Evidence map›Paper›PMID 39712998›Full record

ArticleHealth care transitions2023

Perceptions of caregivers and adolescents/young adults with cystic fibrosis regarding health care transition readiness during the COVID-19 pandemic: A qualitative study.

Tyra C Girdwood, Jennifer L Goralski, Maria E Ferris, Mary R Lynn, Elisabeth P Dellon, Kirsten Kainz, Mark P Toles

Abstract read
In one paragraph

Article in Health care transitions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

7 authors.

Tyra C GirdwoodUniversity of North Carolina at Chapel Hill, School of Nursing, 120 N Medical Dr, Chapel Hill, NC 27599, USA.
Jennifer L GoralskiUniversity of North Carolina at Chapel Hill, School of Medicine, 321 S Columbia St, Chapel Hill, NC 27514, USA.
Maria E FerrisUniversity of North Carolina at Chapel Hill, School of Medicine, 321 S Columbia St, Chapel Hill, NC 27514, USA.
Mary R LynnUniversity of North Carolina at Chapel Hill, School of Nursing, 120 N Medical Dr, Chapel Hill, NC 27599, USA.
Elisabeth P DellonUniversity of North Carolina at Chapel Hill, School of Medicine, 321 S Columbia St, Chapel Hill, NC 27514, USA.
Kirsten KainzUniversity of North Carolina at Chapel Hill, School of Social Work, 325 Pittsboro St Ste 3550, Chapel Hill, NC 27516, USA.
Mark P TolesUniversity of North Carolina at Chapel Hill, School of Nursing, 120 N Medical Dr, Chapel Hill, NC 27599, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Medical advances have increased the life expectancy of adolescents and young adults (AYA) with cystic fibrosis (CF) and importance of high-quality health care transitions (HCT) from pediatric-to-adult focused health care. The purpose of this study was to describe perceptions of HCT readiness among caregivers and AYA with CF during the COVID-19 pandemic. Design and methods: Using a qualitative descriptive design, caregivers and AYA aged 12-21 years old were recruited from three large CF care centers across the eastern U.S. Data were collected using an online questionnaire with open ended and closed ended questions. Survey topics were: perceptions of HCT readiness, actions to prepare for HCT, and the impact of COVID-19. Results were interpreted using an adapted framework of the Health Care Transition Research Consortium Model and qualitative content analysis. Results: The sample included 73 caregivers (62 mothers) and 34 AYA (24 female, mean age 15.5 years). Three attributes of HCT readiness were identified from caregiver and AYA perceptions: (1) strong concerns that AYA lacked readiness to manage self-care needs in the future, (2) gaps in resources hindered ongoing efforts to enhance transition readiness, and (3) COVID changes created new barriers and facilitators to health care transition readiness. Conclusions: Caregivers and AYA felt they lacked readiness for HCT, they worried about worsening outcomes in adult-focused care, and they were challenged by the onset of the COVID-19 pandemic. Practical implications: These findings provide a solid description of perceived transition readiness during a pandemic that may enhance transitional care design.

Indexed as

AdolescentCOVID-19Cystic fibrosisHealthcare transitionQualitativeTransition readiness

Identifiers

PMID39712998
PMCPMC11657345

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Registered trials

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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.