PTOTSLPSurveyOTJR : occupation, participation and health2026

Chores Participation, Self-Efficacy, and Transition Readiness in Youths With Diabetes: Preliminary Results.

Eniko Rak, Sydney Burford, Drew Wheat and 2 others

PMID 40817790

WHAT IT FOUND

Youths with diabetes who did more household chores independently reported higher readiness to manage their own healthcare.

Self-efficacy fully or partially explained this link, suggesting chores build the confidence needed for the transition to adult care.

Key findings

01Higher participation in household chores (performance) was positively correlated with overall health care transition readiness.

02Greater independence in chores (assistance) was positively correlated with overall health care transition readiness.

03Diabetes management self-efficacy fully or partially mediated the relationship between chores participation and transition readiness.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The sample was small (54 dyads) and recruited from a single clinic, limiting generalizability. The study was cross-sectional, so it cannot prove that doing chores causes better transition readiness. Data relied on self-report, which is subject to bias. The response rate was low (17%), potentially introducing selection bias. Psychosocial factors and developmental disabilities were not controlled for, which could influence both chore participation and readiness. The study was conducted during the COVID-19 pandemic, which may have affected participants' routines and willingness to engage.

Declared interests

The authors declared no potential conflicts of interest. The work was supported by UNC Department of Health Sciences Trust Funds.

The easy way to misread this

Do not assume that assigning chores will directly improve a patient's healthcare transition readiness. The study shows an association mediated by self-efficacy, not a causal effect, and the cross-sectional design cannot rule out that more capable youths are simply given more chores.

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