The Impact of Perceived Self-Efficacy on Healthcare Transition Outcomes: Perceptions From Parents and Young People

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-06-25 DOI:10.1111/cch.70125

Cassandra Kwok, Daniel Waller, Michael Kohn, Frances L. Doyle

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引用次数: 0

Abstract

Background

Adolescent and young adults (AYAs) with a chronic health condition face multiple challenges as they transition from paediatric to adult healthcare. To facilitate engagement during healthcare transition, one supportive psychological skillset is health self-efficacy. Outcomes that indicate engagement during healthcare transition involve transition readiness, lower distress, quality of life and general adherence. Although researchers have examined the impact of youth self-efficacy on engagement during healthcare transition, studies are yet to examine the impact of parent-perceived self-efficacy during healthcare transition. The current study aimed to investigate how youth self-efficacy and parent-perceived self-efficacy impacted indicators of engagement during healthcare transition.

Method

Participants were 54 AYAs and 48 parents who were recruited from The Centre for Adolescent and Young Adult Health at Westmead Hospital. Participating AYAs ranged in age from 12 to 25 years old (M = 17.74, SD = 2.56, Mdn = 17.08). Adolescents completed scales examining health self-efficacy, distress, health-related quality of life and general adherence to treatment. Parents completed scales examining AYAs' health self-efficacy and transition readiness from paediatric to adult healthcare.

Results

Uniquely, findings have demonstrated that parent-perceived self-efficacy holds most value in predicting transition readiness. Conversely, youth self-efficacy holds most value in predicting general adherence.

Conclusion

Both perspectives hold great importance for different outcomes. To promote successful healthcare transition and general adherence, self-efficacy interventions that involve AYAs and parents would be beneficial.

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自我效能感对医疗转型结果的影响：来自父母和年轻人的认知

背景：患有慢性疾病的青少年和年轻人（AYAs）在从儿科向成人医疗保健过渡的过程中面临着多重挑战。为了促进医疗保健过渡期间的参与，一种支持性心理技能是健康自我效能。表明在医疗保健过渡期间参与的结果包括过渡准备，较低的痛苦，生活质量和一般依从性。虽然研究人员已经研究了青少年自我效能感对医疗转型过程中敬业度的影响，但研究尚未研究父母感知的自我效能感对医疗转型过程的影响。本研究旨在探讨青少年自我效能感和父母自我效能感如何影响医疗转型期间的参与指标。方法研究对象为来自Westmead医院青少年健康中心的54名青少年助理和48名家长。参与调查的青少年年龄为12 ~ 25岁（M = 17.74, SD = 2.56, Mdn = 17.08）。青少年完成了健康自我效能、痛苦、健康相关生活质量和总体治疗依从性的量表。家长们完成了检查儿童助理健康自我效能和从儿科到成人保健过渡准备的量表。结果独特的是，研究结果表明，父母感知的自我效能感在预测过渡准备方面最有价值。相反，青年自我效能感在预测总体依从性方面最有价值。结论两种视角对不同的结果有重要影响。为了促进成功的医疗转型和普遍的依从性，涉及AYAs和家长的自我效能干预将是有益的。

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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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.