Measuring the Transition Readiness of Adolescents With Type 1 Diabetes Using the Transition Readiness Assessment Questionnaire

Chan, Jacqueline T.; Soni, Jinal; Sahni, Deepank; Mantis, Stelios; Boucher‐Berry, Claudia

doi:10.2337/cd18-0027

Cited by 23 publications

(14 citation statements)

References 17 publications

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“…This study assessed the validity of the TRAQ 5.0 in a clinically referred sample of 237 16‐ to 18‐year‐old youth accessing CAMHS, with almost half of the sample presenting with clinically elevated scores on the YSR Anxious‐Depressed syndrome scale. This sample's mean total TRAQ 5.0 scale score (3.51) aligns with mean scores among youth with diverse (primarily physical) health conditions, which have ranged from 3.04 to 4.11 in previous studies (Beal et al, 2016 ; Chan et al, 2019 ; Eaton et al, 2017 ; Roth et al, 2019 ). These are, on average, lower than the mean score (3.93) reported by Beal and colleagues ( 2016 ) for youth with no medical conditions.…”

Section: Discussionsupporting

confidence: 75%

“…Chronological age was also associated with higher TRAQ 5.0 scores, as expected, and the difference comprised an almost medium-sized effect (Cohen's D = .47). Previous studies of physical health have also found a difference in TRAQ score based on age (Chan et al, 2019;Little et al, 2017). Older youth may therefore not only be more developmentally prepared for transitions, but also have had more opportunity to prepare for and discuss transitions with their care providers than their younger peers.…”

Section: Discussionmentioning

confidence: 89%

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Validation of the Transition Readiness Assessment Questionnaire (TRAQ) 5.0 for use among youth in mental health services

Cleverley

Davies

Allemang

et al. 2022

Child

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Background Among youth with psychiatric disorders, the transition from child to adult mental health services is a period of vulnerability to discontinuous care and service disengagement. Regular assessment of transition readiness has been identified as a core component of transition planning, contributing to successful care transitions. The Transition Readiness Assessment Questionnaire (TRAQ) 5.0 is a 20‐item questionnaire that measures transition readiness in youth preparing to transition to adult care. Although the TRAQ has been validated and used across many health settings, it has not been validated in youth with primarily mental health concerns. The objective of this study was to validate the TRAQ for use among youth accessing mental health services. Methods This study used the Longitudinal Youth in Transition Study baseline cohort, which consists of 237 clinically referred youth (aged 16–18 years) receiving outpatient mental health treatment. Psychometric evaluation of the TRAQ 5.0 included confirmatory factor analysis (CFA), assessment of internal consistency, testing convergent validity using the Dimensions of Emerging Adulthood (IDEAS) and Difficulty in Emotional Regulation (DERS) scales, criterion validity using a question on whether the participant had talked about transition with their clinician and known‐group testing based on age. Results The CFA indicated adequate fit of the five‐factor TRAQ structure. The overall scale (=.86) and three of the subscales demonstrated adequate internal consistency. As hypothesized, overall TRAQ scores were higher for youth who had discussed transition and those aged 18. Small correlations were found between the overall TRAQ score and measures of developmental maturity (IDEAS) and emotional awareness (DERS); however, certain subscales did not demonstrate correlation with these constructs. Conclusions The TRAQ 5.0 appears to be valid tool to assess the transition readiness of youth in outpatient mental health services. Additional work needs determine whether findings are similar among specific mental health conditions, including substance use disorders and psychotic disorders.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 89%

Validation of the Transition Readiness Assessment Questionnaire (TRAQ) 5.0 for use among youth in mental health services

Cleverley

Davies

Allemang

et al. 2022

Child

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“…The TRAQ survey was validated for adolescents with cystic fibrosis in the United States [ 28 ]. The questionnaire was used internationally, e.g., USA, England, Canada, and Italy, [ 28 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ] and adapted for other chronic conditions, but an adaptation of IBD is still missing [ 11 , 43 , 44 , 45 , 46 ]. Adapted versions are available in Spanish for patients diagnosed with various chronic diseases, in Thai, and Brazilian-Portuguese for rheumatologic disorders, for the American pediatric population with epilepsy, and in Turkish for adolescents with diabetes [ 11 , 43 , 44 , 45 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

Hungarian Linguistic, Cross-Cultural and Age Adaptation of Transition Specific Questionnaires in Patients with Inflammatory Bowel Disease

et al. 2023

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Objective: In the TRANS–IBD clinical trial, the outcomes are measured with selected validated questionnaires. Cross-cultural and age adaptations of the Self-Efficacy Scale for adolescents and young adults (IBD–SES), the Transition Readiness Assessment Questionnaire (TRAQ), and the Self-Management and Transition Readiness Questionnaire (STARx) were performed. Methods: Linguistic and cultural adaptation was carried out with the usage of reliability coefficients (Cronbach’s α coefficients, Spearman’s rank correlation), and with confirmatory factor analysis (CFA; root Mean Square Error of Approximation [RMSEA], Comparative Fit Index [CFI], and Tucker-Lewis Index [TLI]). Results: 112 adolescents participated in the study (45.5% male, mean age 17 ± 1.98 years). CFA was acceptable in the IBD–SES and the TRAQ. Internal consistency was acceptable in IBD–SES and good in TRAQ (0.729; 0.865, respectively). Test–retest reliability was good in IBD–SES, but below the acceptable threshold in TRAQ (ρ = 0.819; ρ = 0.034). In STARx tools, RMSEA showed poor fit values, CFI and TLI were below acceptable fit values, and internal consistency was not satisfied (0.415; 0.693, respectively), while test–retest reliabilities were acceptable (ρ = 0.787; ρ = 0.788, respectively). Conclusions: Cross-cultural, age-specific adaptation was successfully completed with IBD–SES and TRAQ. Those are comparable to the original validated versions. The adaption of the STARx tools was not successful.

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“…5,6 ages 14-26 years with chronic conditions (type 1 diabetes, spina bifida, sickle cell disease, and congenital heart disease). 3,[7][8][9] Transition readiness was further measured using Skin Knowledge and Psychosocial tools. 10,11 All scores were measured on a 5-point Likert scale…”

Section: Collected Datamentioning

confidence: 99%

Transition readiness in adolescents and young adults with chronic genetic skin conditions

Rustad

Ren

et al. 2023

Pediatric Dermatology

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Background/Objectives Healthcare transition (HCT) refers to movement from pediatric to adult healthcare models. Lack of HCT preparation contributes to poor health outcomes. This study measures readiness to transition in individuals with genetic skin conditions. Methods Participants signed IRB‐approved consents/assents. Participants ages 14–22 years with genetic skin disorders were surveyed with measures of QoL (Children's Dermatology Life Quality Index/CDLQI or DLQI) and HCT readiness using the Transition Readiness Assessment Questionnaire (TRAQ) and adapted non‐validated measures of Skin Knowledge and Psychosocial Factors (5 = highest readiness). Mean TRAQ was compared with historical data on controls and other chronic conditions (t‐tests) and correlated (Pearson) with Skin Knowledge and Psychosocial. Multivariable regression compared demographics and QoL with transition readiness. Results A total of 45 participants were enrolled (mean age 17.8 years, 67% female, 71% White; disorders of cornification [n = 31], ectodermal dysplasias [n = 7], epidermolysis bullosa [n = 4], tuberous sclerosis [n = 3]). Mean TRAQ (3.3 ± 0.9) was lower than controls (3.9; p < .001) and some chronic disorders (sickle cell [3.7; p < .05], type 1 diabetes [3.7; p < .01]), but higher than with spina bifida (2.8; p < .001) and congenital heart disease (2.9; p < .01). Mean Skin Knowledge was 4.2 ± 1.0, and mean Psychosocial was 3.4 ± 0.8. TRAQ correlated strongly with Skin Knowledge (r = .61; p < .05), but not Psychosocial (r = .12; p = .6). Ages 14–17 years versus 18–22 years and public versus private insurance predicted lower TRAQ scores. Poor DLQI predicted higher TRAQ and Skin Knowledge, but poor DLQI and CDLQI predicted lower Psychosocial. Conclusions Adolescents and young adults with genetic skin disorders demonstrated low transition readiness, especially among younger‐aged and lower socioeconomic groups. We recommend a HCT intervention to improve health outcomes.

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Measuring the Transition Readiness of Adolescents With Type 1 Diabetes Using the Transition Readiness Assessment Questionnaire

Cited by 23 publications

References 17 publications

Validation of the Transition Readiness Assessment Questionnaire (TRAQ) 5.0 for use among youth in mental health services

Validation of the Transition Readiness Assessment Questionnaire (TRAQ) 5.0 for use among youth in mental health services

Hungarian Linguistic, Cross-Cultural and Age Adaptation of Transition Specific Questionnaires in Patients with Inflammatory Bowel Disease

Transition readiness in adolescents and young adults with chronic genetic skin conditions

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