Highlights
- •The Chinese STARx measures youth's transition readiness and self-management skills
- •The Chinese STARx shows excellent internal and test-retest reliability
- •The Chinese STARx demonstrates adequate discriminant and predictive validity
- •The Chinese STARx shows similar three-factor structure to the revised English STARx
Abstract
Background
Adolescent/young adults (AYAs) with chronic conditions must undergo healthcare transition
(HCT) preparation until their mid-twenties. Valid HCT readiness measures are lacking
in China.
Methods
The present study translated, back-translated, and adapted the Self-Management and
Transition to Adulthood with Rx = Treatment (STARx) Questionnaire. We examined the psychometric properties of this tool in a relatively
large in-patient sample of AYAs with various chronic health conditions at a Chinese
tertiary general hospital.
Results
We enrolled 624 AYAs aged 10–25 years (19.66 ± 3.64) with various chronic health conditions.
The Chinese version of the STARx Questionnaire demonstrated excellent internal consistency (Cronbach's alpha = 0.83)
and reliability with a two-week test-retest (ICC = 0.88, p < .001). Furthermore, the Chinese version revealed a three-factor structure (self-management,
disease knowledge, and provider communication) consistent with the revised English
version of the STARx Questionnaire. In terms of discriminant validity, the total score of the Chinese
STARx Questionnaire showed a significant positive correlation with age but no gender differences
were found. In terms of predictive validity, the Chinese STARx Questionnaire was significantly correlated with shorter length of hospitalization
and higher frequency of emergency room visit, but the correlations became insignificant
after controlling for age.
Conclusions
The results suggest that the Chinese version of the STARx Questionnaire is a robust HCT readiness tool in AYAs with chronic conditions and
clinicians may find it useful to develop individualized interventions.
Keywords
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Article info
Publication history
Published online: December 01, 2022
Accepted:
November 4,
2022
Received in revised form:
October 27,
2022
Received:
June 14,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Elsevier Inc. All rights reserved.
