BackgroundAdolescents diagnosed with asthma make a transition to adult care when they reach a certain age. Besides, these adolescents need specialized education for them to become autonomous, competent, and adult patients and gain the necessary knowledge and skills related to their disease. In this study, by using a prospective randomized controlled trial design, we evaluated the effectiveness of an education program based on healthcare transition provided to adolescents diagnosed with asthma.MethodsAfter obtaining the consent of adolescents and their parents, 52 adolescents aged between 14 and 18 years who were diagnosed with asthma were randomly assigned to the intervention group (individual four face‐to‐face and six online education sessions) or the control group (standard care). The primary outcome was the differences between the Transition Readiness Assessment Questionnaire (TRAQ) scores of the two groups. The secondary outcomes included the differences between the Self‐Efficacy Scale for Children and Adolescents with Asthma and Mind the Gap scores of the two groups. The outcomes were measured at two different time points: baseline (first assessment; Week 0) and immediately after the intervention (last assessment; Week 12).ResultsIn the initial evaluations, there was no significant difference between the groups in terms of the primary or secondary outcomes (p > .05). In the final assessments, the TRAQ (Z = −4.740, p < .001) and Self‐Efficacy Scale for Children and Adolescents with Asthma (t = 6.344, p < .001) scores of the intervention group were found to be significantly higher than the scores of the control group, while their Mind the Gap Scale scores were significantly lower (t = 6.146, p < .001).ConclusionIt was determined that the educational intervention integrated with pediatric care based on readiness for transition from pediatric care to adult care was effective in increasing the transition readiness and self‐efficacy of the adolescents.The study was registered at ClinicalTrials.gov with the ID code NCT05550922.

中文翻译：

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基于哮喘青少年医疗保健转型的教育计划的有效性：一项随机对照试验

背景被诊断患有哮喘的青少年在达到一定年龄时会过渡到成人护理。此外，这些青少年需要接受专门的教育，使他们成为自主、有能力的成年患者，并获得与其疾病相关的必要知识和技能。在本研究中，通过采用前瞻性随机对照试验设计，我们评估了向诊断为哮喘的青少年提供的基于医疗保健过渡的教育计划的有效性。方法在获得青少年及其父母的同意后，对 52 名年龄在 14 至 18 岁之间的青少年进行了研究被诊断患有哮喘的人被随机分配到干预组（四次面对面教育和六次在线教育课程）或对照组（标准护理）。主要结果是两组的过渡准备评估问卷（TRAQ）分数之间的差异。次要结果包括两组哮喘儿童和青少年自我效能感量表以及注意差距评分之间的差异。结果在两个不同的时间点进行测量：基线（第一次评估；第 0 周）和干预后立即（最后一次评估；第 12 周）。 结果在初步评估中，各组之间在主要或次要结果（p> .05)。在最终评估中，TRAQ (Z=−4.740，p< .001) 和患有哮喘的儿童和青少年自我效能感量表 (t= 6.344，p< .001) 干预组的分数显着高于对照组的分数，而他们的“注意差距量表”分数则显着较低(t= 6.146，p< .001)。结论确定，基于从儿科护理向成人护理过渡准备的教育干预与儿科护理相结合，可有效提高青少年的过渡准备度和自我效能。该研究已在 ClinicalTrials.gov 注册ID 代码为 NCT05550922。