Transition Readiness Among Youth Accessing Mental Health Services With Physical Health Co-Morbidities.
Julia Davies, Sarah Brennenstuhl, Brooke Allemang and 3 others
PMID 39565058WHAT IT FOUND
Youth with mental health and physical health conditions reported higher transition readiness, especially medication management, appointment keeping, and tracking health issues.
Attention problems were linked to lower readiness.
Key findings
01Youth with a physical health condition had higher mean total transition readiness scores and higher scores for appointment keeping, medication management, and tracking health issues.
02Attention problems were associated with lower total transition readiness and lower medication management, appointment keeping, and tracking health issues scores.
03The tested interaction between physical health condition and mental health symptom types did not improve model fit, so symptom-specific moderation was not supported.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The analysis used baseline data, so it showed associations at one time point and did not show that a physical health condition caused better readiness. The authors state that higher TRAQ scores do not yet have consistent evidence that they predict successful transition outcomes. Physical health conditions were self-reported, and recall may have been inaccurate. The Managing Daily Activities subscale was excluded from the main model because it performed poorly in this mental health sample. About 7% of the sample had missing data in the final regression models. The main regression models included 217 participants, while 237 completed baseline surveys. The interaction analysis produced one significant coefficient, but the overall interaction model did not improve fit and multiple testing was present.
Declared interests
The authors declared no conflicts of interest. Funding was provided by the Canadian Institutes of Health Research.
The easy way to misread this
Do not conclude that having a physical health condition causes better transition readiness. The study was an observational baseline analysis, and the authors state higher TRAQ scores do not yet have consistent evidence of predicting transition success.