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Issue title: Transition, Part 2
Article type: Research Article
Authors: Fenton, Nicole | Ferris, Maria | Ko, Zion | Javalkar, Karina | Hooper, Stephen R.
Affiliations: University of North Carolina-Chapel Hill, Chapel Hill, NC, USA | Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC, USA | School of Medicine, East Carolina University, Greenville, NC, USA | Departments of Allied Health Sciences and Psychiatry University of North Carolina School of Medicine, Chapel Hill, NC, USA
Note: [] Corresponding author: Maria Ferris, Division of Pediatric Nephrology, Department of Medicine and Pediatrics, University of North Carolina School of Medicine CB# 7155, Chapel Hill, NC 27599-7155, USA. Tel.: +1 919 66 2561, Ext 237; E-mail: maria_ferris@med.unc.edu
Abstract: PURPOSE: 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. Methods: 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. RESULTS: 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. CONCLUSION: These findings suggest that disease-related risk factors may be less critical to predicting transition readiness than resilience factors such as family cohesion. Additionally, when adolescents have low transition readiness they are likely to experience significant negative health outcomes.
Keywords: Health care-related transition, transition readiness, factors affecting transition, chronic kidney disease
DOI: 10.3233/PRM-150314
Journal: Journal of Pediatric Rehabilitation Medicine, vol. 8, no. 1, pp. 13-22, 2015
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