Quality of Life in Adolescents and Young Adults With a Chronic Medical Condition: The Role of Perceived Maturity and Transition Readiness

J Pediatr Health Care. 2023 Jan-Feb;37(1):40-47. doi: 10.1016/j.pedhc.2022.07.008. Epub 2022 Sep 2.

Abstract

Introduction: Adolescents and young adults (AYA) with a chronic medical condition (CMC) attending college must learn to manage their own healthcare (i.e., transition readiness). Maturity has been linked to positive outcomes in AYAs. Research has established a positive relationship between transition readiness and quality of life. The current study aimed to examine a model of perceived maturityàtransition readinessàmental and physical quality of life.

Method: AYA (N = 153) with a CMC completed self-report questionnaires.

Results: The perceived maturity→transition readiness→mental quality of life indirect path was significant (ab = 1.96, 95% CI = 0.53 to 3.62). The perceived maturity→transition readiness→physical quality of life direct and indirect paths were not significant.

Discussion: Results showed that maturity and transition readiness are positively associated. Transition readiness may be one mechanism by which maturity results in enhanced quality of life.

Practice implications: Findings highlight the value of enhancing strengths such as maturity to promote AYA independence/autonomy.

Keywords: Adolescents and young adults; Maturity; Quality of life; Transition readiness.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Chronic Disease
  • Humans
  • Quality of Life*
  • Surveys and Questionnaires
  • Transition to Adult Care*
  • Young Adult