The role of social problem-solving in emerging adult healthcare transition

Christina M. Sharkey , Frances Cooke , Taylor M. Dattilo , Alexandra M. DeLone , Larry L. Mullins
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Abstract

Objective

Transitioning to independent self-management is an observed challenge for emerging adults with chronic medical conditions (CMCs). Strong healthcare management skills are linked with better health-related quality of life (HRQoL). Social problem-solving skills also contribute to HRQoL, but limited research exists on the role of these skills among emerging adults with CMCs. Therefore, the current study examines the potential mediating role of problem-solving abilities between healthcare management skills and HRQoL among emerging adults with CMCs.

Methods

Emerging adults (N = 279; Mean Age=19.37, SD=1.33; 84.9 % Female; 79.2 % White; 26.9 % first generation student) with a CMC completed online measures of demographics, transition readiness, social problem-solving, and HRQoL. A path analysis estimated the direct and indirect effects of transition readiness on HRQoL, with demographic and illness-related covariates (e.g., sex, illness controllability, COVID time).

Results

The overall path analysis was significant (p < 0.001) and accounted for 28.0 % of the variance in mental (M=-1.46, SD=1.12) and 20.5 % of the variance in physical HRQoL (M=-0.65, SD=0.96). Transition readiness had a significant indirect effect through dysfunctional problem-solving skills on mental (β=0.07, SE=0.03, p = 0.02) and physical HRQoL (β=0.04 SE=0.02, p = 0.04). Constructive problem-solving did not mediate the relationships (ps>0.05).

Conclusions

Findings indicate that dysfunctional problem-solving may impede emerging adults’ ability to effectively apply healthcare management skills, and interventions that reduce dysfunctional problem-solving may be needed to improve HRQoL. College campuses may be a suitable environment for providing problem-solving training, and future research should explore opportunities to engage these communities in healthcare transition support.
社会问题解决在新兴成人医疗保健转型中的作用
目的:向独立自我管理过渡是慢性疾病(cmc)新生成人面临的挑战。强大的医疗保健管理技能与更好的健康相关生活质量(HRQoL)有关。社会问题解决能力也对HRQoL有影响,但关于这些技能在患有cmc的初生成人中的作用的研究有限。因此,本研究探讨了问题解决能力在新兴成年cmc患者的医疗管理技能和HRQoL之间的潜在中介作用。方法新生成虫(N = 279;平均年龄=19.37,SD=1.33;84.9 %女;79.2 %白色;26.9 (第一代学生)有CMC完成在线人口统计,过渡准备,社会问题解决和HRQoL的测量。通径分析估计了转移准备对HRQoL的直接和间接影响,包括人口统计学和疾病相关协变量(例如,性别、疾病可控性、COVID时间)。结果总通径分析具有显著性(p <; 0.001),占心理和生理HRQoL差异的28.0 % (M=-1.46, SD=1.12)和20.5 % (M=-0.65, SD=0.96)。过渡准备通过功能失调问题解决技能对心理(β=0.07, SE=0.03, p = 0.02)和生理HRQoL (β=0.04, SE=0.02, p = 0.04)有显著的间接影响。建设性解决问题并没有中介关系(ps>0.05)。结论研究结果表明,功能障碍问题解决可能阻碍初出期成人有效应用医疗管理技能的能力,可能需要减少功能障碍问题解决的干预措施来改善HRQoL。大学校园可能是提供解决问题培训的合适环境,未来的研究应该探索让这些社区参与医疗转型支持的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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