The relationship of health care transition readiness to disease-related characteristics, psychosocial factors, and health care outcomes: preliminary findings in adolescents with chronic kidney disease

Journal of Pediatric Rehabilitation Medicine
Nicole FentonStephen R Hooper

Abstract

The current study utilized the Disability-Stress-Coping Model to conceptualize how disease-related risk factors (disease severity, age of diagnosis, and disease burden) and psychosocial resilience factors (coping efficacy, family cohesion, and quality of life) influence health care transition (HCT) readiness when controlling for age and disease severity [1]. Additionally, the impact of low HCT readiness on emergency room visits and medication adherence was examined. The sample was comprised of 41 adolescents with chronic kidney disease (CKD) who ranged in age from 13 to 18 years (Mean=15.7). Multiple regression analyses were conducted. None of the disease-related factors were associated with HCT readiness. Of the psychosocial factors, only family cohesion was a significant predictor and accounted for 10% unique variance. Transition readiness was significantly related to both the number of self-reported emergency room visits and medication adherence such that high readiness was related to fewer visits to the emergency room and better medication adherence; these variables accounted for 6.4% and 14.9% of the unique variance respectively. These findings suggest that disease-related risk factors may be less critical to predicting tr...Continue Reading

Citations

Feb 29, 2020·Inflammatory Bowel Diseases·Marina ArvanitisMichael D Kappelman
Dec 11, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Yuki SatoTakeo Nakayama
Mar 19, 2020·International Journal of Environmental Research and Public Health·Tanvi Verma, Jennifer Rohan
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