Advertisement

Validation of the “Good2Go”: the first French-language transition readiness questionnaire

  • Hélène MellerioEmail author
  • Paul Jacquin
  • Nelson Trelles
  • Enora Le Roux
  • Richard Belanger
  • Corinne Alberti
  • Nadia Tubiana-Rufi
  • Chantal Stheneur
  • Sophie Guilmin-Crépon
  • Hervé Devilliers
Original Article

Abstract

The use of transition readiness questionnaires is strongly recommended in adolescents with chronic conditions. The aim of our study was to validate “Good2Go,” the first French-language transition readiness questionnaire. We analyzed the data from 2 multicentric studies (Canada and France) involving adolescents with chronic conditions (type 1 diabetes, inflammatory bowel disease, cystic fibrosis, epilepsy, juvenile idiopathic arthritis). Content and construct validity were examined using factorial and Rasch analysis (structural validity), Spearman’s correlation, and Mann-Whitney test (external validity). Cronbach’s α and intra-class correlation coefficients explored reliability. Cognitive interviews assessed wording comprehension and item appropriateness. Good2Go was completed by 321 participants (boys = 51%; mean age = 16.4 years (standard deviation = 1.5; min = 14.0; max = 18.0); Canada = 51.1%). Factor analysis identified 3 domains: “health self-advocacy,” “knowledge about chronic conditions,” and “self-management skills.” The 3-domain structure showed a satisfying Rasch fit, internal consistency, and test-retest reliability. Good2Go domain scores were significantly higher in participants over 17 years of age, indicating satisfactory external validity.

Conclusion: Good2Go is a valid 20-item questionnaire to assess transition readiness in adolescents with chronic conditions and may be useful in routine care to propose individually tailored preparation for their transfer to adult healthcare. Further research is now needed to analyze correlation between domain scores and success of transition.

What is Known:

In adolescents with chronic conditions, the use of transition readiness questionnaires is recommended to propose individually tailored preparation for their transfer to adult healthcare.

However, no French-language questionnaire has been so far validated.

What is New:

Based on a complete validation methodology, this study highlights that the French-language 20-items Good2Go questionnaire has good psychometric properties.

It explores all transition key points though 3 scored domains: “health self-advocacy”, “knowledge about chronic disease” and “self-management skills”.

Keywords

Chronic condition Chronic disease Adolescent Tools validation Psychometric proprieties Patient-reported outcomes 

Abbreviations

RMEF

Réseau Mère-Enfant de la Francophonie

Notes

Acknowledgments

The authors wish to thank Priscilla Boizeau and Damir Mohamed for their participation in data analysis, and Andrea Limbourg and Nick Barton for proofreading the manuscript. We are also grateful to the following: the RECaP Network – Perceived Health Measurement Working Group (non-author contributors: Jonathan Epstein, Francis Guillemin, Philippe Martin, Laetitia Ricci, Michel Spodenkiewicz, Amandine Verga-Gérard), for help with designing the study and analyzing the data sets; the RMEF and its former Adolescence group, local research coordinator, including Caroline Pesant, Jo Anne Couillard and the Pass’Age study working group for their participation in data collection; the Good2Go Transition Program team at the Hospital for Sick Children (Toronto) for allowing us to use their English Good2Go questionnaire; and the research program La Personne en Médecine-Université Paris Diderot for financial support.

Authors’ Contributions

Dr. Mellerio conceptualized and designed the study, drafted the initial manuscript, and reviewed and revised the manuscript.

Dr. Jacquin conceptualized and designed the study, collected data, conducted the cognitive interviews and reviewed and revised the manuscript.

Dr. Trelles conceptualized and designed the study, carried out the statistical analyses, and critically reviewed the manuscript.

Prof. Alberti, and Drs. Guilmin-Crépon, Le Roux, Tubiana-Rufi conceptualized and designed the study and critically reviewed the manuscript.

Dr. Belanger and Dr. Stheneur coordinated and supervised data collection, and critically reviewed the manuscript.

Dr. Devilliers conceptualized and designed the study, carried out the statistical analyses, drafted the initial manuscript, and reviewed and revised the manuscript.

All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.

Funding Information

The research was funded by the research program La Personne en Médecine-Université Paris Diderot.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

431_2019_3450_MOESM1_ESM.pdf (226 kb)
ESM 1 (PDF 226 kb)

References

  1. 1.
    Bell LE, Bartosh SM, Davis CL, Dobbels F, al-Uzri A, Lotstein D, Reiss J, Dharnidharka VR, on behalf of the conference attendees (2008) Adolescent transition to adult care in solid organ transplantation: a consensus conference report. Am J Transplant Off J Am Soc Transplant Am Soc Transplant Surg 8:2230–2242CrossRefGoogle Scholar
  2. 2.
    Canadian Association of Pediatric Health Centres (CAPHC) (2016) A guideline for transition from paediatric to adult health care for youth with special health care needs: a national approach. http://ken.caphc.org/xwiki/bin/view/Transitioning+from+Paediatric+to+Adult+Care/A+Guideline+for+Transition+from+Paediatric+to+Adult+Care. Accessed 12 Sept 2019
  3. 3.
    Cooley WC, Sagerman PJ (2011) Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics 128:182–200CrossRefGoogle Scholar
  4. 4.
    DeBaun MR, Telfair J (2012) Transition and sickle cell disease. Pediatrics 130:926–935CrossRefGoogle Scholar
  5. 5.
    Dumas A, Berger C, Auquier P, Michel G, Fresneau B, Sètchéou Allodji R, Haddy N, Rubino C, Vassal G, Valteau-Couanet D, Thouvenin-Doulet S, Casagranda L, Pacquement H, el-Fayech C, Oberlin O, Guibout C, de Vathaire F (2016) Educational and occupational outcomes of childhood cancer survivors 30 years after diagnosis: a French cohort study. Br J Cancer 114:1060–1068CrossRefGoogle Scholar
  6. 6.
    Epstein J, Santo RM, Guillemin F (2015) A review of guidelines for cross-cultural adaptation of questionnaires could not bring out a consensus. J Clin Epidemiol 68:435–441CrossRefGoogle Scholar
  7. 7.
    Epstein J, Osborne RH, Elsworth GR, Beaton DE, Guillemin F (2015) Cross-cultural adaptation of the Health Education Impact Questionnaire: experimental study showed expert committee, not back-translation, added value. J Clin Epidemiol 68:360–369CrossRefGoogle Scholar
  8. 8.
    Ferris ME, Harward DH, Bickford K, Layton JB, Ferris MT, Hogan SL, Gipson DS, McCoy LP, Hooper SR (2012) A clinical tool to measure the components of health-care transition from pediatric care to adult care: the UNC TR(x)ANSITION scale. Ren Fail 34:744–753CrossRefGoogle Scholar
  9. 9.
    Ferris M, Cohen S, Haberman C et al (2015) Self-management and transition readiness assessment: development, reliability, and factor structure of the STARx Questionnaire. J Pediatr Nurs 30:691–699CrossRefGoogle Scholar
  10. 10.
    Guilmin-Crépon S, Jacquin P, Verchere S, et al (2018) Evaluation d’une stratégie standardisée de préparation à la transition chez les jeunes patients diabétiques en Ile de France : le programme Pass’Âge. Sophie Guilmin-Crépon, Paul Jacquin, Sabrina Verchere, Jacques Beltrand, Claire Personnier, Letitia Pantalone, Christine Fourmaux, Anne-Marie Colin-Gorski, Ossam Elias, Isabella Banu, Céline Droumaguet, Dominique Seret-Begué, Agnès Sola-Gazagnes, Emma Carreira, Pierre Chedin, Céline Gonfroy, Marine Halbron, Clara Bouché, Nadia Tubiana-Rufi. http://abstract.sfdiabete.org/congress/medias//2018/backoffice/41790/abstract/abstract.pdf. Accessed 12 Sept 2019
  11. 11.
    Kennedy A, Sloman F, Douglass JA, Sawyer SM (2007) Young people with chronic illness: the approach to transition. Intern Med J 37:555–560CrossRefGoogle Scholar
  12. 12.
    Klassen AF, Grant C, Barr R et al (2015) Development and validation of a generic scale for use in transition programmes to measure self-management skills in adolescents with chronic health conditions: the TRANSITION-Q. Child Care Health Dev 41:547–558CrossRefGoogle Scholar
  13. 13.
    Larue M, Jacquin P, Pesant C, Stheneur C, Belanger R (2017) Ready or not, here I come ! Comparing transition skills and knowledge of teens with chronic conditions. Paediatr Child Health 22:e34–e35CrossRefGoogle Scholar
  14. 14.
    Lotstein DS, Seid M, Klingensmith G, Case D, Lawrence JM, Pihoker C, Dabelea D, Mayer-Davis EJ, Gilliam LK, Corathers S, Imperatore G, Dolan L, Anderson A, Bell RA, Waitzfelder B, for the SEARCH for Diabetes in Youth Study Group (2013) Transition from pediatric to adult care for youth diagnosed with type 1 diabetes in adolescence. Pediatrics 131:e1062–e1070CrossRefGoogle Scholar
  15. 15.
    McGrady ME, Hommel KA (2013) Medication adherence and health care utilization in pediatric chronic illness: a systematic review. Pediatrics 132:730–740CrossRefGoogle Scholar
  16. 16.
    Mellerio H, Alberti C, Labèguerie M, Andriss B, Savoye E, Lassalle M, Jacquelinet C, Loirat C (2014) Adult social and professional outcomes of pediatric renal transplant recipients. Transplantation 97:196–205CrossRefGoogle Scholar
  17. 17.
    Mellerio H, Guilmin-Crépon S, Jacquin P, Labéguerie M, Lévy-Marchal C, Alberti C (2015) Long-term impact of childhood-onset type 1 diabetes on social life, quality of life and sexuality. Diabetes Metab 41:489–497CrossRefGoogle Scholar
  18. 18.
    Michaud P-A, Suris J-C, Viner R (2004) The adolescent with a chronic condition. Part II: healthcare provision. Arch Dis Child 89:943–949CrossRefGoogle Scholar
  19. 19.
    Michaud P-A, Schrier L, Ross-Russel R, van der Heijden L, Dossche L, Copley S, Alterio T, Mazur A, Dembinski L, Hadjipanayis A, del Torso S, Fonseca H, Ambresin AE (2018) Paediatric departments need to improve residents’ training in adolescent medicine and health: a position paper of the European Academy of Paediatrics. Eur J Pediatr 177:479–487CrossRefGoogle Scholar
  20. 20.
    Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, Bouter LM, de Vet HCW (2010) The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol 63:737–745CrossRefGoogle Scholar
  21. 21.
    Morsa M, Gagnayre R, Deccache C, Lombrail P (2017) Factors influencing the transition from pediatric to adult care: a scoping review of the literature to conceptualize a relevant education program. Patient Educ Couns 100:1796–1806CrossRefGoogle Scholar
  22. 22.
    Moynihan M, Saewyc E, Whitehouse S, Paone M, McPherson G (2015) Assessing readiness for transition from paediatric to adult health care: revision and psychometric evaluation of the Am I ON TRAC for Adult Care questionnaire. J Adv Nurs 71:1324–1335CrossRefGoogle Scholar
  23. 23.
    Patrick DL, Burke LB, Gwaltney CJ, Leidy NK, Martin ML, Molsen E, Ring L (2011) Content validity--establishing and reporting the evidence in newly developed patient-reported outcomes (PRO) instruments for medical product evaluation: ISPOR PRO Good Research Practices Task Force report: part 2--assessing respondent understanding. Value Health J Int Soc Pharmacoeconomics Outcomes Res 14:978–988CrossRefGoogle Scholar
  24. 24.
    Sattoe JNT, Hilberink SR, van Staa A (2017) How to define successful transition? An exploration of consensus indicators and outcomes in young adults with chronic conditions. Child Care Health Dev 43:768–773CrossRefGoogle Scholar
  25. 25.
    Sawicki GS, Garvey KC, Toomey SL, Williams KA, Chen Y, Hargraves JL, Leblanc J, Schuster MA, Finkelstein JA (2015) Development and validation of the adolescent assessment of preparation for transition: a novel patient experience measure. J Adolesc Health 57:282–287CrossRefGoogle Scholar
  26. 26.
    Sawyer SM, Drew S, Yeo MS, Britto MT (2007) Adolescents with a chronic condition: challenges living, challenges treating. Lancet 369:1481–1489CrossRefGoogle Scholar
  27. 27.
    Schwartz LA, Daniel LC, Brumley LD, Barakat LP, Wesley KM, Tuchman LK (2014) Measures of readiness to transition to adult health care for youth with chronic physical health conditions: a systematic review and recommendations for measurement testing and development. J Pediatr Psychol 39:588–601CrossRefGoogle Scholar
  28. 28.
    Singh SP, Anderson B, Liabo K et al (2016) Supporting young people in their transition to adults’ services: summary of NICE guidance. BMJ 353:i2225CrossRefGoogle Scholar
  29. 29.
    Stam H, Hartman EE, Deurloo JA, Groothoff J, Grootenhuis MA (2006) Young adult patients with a history of pediatric disease: impact on course of life and transition into adulthood. J Adolesc Health 39:4–13CrossRefGoogle Scholar
  30. 30.
    Stinson J, Kohut SA, Spiegel L et al (2013) A systematic review of transition readiness and transfer satisfaction measures for adolescents with chronic illness. Int J Adolesc Med Health 26:159–174Google Scholar
  31. 31.
    Suris J-C, Akre C (2015) Key elements for, and indicators of, a successful transition: an international delphi study. J Adolesc Health 56:612–618CrossRefGoogle Scholar
  32. 32.
    The Hospital for Sick Children TH for S Good 2 Go Transition Program. http://www.sickkids.ca/patient-family-resources/resource-navigation-service/transitioning-to-adult-care/index.html. Accessed 17 Dec 2018
  33. 33.
    Watson AR (2005) Problems and pitfalls of transition from paediatric to adult renal care. Pediatr Nephrol 20:113–117CrossRefGoogle Scholar
  34. 34.
    Williams T, Sherman E, Dunseith C et al Measurement of medical self-management and transition readiness among Canadian adolescents with special health care needs (pp. 527–535). Int J Child Adolesc Health 3:527–535Google Scholar
  35. 35.
    Wood DL, Sawicki GS, Miller MD, Smotherman C, Lukens-Bull K, Livingood WC, Ferris M, Kraemer DF (2014) The Transition Readiness Assessment Questionnaire (TRAQ): its factor structure, reliability, and validity. Acad Pediatr 14:415–422CrossRefGoogle Scholar
  36. 36.
    Zhang LF, Ho JSW, Kennedy SE (2014) A systematic review of the psychometric properties of transition readiness assessment tools in adolescents with chronic disease. BMC Pediatr 14:4CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Hélène Mellerio
    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    Email author
  • Paul Jacquin
    • 1
    • 5
  • Nelson Trelles
    • 7
  • Enora Le Roux
    • 2
    • 3
    • 4
    • 6
  • Richard Belanger
    • 8
    • 9
  • Corinne Alberti
    • 2
    • 3
    • 4
    • 6
  • Nadia Tubiana-Rufi
    • 10
  • Chantal Stheneur
    • 11
    • 12
  • Sophie Guilmin-Crépon
    • 1
    • 2
    • 3
    • 4
    • 10
  • Hervé Devilliers
    • 6
    • 13
  1. 1.Plateforme de transition Ad’venir, Unité de médecine d’adolescentAssistance Publique-Hôpitaux de Paris, Hôpital Robert DebréParisFrance
  2. 2.Université Paris Diderot, Sorbonne Paris CitéParisFrance
  3. 3.INSERMParisFrance
  4. 4.Unité d’épidémiologie cliniqueAssistance Publique-Hôpitaux de Paris, Hôpital Robert DebréParisFrance
  5. 5.French Clinical Research Group in Adolescent Medicine and HealthParisFrance
  6. 6.RECaP Network–Perceived health measurement Working GroupParisFrance
  7. 7.Service de chirurgie viscérale et digestiveCentre Hospitalier René DubosPontoiseFrance
  8. 8.Axe Santé des Populations et Pratiques Optimales en SantéCentre de recherche du CHU de QuébecQuébecCanada
  9. 9.Département de pédiatrie, Centre mère-enfant Soleil du CHU de QuébecUniversité LavalQuebecCanada
  10. 10.Service d’Endocrinologie et de Diabétologie pédiatriqueAssistance Publique-Hôpitaux de Paris, Hôpital Robert DebréParisFrance
  11. 11.Département de pédiatrieCHU Saint JustineMontréalCanada
  12. 12.Faculté de médecineUniversité de MontréalQuebecCanada
  13. 13.Service de Médecine interne et Maladies systémiques (Médecine interne 2)Hôpital François-MitterrandDijon cedexFrance

Personalised recommendations