Development and validation of a Japanese version of the TRANSITION-Q.

Publisher: Blackwell Science Asia Country of Publication: Australia NLM ID: 100886002 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1442-200X (Electronic) Linking ISSN: 13288067 NLM ISO Abbreviation: Pediatr Int Subsets: MEDLINE

Original Publication: Carlton South, Vic. : Blackwell Science Asia, c1999-

Translations*; Adolescent ; Child ; Factor Analysis, Statistical ; Humans ; Japan ; Psychometrics ; Reproducibility of Results ; Surveys and Questionnaires

Background: The evaluation of transition readiness is indispensable for long-term follow-ups of adolescent patients with childhood-onset chronic diseases (CCD). We developed a Japanese version of the TRANSITION-Q (TRANSITION-Q-J) and used it to assess Japanese patients with CCD.
Methods: The TRANSITION-Q-J was developed through forward and backward translations followed by cognitive interviews with five adolescent patients. The field test was conducted with 125 adolescent patients, and a retest was conducted with 113 adolescent patients.
Results: Confirmatory factor analysis supported the two-factor analysis model including F1 (communication and self-management) and F2 (examination behavior). Sufficient internal consistency and test-retest reliability were demonstrated among the total 14 items, F1, and F2 (Cronbach's α > 0.80, intraclass correlation coefficient > 0.85). Convergent and discriminant validity for the 14 items and F1 were acceptable; however, F2 did not correlate significantly with the Rosenberg Self-Esteem Scale and Independent Consciousness Scale. Regarding known-groups validity, the older group had a significantly higher mean TRANSITION-Q-J score (50.05) than the younger group (43.28; P = 0.04). The same results were found for both F1 and F2.
Conclusions: The TRANSITION-Q-J for adolescent patients with CCD was developed and its reliability and validity were verified. This scale is easy to administer. In addition to being a tool for transition period support, it could be used to verify effective factors and in program outcome evaluation, including intervention studies.
(© 2020 Japan Pediatric Society.)

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Yamaji Fumiko Nursing Research Fund

Keywords: Japan; adolescent; chronic disease; self-management; transition care

Date Created: 20200721 Date Completed: 20210818 Latest Revision: 20210818

20240513

10.1111/ped.14398

32687648