Assessing Readiness for Transition From Pediatric to Adult Gender Affirming Care.

Autor: Katz J; Division of Endocrinology, Department of Internal Medicine, Northwestern University-Feinberg School of Medicine, Chicago, Illinois; Division of Endocrinology, Department of Internal Medicine, University of Illinois at Chicago, Chicago, Illinois; Division of Endocrinology, Department of Internal Medicine, Jesse Brown Department of Veteran's Affairs, Chicago, Illinois. Electronic address: JoshKatz@UIC.edu., Ascha M; Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University-Feinberg School of Medicine, Chicago, Illinois., Merrick E; Northwestern University-Feinberg School of Medicine, Chicago, Illinois., Chen D; Potocsnak Family Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; Department of Psychiatry and Behavioral Sciences, and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Bowen D; Division of Pediatric Urology, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Jordan S; Division of Endocrinology, Department of Internal Medicine, Jesse Brown Department of Veteran's Affairs, Chicago, Illinois; Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University-Feinberg School of Medicine, Chicago, Illinois., Rosoklija I; Division of Pediatric Urology, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois., Voss R; Potocsnak Family Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Jazyk: angličtina
Zdroj: The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2024 Feb; Vol. 74 (2), pp. 375-380. Date of Electronic Publication: 2023 Nov 14.
DOI: 10.1016/j.jadohealth.2023.08.055
Abstrakt: Purpose: Transitioning from pediatric to adult care is a critical juncture in the health of adolescents. Little is known about how best to optimize transition to adult care among transgender and nonbinary (TGNB) youth. While the Transition Readiness and Assessment Questionnaire (TRAQ) has been validated in other pediatric populations, it has not been studied in TGNB youth. Our aims were to pilot the use of the TRAQ for TGNB patients, describe transition readiness patterns, and identify factors associated with transition readiness.
Methods: The TRAQ was introduced into routine clinical care for patients and their caregivers in a large, urban pediatric gender program in the spring of 2021. We performed a retrospective chart review comparing TRAQ responses based on demographic and clinical data.
Results: We collected TRAQs from 153 adolescents (mean age: 19 years [standard deviation 2.36], range: 11-24). The TRAQ demonstrated good internal reliability with a Cronbach alpha of 0.926. Patients scored highest in the TRAQ subdomains of talking with providers and tracking health issues and lowest in the subdomains of managing medications and appointment keeping. Age and presenting to the appointment alone were associated with higher TRAQ scores.
Discussion: We found that the TRAQ is internally reliable in a sample of TGNB youth. Factors associated with higher TRAQ scores and patterns identified in TRAQ score subdomains provide an insight into the needs of TGNB youth preparing to transition to adult gender-affirming care. Future research should focus on tracking transition readiness longitudinally, developing and evaluating interventions to improve transition readiness, and assessing post-transition outcomes.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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