How Do Health Literacy, Numeric Competencies, and Patient Activation Relate to Transition Readiness in Adolescents and Young Adults With Rheumatic Diseases?

Arthritis Care & Research
Samuel M LazaroffStacy P Ardoin

Abstract

To evaluate how demographics, health literacy, numeracy, and patient activation are related to transition readiness in adolescent and young adult (AYA) patients and to describe how parent/guardian (PG) performance on these metrics predicts AYA patients' transition readiness. In this single center, cross-sectional study, consecutive English-speaking AYA patients ages 17-21 years and PGs were recruited from outpatient rheumatology clinics. Participants completed the following self-reported instruments: demographic questionnaire, Short Test of Fundamental Health Literacy, Objective Numeracy Scale, Subjective Numeracy Scale, Symbolic-number mapping, Patient Activation Measure, and Transition Readiness Assessment Questionnaire (TRAQ; AYA patients only). Ninety-one AYA patients participated in the study, of whom 64 of 91 (70%) had juvenile idiopathic arthritis, and 54 PGs. Mean ± SD TRAQ score was 4.0 ± 0.65, correlating with "I am starting to do this" stage of change. Most participants (98%) had adequate health literacy. Multivariable regression analysis showed that AYA patients of female sex, older age, and higher patient activation significantly predicted higher TRAQ scores (P < 0.05). No PG characteristics were linked to higher A...Continue Reading

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Citations

May 16, 2019·Clinical Nutrition Research·Dahyun ParkSunmi Song
Sep 19, 2019·Western Journal of Nursing Research·Maureen Varty, Lori L Popejoy
Mar 15, 2019·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Yi ZhongEniko Rak
Jan 17, 2021·International Journal of Rheumatic Diseases·Hafize Emine SönmezNuray Aktay Ayaz
May 7, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Deena J ChisolmKelly Kelleher
Jan 7, 2022·International Journal of Rheumatic Diseases·Kai Liang TehThaschawee Arkachaisri

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