Evidence map›Paper›PMID 32580979›Full record

Trial reportBMJ open2020

Validation of the Transition Readiness and Appropriateness Measure (TRAM) for the Managing the Link and Strengthening Transition from Child to Adult Mental Healthcare in Europe (MILESTONE) study.

Paramala Santosh, Jatinder Singh, Laura Adams, Mathilde Mastroianni, Natalie Heaney, Kate Lievesley, Ilyas Sagar-Ouriaghli, Giovanni Allibrio, Rebecca Appleton, Nikolina Davidović and 31 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled TrialValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03013595 (The Effectiveness of Managed Transition in Improving the Health and Social Outcomes for Young People Transitioning From Child to Adult Mental Health Care), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03013595 naunknown statusnot on this map

The Effectiveness of Managed Transition in Improving the Health and Social Outcomes for Young People Transitioning From Child to Adult Mental Health Care: the MILESTONE Study

TypeinterventionalSponsorUniversity of WarwickRan2015 to 2018Enrolled1,000ConditionsMental Health Impairment, Mental Health DisorderArmsTRAM feedback
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. [Transitional psychiatric needs and identity development of adolescents in Tyrol].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

41 authors.

Paramala SantoshChild and Adolescent Psychiatry, King's College London, London, UK paramala.1.santosh@kcl.ac.uk.ORCID 0000-0003-4830-5893
Jatinder SinghChild and Adolescent Psychiatry, King's College London, London, UK.
Laura AdamsSchool of Psychology, University of Plymouth, Plymouth, Devon, UK.
Mathilde MastroianniChild and Adolescent Psychiatry, King's College London, London, UK.
Natalie HeaneyChild and Adolescent Psychiatry, King's College London, London, UK.
Kate LievesleyHealthTracker, Gillingham, UK.
Ilyas Sagar-OuriaghliChild and Adolescent Psychiatry, King's College London, London, UK.
Giovanni AllibrioUnit of Neuropsychiatry, ASST Spedali Civili di Brescia Dipartimento di Salute Mentale, Brescia, Lombardia, Italy.
Rebecca AppletonMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Nikolina DavidovićDepartment of Psychiatry, Clinical Hospital Center Split, Split, Croatia.
Giovanni de GirolamoPsychiatric Epidemiology and Evaluation Unit, Saint John of God Clinical Research Center, Brescia, Italy.
Gwen DielemanDepartment of Child and Adolescent Psychiatry and Psychology, Erasmus MC, Rotterdam, Zuid-Holland, The Netherlands.
Katarina Dodig-ĆurkovićDepartment of Pediatric and Adolescent Psychiatry, KBC Osijek, Osijek, Croatia.
Tomislav FranićDepartment of Psychiatry, Clinical Hospital Center Split, Split, Croatia.
Charlotte GathererMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Suzanne GerritsenDepartment of Child and Adolescent Psychiatry and Psychology, Erasmus MC, Rotterdam, Zuid-Holland, The Netherlands.
Elisa GhezaNeuropsychiatry Service of Childhood and Adolescence, Mental Health Department, ASST della Valcamonica, Breno, Lombardia, Italy.
Jason MadanWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, Coventry, UK.
Lidia ManentiUnit of Neuropsychiatry, ASST Spedali Civili di Brescia Dipartimento di Salute Mentale, Brescia, Lombardia, Italy.
Athanasios MarasDepartment of Child and Adolescent Psychiatry and Psychology, Erasmus MC, Rotterdam, Zuid-Holland, The Netherlands.
Francesco MargariDepartment of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari, Bari, Puglia, Italy.
Fiona McNicholasSchool of Medicine and Medical Science, University College Dublin, Dublin, Ireland.ORCID 0000-0001-9428-6908
Adriana PastoreDepartment of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari, Bari, Puglia, Italy.
Moli PaulMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Diane Purper-OuakilPsychological Medicine for Children and Adolescents, Centre Hospitalier Regional Universitaire de Montpellier, Montpellier, Languedoc-Roussillon, France.
Francesco RinaldiNeuropsychiatry Service of Childhood and Adolescence, Mental Health Department, ASST della Valcamonica, Breno, Lombardia, Italy.
Vehbi SakarDepartment of Child and Adolescent Psychiatry/Psychotherapy, Universitatsklinikum Ulm, Ulm, Baden-Württemberg, Germany.
Ulrike SchulzeDepartment of Child and Adolescent Psychiatry/Psychotherapy, Universitatsklinikum Ulm, Ulm, Baden-Württemberg, Germany.
Giulia SignoriniPsychiatric Epidemiology and Evaluation Unit, Saint John of God Clinical Research Center, Brescia, Italy.
Cathy StreetMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Priya TahMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Sabine TremmeryDepartment of Neurosciences, Child & Adolescent Psychiatry, Katholieke Universiteit Leuven, Leuven, Belgium.
Amanda TuffreyMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Helena TuomainenMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.ORCID 0000-0003-1636-8187
Frank VerhulstDepartment of Child and Adolescent Psychiatry and Psychology, Erasmus MC, Rotterdam, Zuid-Holland, The Netherlands.
Jane WarwickWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, Coventry, UK.
Anna WilsonMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Dieter WolkeMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.ORCID 0000-0003-0304-268X
Federico FioriChild and Adolescent Psychiatry, King's College London, London, UK.
Swaran SinghMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
MILESTONE Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveYoung people moving from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) are faced with significant challenges. To improve this state of affairs, there needs to be a recognition of the problem and initiatives and an urgent requirement for appropriate tools for measuring readiness and outcomes at the transfer boundary (16-18 years of age in Europe). The objective of this study was to develop and validate the Transition Readiness and Appropriateness Measure (TRAM) for assessing a young person's readiness for transition, and their outcomes at the transfer boundary.

designMILESTONE prospective study.

settingEight European Union (EU) countries participating in the EU-funded MILESTONE study.

participantsThe first phase (MILESTONE validation study) involved 100 adolescents (pre-transition), young adults (post-transition), parents/carers and both CAMHS and AMHS clinicians. The second phase (MILESTONE cohort study and nested cluster randomised trial) involved over 1000 young people.

resultsThe development of the TRAM began with a literature review on transitioning and a review of important items regarding transition by a panel of 34 mental health experts. A list of 64 items of potential importance were identified, which together comprised the TRAM. The psychometric properties of the different versions of the TRAM were evaluated and showed that the TRAM had good reliability for all versions and low-to-moderate correlations when compared with other established instruments and a well-defined factor structure. The main results of the cohort study with the nested cluster randomised trial are not reported.

conclusionThe TRAM is a reliable instrument for assessing transition readiness and appropriateness. It highlighted the barriers to a successful transition and informed clinicians, identifying areas which clinicians on both sides of the transfer boundary can work on to ease the transition for the young person. TRIAL REGISTRATION NUMBER: ISRCTN83240263 (Registered 23 July 2015), NCT03013595 (Registered 6 January 2017); Pre-results.

Indexed as

Mental Health ServicesTransition to Adult CareAdolescentAdultChildEuropeFemaleHealth Services ResearchHumansMaleProspective Studiesadult mental health serviceschild and adolescent mental health servicesTransition Readiness and Appropriateness Measure (TRAM)validationyoung persons

Identifiers

PMID32580979
PMCPMC7312331

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.