Validation of the “Good2Go”: the first French-language transition readiness questionnaire
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.
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”.
KeywordsChronic condition Chronic disease Adolescent Tools validation Psychometric proprieties Patient-reported outcomes
Réseau Mère-Enfant de la Francophonie
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.
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.
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.
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
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