The Application and Evolution of the Social-Ecological Model for Adolescent and Young Adult Readiness for Transition: A Scoping Review

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI:10.1016/j.pedhc.2024.12.004

Leslie N. Pitts MSN, CRNP, CPNP-AC, CDCES, AP-PEN, Alexandra Armstrong MSN, CRNP, CPNP-AC, Louise Fleming Ph.D., MSN-Ed, RN, FAAN, Pariya L. Fazeli PhD, Wendy Landier Ph.D., CPNP-PC, FAAN, Sigrid Ladores Ph.D., RN, PNP, CNE, FAAN

{"title":"The Application and Evolution of the Social-Ecological Model for Adolescent and Young Adult Readiness for Transition: A Scoping Review","authors":"Leslie N. Pitts MSN, CRNP, CPNP-AC, CDCES, AP-PEN, Alexandra Armstrong MSN, CRNP, CPNP-AC, Louise Fleming Ph.D., MSN-Ed, RN, FAAN, Pariya L. Fazeli PhD, Wendy Landier Ph.D., CPNP-PC, FAAN, Sigrid Ladores Ph.D., RN, PNP, CNE, FAAN","doi":"10.1016/j.pedhc.2024.12.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>This scoping review examines the application and evolution of the Social-Ecological Model for Adolescent and Young Adult Readiness for Transition (SMART). SMART provides a framework for assessing transition readiness across pediatric chronic conditions. Evaluating its research and clinical applications identifies insights and gaps across conditions and stakeholders.</div></div><div><h3>Method</h3><div>A systematic search of PubMed, CINAHL, Scopus, OVID, and PsycArticles identified primary research applying SMART in English-language, peer-reviewed literature. Literature was critically appraised using the Mixed Methods Appraisal Tool (MMAT) version 2018.</div></div><div><h3>Results</h3><div>Fifteen studies (2013–2024) met the eligibility criteria. SMART has evolved through revisions and adaptations, demonstrating broad applicability with adolescents, young adults, caregivers, and healthcare providers, and has informed practical applications. Future research is warranted to establish construct measurement, criterion validity, and optimal transition outcomes.</div></div><div><h3>Discussion</h3><div>This review explores SMART's versatility in guiding pediatric-to-adult healthcare transitions and identifying key facilitators and barriers to transition. The recent revision of SMART, integrating health equity, enhances its applicability, yet evaluation across diverse settings is crucial.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 355-376"},"PeriodicalIF":2.5000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Health Care","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0891524524004061","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

This scoping review examines the application and evolution of the Social-Ecological Model for Adolescent and Young Adult Readiness for Transition (SMART). SMART provides a framework for assessing transition readiness across pediatric chronic conditions. Evaluating its research and clinical applications identifies insights and gaps across conditions and stakeholders.

Method

A systematic search of PubMed, CINAHL, Scopus, OVID, and PsycArticles identified primary research applying SMART in English-language, peer-reviewed literature. Literature was critically appraised using the Mixed Methods Appraisal Tool (MMAT) version 2018.

Results

Fifteen studies (2013–2024) met the eligibility criteria. SMART has evolved through revisions and adaptations, demonstrating broad applicability with adolescents, young adults, caregivers, and healthcare providers, and has informed practical applications. Future research is warranted to establish construct measurement, criterion validity, and optimal transition outcomes.

Discussion

This review explores SMART's versatility in guiding pediatric-to-adult healthcare transitions and identifying key facilitators and barriers to transition. The recent revision of SMART, integrating health equity, enhances its applicability, yet evaluation across diverse settings is crucial.

查看原文本刊更多论文

青少年和青年转变准备的社会生态模型的应用与演变：一个范围综述

本综述考察了青少年和青年成人过渡准备（SMART）的社会生态模型的应用和演变。SMART提供了一个评估儿科慢性病过渡准备情况的框架。对其研究和临床应用进行评估，可以确定不同条件和利益相关者之间的见解和差距。方法系统检索PubMed， CINAHL, Scopus， OVID和PsycArticles，确定了在英语同行评议文献中应用SMART的主要研究。使用混合方法评估工具（MMAT） 2018版对文献进行批判性评估。结果15项研究（2013-2024）符合入选标准。SMART通过修订和调整不断发展，在青少年、年轻人、护理人员和医疗保健提供者中显示出广泛的适用性，并已为实际应用提供了信息。未来的研究需要建立结构测量、标准效度和最优转换结果。本综述探讨了SMART在指导儿科到成人医疗保健过渡和确定过渡的关键促进因素和障碍方面的多功能性。最近修订的SMART纳入了卫生公平，增强了其适用性，但在不同环境下进行评估至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.