The Impact of Perceived Self-Efficacy on Healthcare Transition Outcomes: Perceptions From Parents and Young People.
Cassandra Kwok, Daniel Waller, Michael Kohn and 1 others
PMID 40562061WHAT IT FOUND
Youth self-efficacy predicted better adherence, while parent-perceived self-efficacy predicted transition readiness.
Neither perspective predicted distress or quality of life, and the two did not interact. Assess both separately, as they inform different parts of the transition process.
Key findings
01Higher youth self-efficacy independently predicted greater general adherence to medical advice.
02Higher parent-perceived self-efficacy independently predicted greater transition readiness.
03Neither youth nor parent self-efficacy predicted distress or quality of life, and there was no interaction between the two perspectives.
STILL TO COME
How it was doneWhat they found
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What it does not show
The study was cross-sectional, so it cannot determine if self-efficacy causes better outcomes or if better outcomes lead to higher self-efficacy. Transition readiness and parent-perceived self-efficacy were both reported by parents, which may inflate the association between them due to shared method variance. The sample was small (54 AYAs) and predominantly had mental health conditions, limiting generalisability to those with primarily physical conditions. Youths did not report their own transition readiness, so the study cannot assess how their self-perception of readiness relates to their self-efficacy.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not assume that improving a young person's self-efficacy will automatically improve their distress or quality of life, as this study found no predictive link between self-efficacy and those outcomes. The benefits were specific to adherence (youth perspective) and readiness (parent perspective).