Jamesetta A Newland1. 1. New York University College of Nursing, New York, NY, USA. jan7@nyu.edu
Abstract
PROBLEM: Factors that predict successful transition from pediatric to adult care for adolescents with sickle cell disease are not fully understood, making transfer decisions difficult. METHODS: Seventy-four adolescents (14-21 years) participated in this descriptive correlational study to investigate the relationships of age, gender, knowledge about sickle cell disease, disease severity, and family relationships to independence. FINDINGS: Knowledge, severity, and family relationships explained only 25% of the variance for independence in the final model; family relationships were inversely correlated. CONCLUSIONS: Factors exerting stronger influences on independence remain unknown. Cultural factors may be important among this predominantly African American population.
PROBLEM: Factors that predict successful transition from pediatric to adult care for adolescents with sickle cell disease are not fully understood, making transfer decisions difficult. METHODS: Seventy-four adolescents (14-21 years) participated in this descriptive correlational study to investigate the relationships of age, gender, knowledge about sickle cell disease, disease severity, and family relationships to independence. FINDINGS: Knowledge, severity, and family relationships explained only 25% of the variance for independence in the final model; family relationships were inversely correlated. CONCLUSIONS: Factors exerting stronger influences on independence remain unknown. Cultural factors may be important among this predominantly African American population.
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