Challenges in Measuring Healthcare Transition Readiness: Taking Stock and Looking Forward

The construct of transition readiness has become commonplace in healthcare transition (HCT) research, yet conceptualization of this construct is rarely considered. Given the centrality of construct conceptualization in measure development and validity theory, analysis of measurement implications of conceptualizations of transition readiness is essential.

The purpose of this paper is to provide a review and critical analysis of transition readiness measurement through the lens of construct conceptualization and its implications for validation and healthcare transition research.

Drawing on contemporary validity theory, theoretical discussions of construct conceptualization from management studies, and transition readiness measurement research, this paper will explore how transition readiness has been conceptualized and operationalized in HCT research and articulate problems, challenges and gaps relevant to transition readiness. There remains a lack of consensus on what transition readiness is or should be and careful attention to the implications of elements of conceptual definitions are essential to move the field of transition readiness measurement forward. Recommendations for future work in the field in relation to conceptual clarity, the implications of multidimensionality, change over time, and consequences of measurement are suggested.