Factors Associated with Self-Management in Transition-Age Young Adults with a Neurological Condition

2.50
Hdl Handle:
http://hdl.handle.net/10755/243339
Category:
Abstract
Type:
Presentation
Title:
Factors Associated with Self-Management in Transition-Age Young Adults with a Neurological Condition
Author(s):
Sawin, Kathleen J.; Whitmore, Kimberly
Author Details:
Sawin, Kathleen J., PhD, CPNP-PC, FAAN, sawin@uwm.edu; Whitmore, Kimberly, MSN, RN, CPN;
Abstract:
Purpose:

A Spina Bifida Transition Program in a large Midwestern US city was developed with a partnership between pediatric and adult providers.  A parallel research project was conducted to evaluate the program and the experiences of young adults with spina bifida (YASB) during the transition. This study is guided by The Individual and Family Self-Management Theory (IFSMT) and explored contextual (mobility, bladder management, family factors) and process factors (adolescent self-efficacy, perceived health care competence) related to self-management.

Methods:

A longitudinal descriptive study was conducted for one year from time of transition to adult health care. This analysis uses baseline data from 30 YASB without intellectual disabilities to explore contextual factors related to self-management.  Measures collected included the Functional Independence Measure (FIM), Family APGAR, Family Environment Scale (FES), Communication and Problem Solving Self-Efficacy Scale (CPSSES), Perceived Health Competency Scale (PHCS) and the Adolescent/Young Adult Self-Management Scale (AMIS II).  The IFSMT guided the hierarchical regression analysis exploring factors associated with self-management.

Results:

The YASB were predominantly Caucasian, the mean age was 22, and 53% were male.  Regression analysis revealed that the degree of mobility was a statistically significant (p .05) predictor of AMIS II (B = .04, t = 3.655,R2= .31), but bladder management was not. When CPSSES data was added to the model mobility remained significant but CPSSE was also significant (B = .036, t = 2.775, R2 = .13).  PHCS did not add significantly to the prediction. No relationship between the family factors and self-management was noted.

Conclusion:

Transition to adult health care is a global issue for youth with a chronic health condition. Communication and problem solving self-efficacy substantially expanded the amount of self-management variance explained by mobility. Healthcare providers that transition YASB to adult health care need to reinforce the importance of increasing self-efficacy in order to positively influence self-management.

Keywords:
self-management; transition; theory-testing
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleFactors Associated with Self-Management in Transition-Age Young Adults with a Neurological Conditionen_GB
dc.contributor.authorSawin, Kathleen J.en_GB
dc.contributor.authorWhitmore, Kimberlyen_GB
dc.author.detailsSawin, Kathleen J., PhD, CPNP-PC, FAAN, sawin@uwm.edu; Whitmore, Kimberly, MSN, RN, CPN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243339-
dc.description.abstract<b>Purpose: </b> <p>A Spina Bifida Transition Program in a large Midwestern US city was developed with a partnership between pediatric and adult providers.&nbsp; A parallel research project was conducted to evaluate the program and the experiences of young adults with spina bifida (YASB) during the transition. This study is guided by The Individual and Family Self-Management Theory (IFSMT) and explored contextual (mobility, bladder management, family factors) and process factors (adolescent self-efficacy, perceived health care competence) related to self-management. <p><b>Methods: </b> <p>A longitudinal descriptive study was conducted for one year from time of transition to adult health care. This analysis uses baseline data from 30 YASB without intellectual disabilities to explore contextual factors related to self-management.&nbsp; Measures collected included the Functional Independence Measure (FIM), Family APGAR, Family Environment Scale (FES), Communication and Problem Solving Self-Efficacy Scale (CPSSES), Perceived Health Competency Scale (PHCS) and the Adolescent/Young Adult Self-Management Scale (AMIS II).&nbsp; The IFSMT guided the hierarchical regression analysis exploring factors associated with self-management. <p><b>Results: </b> <p>The YASB were predominantly Caucasian, the mean age was 22, and 53% were male.&nbsp; Regression analysis revealed that the degree of mobility was a statistically significant (<i>p </i>.05) predictor of AMIS II (<i>B</i> = .04, <i>t</i> = 3.655,R<sup>2</sup>= .31), but bladder management was not. When CPSSES data was added to the model mobility remained significant but CPSSE was also significant (<i>B</i> = .036, <i>t</i> = 2.775, R<sup>2</sup> = .13).&nbsp; PHCS did not add significantly to the prediction. No relationship between the family factors and self-management was noted. <p><b>Conclusion: </b> <p>Transition to adult health care is a global issue for youth with a chronic health condition. Communication and problem solving self-efficacy substantially expanded the amount of self-management variance explained by mobility. Healthcare providers that transition YASB to adult health care need to reinforce the importance of increasing self-efficacy in order to positively influence self-management.en_GB
dc.subjectself-managementen_GB
dc.subjecttransitionen_GB
dc.subjecttheory-testingen_GB
dc.date.available2012-09-12T09:20:51Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:20:51Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.