Initial Development and Validation of a Transition Readiness Scale for Adolescents with Inflammatory Bowel Disease

Background and Aims. To date, there are no validated measures in IBD to assess the level of preparedness for transition into adult health care. The purpose of this study was to develop and assess the reliability and validity of a “Transition Readiness” (TR) measure for adolescents with IBD, as well...

Full description

Saved in:
Bibliographic Details
Main Authors: Oded Hammerman, Areej Bayatra, Dan Turner, Arie Levine, Raanan Shamir, Amit Assa, Michael Wilschanski, Yaacov G. Bachner, Eran Israeli
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2019/5062105
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832560308576583680
author Oded Hammerman
Areej Bayatra
Dan Turner
Arie Levine
Raanan Shamir
Amit Assa
Michael Wilschanski
Yaacov G. Bachner
Eran Israeli
author_facet Oded Hammerman
Areej Bayatra
Dan Turner
Arie Levine
Raanan Shamir
Amit Assa
Michael Wilschanski
Yaacov G. Bachner
Eran Israeli
author_sort Oded Hammerman
collection DOAJ
description Background and Aims. To date, there are no validated measures in IBD to assess the level of preparedness for transition into adult health care. The purpose of this study was to develop and assess the reliability and validity of a “Transition Readiness” (TR) measure for adolescents with IBD, as well as to evaluate the level of TR synchronicity between adolescents themselves, their parents, and their pediatric gastroenterologists. Methods. A self-assessment tool was created to evaluate TR. Items were reviewed for face validation by IBD experts, and an exploratory factor analysis was performed which yielded 3 distinct domains. The study cohort included adolescents aged 12-21 yrs, their parents, and their physicians in pediatric IBD centers. Correlations between patient/parent/physician TR between each of the domains and the overall TR score to age were assessed. Results. 63 subjects (average age 16.6 yrs/79% Crohn’s disease/44% male) participated in this study. There was a significant correlation between the scoring of adolescents and parents on all three domains. The correlation between adolescents and physicians, as well as between parents and physicians, was only consistent for self-efficacy. Self-efficacy significantly correlated with age, while the correlations between perceived knowledge and perception of medical care with age were not significant. Conclusion. Validation of a novel TR measurement for adolescents with IBD demonstrated a good correlation between patients and parents. Out of the three proposed constructs, perceived self-efficacy is the most salient measure.
format Article
id doaj-art-49b4ffab7453451b8635b75a122d3939
institution Kabale University
issn 1687-6121
1687-630X
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Gastroenterology Research and Practice
spelling doaj-art-49b4ffab7453451b8635b75a122d39392025-02-03T01:27:49ZengWileyGastroenterology Research and Practice1687-61211687-630X2019-01-01201910.1155/2019/50621055062105Initial Development and Validation of a Transition Readiness Scale for Adolescents with Inflammatory Bowel DiseaseOded Hammerman0Areej Bayatra1Dan Turner2Arie Levine3Raanan Shamir4Amit Assa5Michael Wilschanski6Yaacov G. Bachner7Eran Israeli8Institute of Gastroenterology and Liver Diseases, Hadassah-Hebrew University Medical Center, POB 12000, Jerusalem 91120, IsraelInstitute of Gastroenterology and Liver Diseases, Hadassah-Hebrew University Medical Center, POB 12000, Jerusalem 91120, IsraelInstitute of Pediatric Gastroenterology, Shaarei Zedek Medical Center, 12 Shmuel Beit St., Jerusalem 9103102, IsraelUnit of Pediatric Gastroenterology, Wolfson Medical Center, 62 Halochamin St., Holon/Tel Aviv 5822012, IsraelSackler Faculty of Medicine, Tel Aviv University, POB 39040, Tel Aviv 69978, IsraelSackler Faculty of Medicine, Tel Aviv University, POB 39040, Tel Aviv 69978, IsraelUnit of Pediatric Gastroenterology, Hadassah-Hebrew University Medical Center, POB 12000, Jerusalem 91120, IsraelDepartment of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, POB 653, Beer Sheva 8410501, IsraelInstitute of Gastroenterology and Liver Diseases, Hadassah-Hebrew University Medical Center, POB 12000, Jerusalem 91120, IsraelBackground and Aims. To date, there are no validated measures in IBD to assess the level of preparedness for transition into adult health care. The purpose of this study was to develop and assess the reliability and validity of a “Transition Readiness” (TR) measure for adolescents with IBD, as well as to evaluate the level of TR synchronicity between adolescents themselves, their parents, and their pediatric gastroenterologists. Methods. A self-assessment tool was created to evaluate TR. Items were reviewed for face validation by IBD experts, and an exploratory factor analysis was performed which yielded 3 distinct domains. The study cohort included adolescents aged 12-21 yrs, their parents, and their physicians in pediatric IBD centers. Correlations between patient/parent/physician TR between each of the domains and the overall TR score to age were assessed. Results. 63 subjects (average age 16.6 yrs/79% Crohn’s disease/44% male) participated in this study. There was a significant correlation between the scoring of adolescents and parents on all three domains. The correlation between adolescents and physicians, as well as between parents and physicians, was only consistent for self-efficacy. Self-efficacy significantly correlated with age, while the correlations between perceived knowledge and perception of medical care with age were not significant. Conclusion. Validation of a novel TR measurement for adolescents with IBD demonstrated a good correlation between patients and parents. Out of the three proposed constructs, perceived self-efficacy is the most salient measure.http://dx.doi.org/10.1155/2019/5062105
spellingShingle Oded Hammerman
Areej Bayatra
Dan Turner
Arie Levine
Raanan Shamir
Amit Assa
Michael Wilschanski
Yaacov G. Bachner
Eran Israeli
Initial Development and Validation of a Transition Readiness Scale for Adolescents with Inflammatory Bowel Disease
Gastroenterology Research and Practice
title Initial Development and Validation of a Transition Readiness Scale for Adolescents with Inflammatory Bowel Disease
title_full Initial Development and Validation of a Transition Readiness Scale for Adolescents with Inflammatory Bowel Disease
title_fullStr Initial Development and Validation of a Transition Readiness Scale for Adolescents with Inflammatory Bowel Disease
title_full_unstemmed Initial Development and Validation of a Transition Readiness Scale for Adolescents with Inflammatory Bowel Disease
title_short Initial Development and Validation of a Transition Readiness Scale for Adolescents with Inflammatory Bowel Disease
title_sort initial development and validation of a transition readiness scale for adolescents with inflammatory bowel disease
url http://dx.doi.org/10.1155/2019/5062105
work_keys_str_mv AT odedhammerman initialdevelopmentandvalidationofatransitionreadinessscaleforadolescentswithinflammatoryboweldisease
AT areejbayatra initialdevelopmentandvalidationofatransitionreadinessscaleforadolescentswithinflammatoryboweldisease
AT danturner initialdevelopmentandvalidationofatransitionreadinessscaleforadolescentswithinflammatoryboweldisease
AT arielevine initialdevelopmentandvalidationofatransitionreadinessscaleforadolescentswithinflammatoryboweldisease
AT raananshamir initialdevelopmentandvalidationofatransitionreadinessscaleforadolescentswithinflammatoryboweldisease
AT amitassa initialdevelopmentandvalidationofatransitionreadinessscaleforadolescentswithinflammatoryboweldisease
AT michaelwilschanski initialdevelopmentandvalidationofatransitionreadinessscaleforadolescentswithinflammatoryboweldisease
AT yaacovgbachner initialdevelopmentandvalidationofatransitionreadinessscaleforadolescentswithinflammatoryboweldisease
AT eranisraeli initialdevelopmentandvalidationofatransitionreadinessscaleforadolescentswithinflammatoryboweldisease