Advertisement

The Effect of Self-Efficacy, Social Support and Quality of Life on Readiness for Transition to Adult Care Among Adolescents with Cystic Fibrosis in Turkey

Published:December 02, 2020DOI:https://doi.org/10.1016/j.pedn.2020.11.013

      Highlights

      • Self-efficacy were associated with readiness for the transition to adult care.
      • Perceived social support and quality of life had an impact on perceived self-efficacy.
      • Self-efficacy, social support and health-related quality of life are important in transitions of adolescents with CF.

      Abstract

      Purpose

      The aim of this study is to examine the effects of self-efficacy, social support and quality of life on readiness for transition to adult care in adolescents with cystic fibrosis.

      Design and methods

      A descriptive and cross-sectional study design was used. Data were collected from 50 adolescent between 14 and 17 years old with cystic fibrosis, by using The Transition Readiness Assessment Questionnaire, Social Support Appraisals Scale for Children, Self-Efficacy Questionnaire for Children and health-related quality-of-life instrument, the KIDSCREEN-10.

      Results

      A positive correlation was found between the readiness levels of adolescents for transition to adult care and self-efficacy levels. In path analysis, self-efficacy was found to have a significant effect on the level of readiness for transition to adult care. There was not statistically significant relationship between the level of readiness for transition to adult care and health-related quality of life and perceived social support. Path analysis revealed that health-related quality of life and perceived social support had significant effects on the self-efficacy levels of adolescents.

      Conclusions

      Self-efficacy were associated with readiness for the transition to adult care. Although perceived social support and quality of life were not related with transition readiness these variables had significant effects on perceived self-efficacy, which was determined as a factor affecting the readiness for the transition to adult care.

      Practice implications

      In adolescents with cystic fibrosis, self-efficacy, social support and quality of life levels should be taken into account when planning preparation programs for transition to adult care.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      References

        • American Academy of Pediatrics
        • American Academy of Family Physicians
        • American College of Physicians
        • Transitions Clinical Report Authoring Group
        Supporting the health care transition from adolescence to adulthood in the medical home.
        Pediatrics. 2011; 128: 182-200https://doi.org/10.1542/peds.2011-0969
        • Bandura A.
        On the functional properties of perceived self-efficacy revisited.
        Journal of Management. 2012; 38: 9-44https://doi.org/10.1177/0149206311410606
        • Barker D.H.
        • Driscoll K.A.
        • Modi A.C.
        • Light M.J.
        • Quittner A.L.
        Supporting cystic fibrosis disease management during adolescence: The role of family and friends.
        Child: Care, Health and Development. 2012; 38: 497-504https://doi.org/10.1111/j.1365-2214.2011.01286.x
        • Baydur H.
        • Ergin D.
        • Gerçeklioglu G.
        • Eser E.
        Reliability and validity study of the KIDSCREEN health-related quality of life questionnaire in a Turkish child and adolescent population.
        Anatolian Journal of Psychiatry. 2016; 17: 496-505https://doi.org/10.5455/apd.214559
        • Bell S.C.
        • Mall M.A.
        • Gutierrez H.
        • Macek M.
        • Madge S.
        • Davies J.C.
        • Ratjen F.
        The future of cystic fibrosis care: A global perspective.
        The Lancet Respiratory Medicine. 2020; 8: 65-124https://doi.org/10.1016/S2213-2600(19)30337-6
        • Boyle M.P.
        • Farukhi Z.
        • Nosky M.L.
        Strategies for improving transition to adult cystic fibrosis care, based on patient and parent views.
        Pediatric Pulmonology. 2001; 32: 428-436https://doi.org/10.1002/ppul.1154
        • van den Brink G.
        • van Gaalen M.
        • Zijlstra M.
        • de Ridder L.
        • van der Woude C.J.
        • Escher J.C.
        Self-efficacy did not predict the outcome of the transition to adult care in adolescents with inflammatory bowel disease.
        Acta Paediatrica. 2019; 108: 333-338https://doi.org/10.1111/apa.14471
        • Carlsen K.
        • Haddad N.
        • Gordon J.
        • Phan B.L.
        • Pittman N.
        • Benkov K.
        • Keefer L.
        Self-efficacy and resilience are useful predictors of transition readiness scores in adolescents with inflammatory bowel diseases.
        Inflammatory Bowel Diseases. 2017; 23: 341-346https://doi.org/10.1097/MIB.0000000000001038
        • Castillo C.
        • Kitsos E.
        Transitions from pediatric to adult care.
        Global Pediatric Health. 2017; 4: 1-2https://doi.org/10.1177/2333794X17744946
        • Chaudhry S.R.
        • Keaton M.
        • Nasr S.Z.
        Evaluation of a cystic fibrosis transition program from pediatric to adult care.
        Pediatric Pulmonology. 2013; 48: 658-665https://doi.org/10.1002/ppul.22647
        • Coyne I.
        • Sheehan A.
        • Heery E.
        • While A.E.
        Healthcare transition for adolescents and young adults with long-term conditions: Qualitative study of patients, parents and healthcare professionals’ experiences.
        Journal of Clinical Nursing. 2019; 28: 4062-4076https://doi.org/10.1111/jocn.15006
        • Coyne I.
        • Sheehan A.M.
        • Heery E.
        • While A.E.
        Improving transition to adult healthcare for young people with cystic fibrosis: A systematic review.
        Journal of Child Health Care. 2017; 21: 312-330https://doi.org/10.1177/1367493517712479
        • Cummings E.
        • Hauser J.
        • Cameron-Tucker H.
        • Fitzpatrick P.
        • Jessup M.
        • Walters E.H.
        • Turner P.
        Enhancing self-efficacy for self-management in people with cystic fibrosis.
        Studies in Health Technology and Informatics. 2011; 169: 33-37https://doi.org/10.3233/978-1-60750-806-9-33
        • Doğru D.
        • Çakır E.
        • Şişmanlar T.
        • Çobanoğlu N.
        • Pekcan S.
        • Cinel G.
        • Özçelik U.
        Cystic fibrosis in Turkey: First data from the national registry.
        Pediatric Pulmonology. 2020; 55: 541-548https://doi.org/10.1002/ppul.24561
        • Dubow E.F.
        • Ullman D.G.
        Assessing social support in elementary school children: The survey of children’s social support.
        Journal of Clinical Child Psychology. 1989; 18: 52-64https://doi.org/10.1207/s15374424jccp1801_7
        • Faint N.R.
        • Staton J.M.
        • Stick S.M.
        • Foster J.M.
        • Schultz A.
        Investigating self-efficacy, disease knowledge and adherence to treatment in adolescents with cystic fibrosis.
        Journal of Paediatrics and Child Health. 2017; 53: 488-493https://doi.org/10.1111/jpc.13458
        • Fenton N.
        • Ferris M.
        • Ko Z.
        • Javalkar K.
        • Hooper S.R.
        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. 2015; 8: 13-22https://doi.org/10.3233/PRM-150314
        • Gangemi A.
        • Abou-Baker N.
        • Wong K.
        Evaluating the quality of life and transition of adolescents and young adults with asthma in an inner city.
        Medical Research Archives. 2020; 8https://doi.org/10.18103/mra.v8i1.2031
        • Gökler I.
        Çocuk ve ergenler için sosyal destek değerlendirme ölçeği Türkçe formunun uyarlama çalışması: Faktör yapısı, geçerlik ve güvenirliği [The Turkish adaptation study of social support appraisals scale to be used with children and adolescents: Factor structure, validity and reliability].
        Çocuk ve Gençlik Ruh Sağlığı Dergisi. 2007; 14: 90-99
        • Grieve A.J.
        • Tluczek A.
        • Racine-Gilles C.N.
        • Laxova A.
        • Albers C.A.
        • Farrell P.M.
        Associations between academic achievement and psychosocial variables in adolescents with cystic fibrosis.
        The Journal of School Health. 2011; 81: 713-720https://doi.org/10.1111/j.1746-1561.2011.00648.x
        • IBM Corp
        IBM SPSS statistics for windows, version 23.0.
        IBM Corp., Armonk, NY2015 ([Computer Software])
        • Kennedy A.
        • Sawyer S.
        Transition from pediatric to adult services: Are we getting it right?.
        Current Opinion in Pediatrics. 2008; 20: 403-409https://doi.org/10.1097/MOP.0b013e328305e128
        • Kızıler E.
        • Yıldız D.
        • Fidancı B.E.
        Validation of transition readiness assessment questionnaire in Turkish adolescents with diabetes.
        Balkan Medical Journal. 2018; 35: 93-100https://doi.org/10.4274/balkanmedj.2016.1415
        • Lapp V.
        • Chase S.K.
        How do youth with cystic fibrosis perceive their readiness to transition to adult healthcare compared to their caregivers’ views?.
        Journal of Pediatric Nursing. 2018; 43: 104-110https://doi.org/10.1016/j.pedn.2018.09.012
        • McDonagh J.E.
        Growing up and moving on: Transition from pediatric to adult care.
        Pediatric Transplantation. 2005; 9: 364-372https://doi.org/10.1111/j.1399-3046.2004.00287.x
        • Muris P.
        A brief questionnaire for measuring self-efficacy in youths.
        Journal of Psychopathology and Behavioral Assessment. 2001; 23: 145-149https://doi.org/10.1023/A:1010961119608
        • Muther E.F.
        • Polineni D.
        • Sawicki G.S.
        Overcoming psychosocial challenges in cystic fibrosis: Promoting resilience.
        Pediatric Pulmonology. 2018; 53: S86-S92https://doi.org/10.1002/ppul.24127
        • Pakdeeprom B.
        • In-Iw S.
        • Chintanadilok N.
        • Wichiencharoen D.K.
        • Manaboriboon B.
        Promoting factors for transition readiness of adolescent chronic illnesses: Experiences in Thailand.
        Journal of the Medical Association of Thailand. 2012; 95: 1028-1103
        • Ravens-Sieberer U.
        • Erhart M.
        • Rajmil L.
        • Herdman M.
        • Auquier P.
        • Bruil J.
        • European KIDSCREEN Group
        Reliability, construct and criterion validity of the KIDSCREEN-10 score: A short measure for children and adolescents' well-being and health-related quality of life.
        Quality of Life Research. 2010; 19: 1487-1500https://doi.org/10.1007/s11136-010-9706-5
        • Sawicki G.S.
        • Lukens-Bull K.
        • Yin X.
        • Demars N.
        • Huang I.C.
        • Livingood W.
        • Wood D.
        Measuring the transition readiness of youth with special healthcare needs: Validation of the TRAQ-Transition Readiness Assessment Questionnaire.
        Journal of Pediatric Psychology. 2011; 36: 160-171https://doi.org/10.1093/jpepsy/jsp128
        • Sawicki G.S.
        • Ostrenga J.
        • Petren K.
        • Fink A.K.
        • D’Agostino E.
        • Strassle C.
        • Rosenfeld M.
        Risk factors for gaps in care during transfer from pediatric to adult cystic fibrosis programs in the United States.
        Annals of the American Thoracic Society. 2018; 15: 234-240https://doi.org/10.1513/AnnalsATS.201705-357OC
        • Sawicki G.S.
        • Ren C.L.
        • Konstan M.W.
        • Millar S.J.
        • Pasta D.J.
        • Quittner A.L.
        • Investigators and Coordinators of the Epidemiologic Study of Cystic Fibrosis
        Treatment complexity in cystic fibrosis: Trends over time and associations with site-specific outcomes.
        Journal of Cystic Fibrosis. 2013; 12: 461-467https://doi.org/10.1016/j.jcf.2012.12.009
        • Segal T.Y.
        Adolescence: What the cystic fibrosis team needs to know.
        Journal of the Royal Society of Medicine. 2008; 101: S15-S27https://doi.org/10.1258/jrsm.2008.s18005
        • Sheng N.
        • Ma J.
        • Ding W.
        • Zhang Y.
        Family management affecting transition readiness and quality of life of Chinese children and young people with chronic diseases.
        Journal of Child Health Care. 2018; 22: 470-485https://doi.org/10.1177/1367493517753712
        • Spoonhower K.A.
        • Davis P.B.
        Epidemiology of cystic fibrosis.
        Clinics in Chest Medicine. 2016; 37: 1-8https://doi.org/10.1016/j.ccm.2015.10.002
        • van Staa A.
        • van der Stege H.A.
        • Jedeloo S.
        • Moll H.A.
        • Hilberink S.R.
        Readiness to transfer to adult care of adolescents with chronic conditions: Exploration of associated factors.
        The Journal of Adolescent Health. 2011; 48: 295-302https://doi.org/10.1016/j.jadohealth.2010.07.009
        • Telef B.
        • Karaca R.
        Ergenlerin öz-yeterliklerinin ve psikolojik semptomlarının incelenmesi [Adolescents’ self-efficacy and psychological symptoms’ investigation].
        Mustafa Kemal Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2011; 8: 499-518
        • Treadwell M.
        • Johnson S.
        • Sisler I.
        • Bitsko M.
        • Gildengorin G.
        • Medina R.
        • Smith W.R.
        Self-efficacy and readiness for transition from pediatric to adult care in sickle cell disease.
        International Journal of Adolescent Medicine and Health. 2016; 28: 381-388https://doi.org/10.1515/ijamh-2015-0014
        • Tuchman L.K.
        • Schwartz L.A.
        • Sawicki G.S.
        • Britto M.T.
        Cystic fibrosis and transition to adult medical care.
        Pediatrics. 2010; 125: 566-573https://doi.org/10.1542/peds.2009-2791
        • Uzark K.
        • Afton K.
        • Yu S.
        • Lowery R.
        • Smith C.
        • Norris M.D.
        Transition readiness in adolescents and young adults with heart disease: Can we improve quality of life?.
        The Journal of Pediatrics. 2019; 212: 73-78https://doi.org/10.1016/j.jpeds.2019.04.060
        • Varty M.
        • Popejoy L.L.
        A systematic review of transition readiness in youth with chronic disease.
        Western Journal of Nursing Research. 2020; 42: 554-566https://doi.org/10.1177/0193945919875470
        • Welsh L.
        • Robertson C.F.
        • Ranganathan S.C.
        Increased rate of lung function decline in Australian adolescents with cystic fibrosis.
        Pediatric Pulmonology. 2014; 49: 873-877https://doi.org/10.1002/ppul.22946
        • Wood D.L.
        • Sawicki G.S.
        • Miller M.D.
        • Smotherman C.
        • Lukens-Bull K.
        • Livingood W.C.
        • Kraemer D.F.
        The transition readiness assessment questionnaire (TRAQ): Its factor structure, reliability, and validity.
        Academic Pediatrics. 2014; 14: 415-422https://doi.org/10.1016/j.acap.2014.03.008