Factors Predicting Transition Readiness in Adolescents with Kidney or Urinary Tract Diseases: A Cross-Sectional Study
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2025-10-01
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19068107
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2-s2.0-105017139407
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Pacific Rim International Journal of Nursing Research
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29
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4
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748
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762
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SCOPUS
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Pacific Rim International Journal of Nursing Research Vol.29 No.4 (2025) , 748-762
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Jaipaeng W., Payakkaraung S., Witoonsakul P. Factors Predicting Transition Readiness in Adolescents with Kidney or Urinary Tract Diseases: A Cross-Sectional Study. Pacific Rim International Journal of Nursing Research Vol.29 No.4 (2025) , 748-762. 762. doi:10.60099/prijnr.2025.273831 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/112412
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Factors Predicting Transition Readiness in Adolescents with Kidney or Urinary Tract Diseases: A Cross-Sectional Study
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Adolescents with kidney or urinary tract diseases require long-term management; thus, assessing transition readiness is essential for identifying the skills needed for disease management and ensuring continuity of care. Transition readiness is the process of building the capacity of adolescents to be involved in medical care to prepare for, continue, and complete healthcare transition. This cross-sectional study examined transition readiness and its predictors among 113 adolescents (aged 12-18) with kidney or urinary tract diseases from two hospitals in Bangkok, Thailand. Data were collected using the Sociodemographic Questionnaire, the Screen for Child Anxiety Related Emotional Disorders, the Health Responsibility Questionnaire, the Perceived Social Support from Family and Friends, and the Transition Readiness Assessment Questionnaire. Data were analyzed using descriptive statistics and hierarchical multiple regression analysis. Results revealed that 50.4% of participants demonstrated suboptimal transition readiness, particularly in appointment keeping and tracking health issues. Age, family and peer support, anxiety, and health responsibility predicted 41% of the variance in transition readiness, with health responsibility being the strongest predictor, followed by anxiety and peer support, respectively. Even though family support does not directly predict transition readiness, it indirectly influences the readiness by reducing anxiety and enhancing health responsibility. Thus, family support is a very important protective factor in transition readiness. These findings suggest that nurses should emphasize transition preparation to enhance family and peer support, encourage health responsibility, and reduce anxiety, thereby strengthening transition preparedness among adolescents with kidney or urinary tract diseases. This intervention should be tested before it can be used in practice.