慢性疾病青少年的过渡准备措施:对新措施的范围审查
Tieghan Killackey1,2, Fareha Nishat2, Ellen Elsman2
1School of Nursing, Faculty of Health, York University, Toronto, Canada.
Health care transitions
|December 23, 2024
概括
开发新的过渡准备措施正在进行中,但很少有人接受严格的心理测量评估. 需要进一步验证现有的工具,如过渡准备评估问卷 (TRAQ),而不是创建新的工具.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 青少年医学 青少年医学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 从儿科到成人医疗保健的过渡给患有慢性疾病的年轻人带来了挑战,可能会影响健康和护理的获取.
- 验证过渡准备的措施对于临床实践和评估支持计划至关重要.
研究的目的:
- 确定和描述为患有慢性疾病的年轻人 (2018-2022) 新开发/验证的过渡准备措施.
- 评估这些工具的测量特性,并确定心理测试中的差距.
主要方法:
- 在 MEDLINE,EMBASE,CINAHL 和 PsychINFO 数据库中进行系统的电子搜索.
- 包括对12-26岁患有慢性疾病的个人 (2018-2022) 的过渡准备评估研究.
- 两个审核员对测量属性的独立选择和质量评估.
主要成果:
- 22项研究报告了21种不同的工具;确定了9种新工具和13种适应/翻译的工具.
- 最适应的工具是基于过渡准备评估问卷 (TRAQ).
- 很少有研究符合严格的心理测量标准 (例如,COSMIN);标准有效性和测量误差在很大程度上没有被评估.
结论:
- 尽管采取了许多新的措施,但严格的心理测量评估往往缺乏.
- TRAQ仍然是新工具或修改工具的共同基础.
- 优先考虑对现有过渡准备措施的进一步验证,而不是开发新的措施是必不可少的.
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