Views of Young People With Chronic Conditions on Transition From Pediatric to Adult Health Services.
This study sought to identify and describe the views of young people with chronic conditions about the transition from pediatric to adult services.



Q methodology was used to identify young people's views on transition. A set of 39 statements about transition was developed from an existing literature review and refined in consultation with local groups of young people. Statements were printed onto cards and a purposive sample of 44 young people with chronic health conditions was recruited, 41 remaining in the study. The young people were asked to sort the statement cards onto a Q-sort grid, according to their opinions from "strongly disagree" to "strongly agree." Factor analysis was used to identify shared points of view (patterns of similarity between individual's Q-sorts).



Four distinct views on transition were identified from young people: (1) "a laid-back view of transition;" (2) "anxiety about transition;" (3) "wanting independence and autonomy during transition;" and (4) "valuing social interaction with family, peers, and professionals to assist transition."



Successful transition is likely to be influenced by how young people view the process. Discussing and understanding young people's views and preferences about transition should help clinicians and young people develop personalized planning for transition as a whole, and more specifically the point of transfer, leading to effective and efficient engagement with adult care.
Health Economics Group, Institute of Health and Society, Newcastle University, Newcastle upon Tyne, England, United Kingdom. Electronic address: jenni.hislop@newcastle.ac.uk.
Jenni
J
Hislop
Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, Scotland, United Kingdom.
Helen
H
Mason
Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, England, United Kingdom; Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, United Kingdom.
Jeremy R
JR
Parr
Health Economics Group, Institute of Health and Society, Newcastle University, Newcastle upon Tyne, England, United Kingdom.
Luke
L
Vale
Institute of Health and Society, Newcastle University, Newcastle upon Tyne, England, United Kingdom.
Allan
A
Colver
D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000523:psychology; D001294:Attitude to Health; D002648:Child; D002908:Chronic Disease / Q000523:psychology* / Q000628:therapy; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology; D026684:Personal Autonomy; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D060305:Transition to Adult Care
Chronic conditions; Q methodology; Shared viewpoints; Transition