کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2664244 1140629 2015 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Self-Management and Transition Readiness Assessment: Development, Reliability, and Factor Structure of the STARx Questionnaire
ترجمه فارسی عنوان
ارزیابی آمادگی انتقال و خودمدیریتی: توسعه، قابلیت اطمینان و ساختار فاکتور پرسشنامه STARx
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی


• We describe the development of a transition tool for youth with chronic conditions.
• The STARX Questionnaire measures transition readiness and self-management skills.
• The STARX Questionnaire displays good internal consistency and temporal stability.
• The STARX Questionnaire displays a strong, multidimensional factor structure.
• The tool is developmentally sensitive and can guide interventions by age group.

IntroductionThe Self-Management and Transition to Adulthood with Rx = Treatment (STARx) Questionnaire was developed to collect information on self-management and health care transition (HCT) skills, via self-report, in a broad population of adolescents and young adults (AYAs) with chronic conditions.MethodsOver several iterations, the STARx questionnaire was created with AYA, family, and health provider input. The development and pilot testing of the STARx Questionnaire took place with the assistance of 1219 AYAs with different chronic health conditions, in multiple institutions and settings over three phases: item development, pilot testing, reliability and factor structuring.ResultsThe three development phases resulted in a final version of the STARx Questionnaire. The exploratory factor analysis of the third version of the 18-item STARx identified six factors that accounted for about 65% of the variance: Medication management, Provider communication, Engagement during appointments, Disease knowledge, Adult health responsibilities, and Resource utilization. Reliability estimates revealed good internal consistency and temporal stability, with the alpha coefficient for the overall scale being .80. The STARx was developmentally sensitive, with older patients scoring significantly higher on nearly every factor than younger patients.ConclusionThe STARx Questionnaire is a reliable, self-report tool with adequate internal consistency, temporal stability, and a strong, multidimensional factor structure. It provides another assessment strategy to measure self-management and transition skills in AYAs with chronic conditions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Nursing - Volume 30, Issue 5, September–October 2015, Pages 691–699
نویسندگان
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