding the concept of transition and self-determination in transition. Conclusions: Few youth understood what “transition” entails. Most considered it a single issue, such as aging out of insurance or leaving their pediatric specialist. Youth self-efficacy and life outlook declines in the late teens and early adulthood, exacerbating perceived inability to self-manage and gain independence. Most concerning is the emotional well-being and self-esteem of our adults who scored in the reason for concern range in 7 of 9 scales whereas adolescent peers did not. A directed attempt to create self-efficacy for youth in transition through training in health management, understanding the meaning of transition and promoting a positive perception prior to transition is needed. |
| format | Article |
| id | doaj-art-6f1df346e3e249ba9b5ebbe5afee2ba7 |
| institution | Kabale University |
| issn | 2949-9232 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Health Care Transitions |
| spelling | doaj-art-6f1df346e3e249ba9b5ebbe5afee2ba72025-02-08T05:01:50ZengElsevierHealth Care Transitions2949-92322025-01-013100096A mixed methods exploratory study assessing youth knowledge, self-efficacy and mental health outcomes in transition to adult healthcareJennifer G. Andrews0Rena Shifren1Richard Wahl2Wendy Parent-Johnson3Scott Klewer4Department of Pediatrics, University of Arizona, Tucson, AZ, USA; Correspondence to: Department of Pediatrics, University of Arizona, 1501 N Campbell Avenue, Tucson, AZ 85724-5073, USA.Prosense Consumer Research, Tucson, AZ, USADepartment of Pediatrics, University of Arizona, Tucson, AZ, USADepartment of Counseling and Special Education, Virginia Commonwealth University, Richmond, VA, USADepartment of Pediatrics, University of Arizona, Tucson, AZ, USABackground: Transition from adolescence to adulthood is a change in status yielding self-sufficiency, independence, and participation in adult roles. There are numerous efforts to define transition elements and encourage formalized processes readying youth for adulthood, yet significant challenges remain. Methods: We recruited individuals who were age 12 years or older and not transitioned or 18 years and older who transitioned within 24 months to complete questionnaires and participate in a focus group. Results: 25 participants (Mean age 17.9 years) completed questionnaires and 76 % participated in focus groups. Youth 18 years and older had mean scores in the reason for concern range on 7 of 9 NIH Toolbox scales de. Transition readiness was lower in adults across all five categories. Key themes include misunderstanding the concept of transition and self-determination in transition. Conclusions: Few youth understood what “transition” entails. Most considered it a single issue, such as aging out of insurance or leaving their pediatric specialist. Youth self-efficacy and life outlook declines in the late teens and early adulthood, exacerbating perceived inability to self-manage and gain independence. Most concerning is the emotional well-being and self-esteem of our adults who scored in the reason for concern range in 7 of 9 scales whereas adolescent peers did not. A directed attempt to create self-efficacy for youth in transition through training in health management, understanding the meaning of transition and promoting a positive perception prior to transition is needed.http://www.sciencedirect.com/science/article/pii/S2949923225000029Healthcare transitionMental healthSelf-efficacyWell-being |
| spellingShingle | Jennifer G. Andrews Rena Shifren Richard Wahl Wendy Parent-Johnson Scott Klewer A mixed methods exploratory study assessing youth knowledge, self-efficacy and mental health outcomes in transition to adult healthcare Health Care Transitions Healthcare transition Mental health Self-efficacy Well-being |
| title | A mixed methods exploratory study assessing youth knowledge, self-efficacy and mental health outcomes in transition to adult healthcare |
| title_full | A mixed methods exploratory study assessing youth knowledge, self-efficacy and mental health outcomes in transition to adult healthcare |
| title_fullStr | A mixed methods exploratory study assessing youth knowledge, self-efficacy and mental health outcomes in transition to adult healthcare |
| title_full_unstemmed | A mixed methods exploratory study assessing youth knowledge, self-efficacy and mental health outcomes in transition to adult healthcare |
| title_short | A mixed methods exploratory study assessing youth knowledge, self-efficacy and mental health outcomes in transition to adult healthcare |
| title_sort | mixed methods exploratory study assessing youth knowledge self efficacy and mental health outcomes in transition to adult healthcare |
| topic | Healthcare transition Mental health Self-efficacy Well-being |
| url | http://www.sciencedirect.com/science/article/pii/S2949923225000029 |
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