Psychosocial Outcomes and Transition Readiness in JIA
Study Details
Study Description
Brief Summary
It is widely acknowledged that the transition from paediatric to adult health services should be a multidimensional and multidisciplinary process that addresses the medical, psychosocial, and educational needs of adolescents and young adults (AYA). Despite this, there is currently a scarcity of research examining the relationships between psychosocial factors (e.g., anxiety, social support) and transition readiness in AYA with juvenile idiopathic arthritis (JIA). This study therefore aimed to examine the relationships between psychosocial factors and transition readiness in pre-transfer adolescents and post-transfer young adults aged 10-25 years diagnosed with JIA at a single centre.
In total, 40 adolescents aged 10-16 years together with a parent/guardian, will take part at Sheffield Children's Hospital and 40 young adults aged 16-25 years will take part at Sheffield Teaching Hospitals. Participants will be asked to complete a battery of self-report questionnaire measuring psychosocial factors (anxiety/depression, social support, family functioning, health-related quality of life) and transition readiness (transition knowledge and skills, self-efficacy). JIA disease severity was also measured during clinic appointments. This study has received full ethical approval, and all participants will give their written informed assent or consent before taking part.
The results from this research will be important in better understanding which psychosocial factors affect how ready young people with JIA feel to move from paediatric to adult rheumatology services. We hope this research will inform further work to help target psychological interventions in this group of patients.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Pre-Transfer Patients aged 10-16 years
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| Post-Transfer Patients aged 16-25 years
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| Parents/Guardians of Pre-Transfer Patients
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Outcome Measures
Primary Outcome Measures
- Generalised Anxiety [1 day]
Generalised Anxiety Disorder-7 Questionnaire (Spitzer et al., 2006)
Secondary Outcome Measures
- Depression [1 day]
Patient Health Questionnaire-9 Questionnaire (Spitzer et al., 1999)
- Health-related quality of life [1 day]
Paediatric Quality of Life Arthritis Module (Varni et al., 2002)
- Social support [1 day]
Bath Adolescent Pain Questionnaire Social Support Subscale (Eccleston et al., 2005)
- Family functioning [1 day]
Bath Adolescent Pain Questionnaire Family Functioning Subscale (Eccleston et al., 2005)
- Prosocial and problem behaviours [1 day]
Strengths and Difficulties Questionnaire (Goodman, 1997)
- JIA disease severity (JADAS-3) [1 day]
JADAS-3 is a composite score of patient VAS score, physician VAS score, active joint count
Eligibility Criteria
Criteria
Patient Inclusion Criteria:
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Aged 10-25 years
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Diagnosis of juvenile idiopathic arthritis (including all ILAR subtypes except 'systemic arthritis' and 'undifferentiated arthritis')
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Juvenile idiopathic arthritis managed by Sheffield Children's Hospital or Sheffield Teaching Hospitals
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Fluent in verbal and written English
Patient Exclusion Criteria:
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Aged <10 years or >25 years
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Diagnosis of juvenile idiopathic arthritis ILAR subtypes 'systemic arthritis' or 'undifferentiated arthritis')
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Diagnosis of uveitis
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Non-fluent in verbal and written English
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Sheffield Children's NHS Foundation Trust | Sheffield | United Kingdom |
Sponsors and Collaborators
- Sheffield Children's NHS Foundation Trust
- Sheffield Teaching Hospitals NHS Foundation Trust
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SCH-2109