TY - JOUR
T1 - Validation of the Transition Readiness and Appropriateness Measure (TRAM) for the Managing the Link and Strengthening Transition from Child to Adult Mental Healthcare in Europe (MILESTONE) study
AU - MILESTONE Consortium
AU - Santosh, Paramala
AU - Singh, Jatinder
AU - Adams, Laura
AU - Mastroianni, Mathilde
AU - Heaney, Natalie
AU - Lievesley, Kate
AU - Sagar-Ouriaghli, Ilyas
AU - Allibrio, Giovanni
AU - Appleton, Rebecca
AU - Davidović, Nikolina
AU - de Girolamo, Giovanni
AU - Dieleman, Gwen
AU - Dodig-Ćurković, Katarina
AU - Franić, Tomislav
AU - Gatherer, Charlotte
AU - Gerritsen, Suzanne
AU - Gheza, Elisa
AU - Madan, Jason
AU - Manenti, Lidia
AU - Maras, Athanasios
AU - Margari, Francesco
AU - McNicholas, Fiona
AU - Pastore, Adriana
AU - Paul, Moli
AU - Purper-Ouakil, Diane
AU - Rinaldi, Francesco
AU - Sakar, Vehbi
AU - Schulze, Ulrike
AU - Signorini, Giulia
AU - Street, Cathy
AU - Tah, Priya
AU - Tremmery, Sabine
AU - Tuffrey, Amanda
AU - Tuomainen, Helena
AU - Verhulst, Frank
AU - Warwick, Jane
AU - Wilson, Anna
AU - Wolke, Dieter
AU - Fiori, Federico
AU - Singh, Swaran
PY - 2020/6/23
Y1 - 2020/6/23
N2 - OBJECTIVE: Young people moving from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) are faced with significant challenges. To improve this state of affairs, there needs to be a recognition of the problem and initiatives and an urgent requirement for appropriate tools for measuring readiness and outcomes at the transfer boundary (16-18 years of age in Europe). The objective of this study was to develop and validate the Transition Readiness and Appropriateness Measure (TRAM) for assessing a young person's readiness for transition, and their outcomes at the transfer boundary. DESIGN: MILESTONE prospective study. SETTING: Eight European Union (EU) countries participating in the EU-funded MILESTONE study. PARTICIPANTS: The first phase (MILESTONE validation study) involved 100 adolescents (pre-transition), young adults (post-transition), parents/carers and both CAMHS and AMHS clinicians. The second phase (MILESTONE cohort study and nested cluster randomised trial) involved over 1000 young people. RESULTS: The development of the TRAM began with a literature review on transitioning and a review of important items regarding transition by a panel of 34 mental health experts. A list of 64 items of potential importance were identified, which together comprised the TRAM. The psychometric properties of the different versions of the TRAM were evaluated and showed that the TRAM had good reliability for all versions and low-to-moderate correlations when compared with other established instruments and a well-defined factor structure. The main results of the cohort study with the nested cluster randomised trial are not reported. CONCLUSION: The TRAM is a reliable instrument for assessing transition readiness and appropriateness. It highlighted the barriers to a successful transition and informed clinicians, identifying areas which clinicians on both sides of the transfer boundary can work on to ease the transition for the young person. TRIAL REGISTRATION NUMBER: ISRCTN83240263 (Registered 23 July 2015), NCT03013595 (Registered 6 January 2017); Pre-results.
AB - OBJECTIVE: Young people moving from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) are faced with significant challenges. To improve this state of affairs, there needs to be a recognition of the problem and initiatives and an urgent requirement for appropriate tools for measuring readiness and outcomes at the transfer boundary (16-18 years of age in Europe). The objective of this study was to develop and validate the Transition Readiness and Appropriateness Measure (TRAM) for assessing a young person's readiness for transition, and their outcomes at the transfer boundary. DESIGN: MILESTONE prospective study. SETTING: Eight European Union (EU) countries participating in the EU-funded MILESTONE study. PARTICIPANTS: The first phase (MILESTONE validation study) involved 100 adolescents (pre-transition), young adults (post-transition), parents/carers and both CAMHS and AMHS clinicians. The second phase (MILESTONE cohort study and nested cluster randomised trial) involved over 1000 young people. RESULTS: The development of the TRAM began with a literature review on transitioning and a review of important items regarding transition by a panel of 34 mental health experts. A list of 64 items of potential importance were identified, which together comprised the TRAM. The psychometric properties of the different versions of the TRAM were evaluated and showed that the TRAM had good reliability for all versions and low-to-moderate correlations when compared with other established instruments and a well-defined factor structure. The main results of the cohort study with the nested cluster randomised trial are not reported. CONCLUSION: The TRAM is a reliable instrument for assessing transition readiness and appropriateness. It highlighted the barriers to a successful transition and informed clinicians, identifying areas which clinicians on both sides of the transfer boundary can work on to ease the transition for the young person. TRIAL REGISTRATION NUMBER: ISRCTN83240263 (Registered 23 July 2015), NCT03013595 (Registered 6 January 2017); Pre-results.
KW - adult mental health services
KW - child and adolescent mental health services
KW - Transition Readiness and Appropriateness Measure (TRAM)
KW - validation
KW - young persons
UR - http://www.scopus.com/inward/record.url?scp=85087098835&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2019-033324
DO - 10.1136/bmjopen-2019-033324
M3 - Article
C2 - 32580979
AN - SCOPUS:85087098835
SN - 2044-6055
VL - 10
SP - e033324
JO - BMJ Open
JF - BMJ Open
IS - 6
ER -