ArticleHealth care transitions2025
Effects of mental health on transition readiness in primary care.
Article in Health care transitions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Adolescents and young adults often lack appropriate healthcare transition preparation, a concern amplified by prevalent mental health issues. Our study aimed to assess the relationship between transition readiness and behavioral health screening across multiple domains in adolescents within a primary care medical home. Methods: We conducted a retrospective cohort study (October 2021-December 2024) for new, preventive and follow-up visits where patients (ages 14-25 years) completed validated depression, transition readiness screening, Transition Readiness Assessment Questionnaire (TRAQ) and the Patient Questionnaire-9 (PHQ-9). Nonparametric median tests for continuous variables and chi-squared tests for categorical variables assessed for differences for patient age, race/ethnicity, legal sex, and insurance type. Linear and linear logistic regression was also performed. Results: Patients (median 17.0 years; 62.8 % female; Hispanic 44.9 %; public insurance 62.2 %) completed the TRAQ and PHQ-9 for 3010 visits. Patients with PHQ-9 > 10 were more likely to be female, non-Hispanic White at follow up visits with private insurance; p < 0.001. There was no significant relationship between PHQ-9 and TRAQ scores. Linear regression showed significance for age at visit, legal sex (female), non-Hispanic White, visit type (follow up); p < 0.001 and English language (p = 0.017); logistic regression showed significance for age at visit, legal sex (female), non-Hispanic white, follow up visits (p < 0.001). Conclusions: Age, legal sex, race/ethnicity, and insurance status significantly influence transition readiness among AYA. While positive depression screens do not show a direct association with transition readiness, depression may still affect health factors that indirectly shape readiness for transition.
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