Evidence map›Paper›PMID 39712478›Full record

ArticleHealth care transitions2025

Self-perceived importance and confidence of adolescents transitioning to adult care.

Lisa Lestishock, Carrie Cuomo, Teresa Hickam, Tisa Johnson-Hooper, Michele Maddux, Evan Muzzall, Margaret McManus, Patience White

Abstract read
In one paragraph

Article in Health care transitions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

8 authors.

Lisa LestishockRavenswood Family Health Center, 1885 Bay Rd, East Palo Alto, CA 94303, USA.
Carrie CuomoCleveland Clinic Children's, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Teresa HickamChildren's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO 64108, USA.
Tisa Johnson-HooperHenry Ford Health, 1 Ford Place, Detroit, MI 48202, USA.
Michele MadduxChildren's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO 64108, USA.
Evan MuzzallStanford Libraries, Stanford University, Green Library, 557 Escondido Mall, Stanford, CA 94305-6063, USA.
Margaret McManusThe National Alliance to Advance Adolescent Health/Got Transition, 5335 Wisconsin Avenue NW, Suite 440, Washington, DC 20015, USA.
Patience WhiteThe National Alliance to Advance Adolescent Health/Got Transition, 5335 Wisconsin Avenue NW, Suite 440, Washington, DC 20015, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Motivational interviewing (MI) techniques are used by health care teams to engage adolescents and young adults (AYAs) in health care self-management and pediatric to adult health care transition (HCT) planning efforts. The aim of this study was to assess the initial level of motivation of AYAs prior to receipt of HCT anticipatory guidance and to determine associations with demographic and health coverage factors. Methods: This retrospective study included 5112 AYAs, aged 12-26 years, from four health systems. All AYAs completed the Got Transition readiness assessment that includes MI questions on importance and confidence related to the move to an adult provider.Independent variables included demographic and health coverage factors: age, sex, race, ethnicity, language, and insurance type. The statistical approach included summary statistics, chi-square tests of independence and log-likelihood ratio tests, and generalized linear models and contrasts. Results: The study results demonstrate initial trends in importance and confidence scores for AYAs before they became part of a HCT planning process. Importance scores increased from 12-14 through 18-20 years of age, then decreased in the 21-26-year group. Confidence scores increased from the 12-14 through the 21-26-year group.Confidence scores were generally higher than importance scores and were accompanied by smaller standard deviations. Ethnicity and insurance type also demonstrated an association with MI scoring. Discussion: This study provides baseline scores on two key MI importance and confidence questions that can facilitate clinician understanding of AYA engagement in discussing the changes needed to move to adult care and guides the clinician to start earlier than just before transfer that often occurs around age 21.

Indexed as

Adolescents and young adultsConfidenceHealth care transitionImportanceMotivational interviewing

Identifiers

PMID39712478
PMCPMC11657790

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.