title: Transition readiness, adolescent responsibility, and executive functioning among pediatric transplant recipients: Caregivers' perspectives.
abstract: This study aimed both to evaluate caregivers' perspectives of EF and transition readiness among adolescent transplant recipients and to examine the indirect effects of adolescent responsibility and parent involvement across domains of EF. Fifty-seven caregivers of adolescent solid organ transplant recipients participated in this study and completed measures of adolescent EF, transition readiness, responsibility in healthcare behavior, and parent involvement. Bootstrapping procedures were used to test indirect effects. Caregiver report of adolescent EF was significantly related to transition readiness among transplant recipients. Significant indirect effects were found for adolescent responsibility but not parent involvement. No significant differences were found between metacognitive and behavioral regulation domains of EF in the association with transition readiness. Assessment of adolescent EF skills may help guide the development of individualized transition readiness guidelines to promote successful gains in self-management abilities as well as eventual transfer to adult medical services.
authors.affiliation: Department of Psychology, University of Georgia, Athens, GA, USA.
authors.forename: Ana M
authors.identifier: http://orcid.org/0000-0001-5471-0823
authors.initials: AM
authors.lastname: Gutierrez-Colina
authors.affiliation: Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Children's Healthcare of Atlanta, Atlanta, GA, USA.|Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Bonney
authors.initials: B
authors.lastname: Reed-Knight
authors.affiliation: Department of Psychology, University of Georgia, Athens, GA, USA.
authors.forename: Cyd
authors.initials: C
authors.lastname: Eaton
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Lee
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Kristin
authors.initials: K
authors.lastname: Loiselle Rich
authors.affiliation: Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.|Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Mee
authors.affiliation: Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Curtis
authors.initials: C
authors.lastname: Travers
authors.affiliation: Department of Psychology, University of Georgia, Athens, GA, USA.
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Blount
mesh_terms: D000293:Adolescent; D000465:Algorithms; D017028:Caregivers; D002648:Child; D003072:Cognition Disorders / Q000150:complications; D056344:Executive Function; D005260:Female; D006333:Heart Failure / Q000150:complications / Q000601:surgery; D006801:Humans; D017093:Liver Failure / Q000150:complications / Q000601:surgery; D008297:Male; D010290:Parents; D010358:Patient Participation; D010372:Pediatrics; D016730:Program Development; D051437:Renal Insufficiency / Q000150:complications / Q000601:surgery; D012648:Self Care; D011795:Surveys and Questionnaires; D060305:Transition to Adult Care; D066027:Transplant Recipients; D014180:Transplantation / Q000009:adverse effects*
keywords: adolescent; executive functioning; organ transplantation; transition to adult care