Transition care readiness among patients in a tertiary paediatric department

Doris Lau Sie Chong, Ezdiani Azim, Zarina Latiff, Syed Zulkifli Syed Zakaria, Sau Wei Wong, Loo Ling Wu, Joyce Soo Synn Hong, Hamidah Alias, C-Khai Loh, Bilkis Banu Shri Abd. Aziz, Rahmah Rasat, Kanaheswari P. Yoganathan

Research output: Contribution to journalArticle

Abstract

Introduction: A smooth transition of healthcare for young people with chronic illnesses from paediatric to adult healthcare services is important to ensure optimal outcome. At the moment, there are no standard guidelines to assess a patient's readiness to transfer care. Methods: A cross-sectional study using a self-administered questionnaire, adapted from UNC (University of North Carolina) TRxANSITION self-assessment tool was conducted to evaluate patients’ transition care readiness in paediatric haematology and paediatric diabetes clinic. Results: A total of 80 patients (37 thalassaemia and 43 diabetes) with the mean age of 21.2 (SD±4.3) years, were recruited during the 3-month study period. Majority of the patients have basic knowledge regarding their medications, and were able to comply with their follow-up. The mean total score obtained by the respondents on this questionnaire was 15.3 (SD±3.59). Self-management skills and knowledge on disease were the two poorly scored section; with mean score of 3.78 (SD±1.38) and 4.28 (SD±1.20) respectively. Overall, only 21 (26.2%) respondents obtained high score (score above 75th percentile). Seventy-five percent of the respondents admitted that they were not ready for transfer to an adult healthcare service yet at the time of the study. Conclusion: We suggest that patients with high score should be prepared for transition to adult facility whereas those with a low score need to be identified to ensure provision of continuous education.

Original languageEnglish
Pages (from-to)382-387
Number of pages6
JournalMedical Journal of Malaysia
Volume73
Issue number6
Publication statusPublished - 1 Dec 2018

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Pediatrics
Delivery of Health Care
Patient Transfer
Time and Motion Studies
Thalassemia
Hematology
Self Care
Patient Care
Chronic Disease
Cross-Sectional Studies
Surveys and Questionnaires
Transitional Care
Guidelines
Education

Keywords

  • Adolescent
  • Transition care
  • Transition readiness
  • Transition scale
  • Young adult

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chong, D. L. S., Azim, E., Latiff, Z., Zakaria, S. Z. S., Wong, S. W., Wu, L. L., ... P. Yoganathan, K. (2018). Transition care readiness among patients in a tertiary paediatric department. Medical Journal of Malaysia, 73(6), 382-387.

Transition care readiness among patients in a tertiary paediatric department. / Chong, Doris Lau Sie; Azim, Ezdiani; Latiff, Zarina; Zakaria, Syed Zulkifli Syed; Wong, Sau Wei; Wu, Loo Ling; Hong, Joyce Soo Synn; Alias, Hamidah; Loh, C-Khai; Shri Abd. Aziz, Bilkis Banu; Rasat, Rahmah; P. Yoganathan, Kanaheswari.

In: Medical Journal of Malaysia, Vol. 73, No. 6, 01.12.2018, p. 382-387.

Research output: Contribution to journalArticle

Chong, DLS, Azim, E, Latiff, Z, Zakaria, SZS, Wong, SW, Wu, LL, Hong, JSS, Alias, H, Loh, C-K, Shri Abd. Aziz, BB, Rasat, R & P. Yoganathan, K 2018, 'Transition care readiness among patients in a tertiary paediatric department', Medical Journal of Malaysia, vol. 73, no. 6, pp. 382-387.
Chong DLS, Azim E, Latiff Z, Zakaria SZS, Wong SW, Wu LL et al. Transition care readiness among patients in a tertiary paediatric department. Medical Journal of Malaysia. 2018 Dec 1;73(6):382-387.
Chong, Doris Lau Sie ; Azim, Ezdiani ; Latiff, Zarina ; Zakaria, Syed Zulkifli Syed ; Wong, Sau Wei ; Wu, Loo Ling ; Hong, Joyce Soo Synn ; Alias, Hamidah ; Loh, C-Khai ; Shri Abd. Aziz, Bilkis Banu ; Rasat, Rahmah ; P. Yoganathan, Kanaheswari. / Transition care readiness among patients in a tertiary paediatric department. In: Medical Journal of Malaysia. 2018 ; Vol. 73, No. 6. pp. 382-387.
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