Dawei Liu, Xin Tan, Huifen Yan, Wei Li
Improving mental arithmetic ability of primary school students with schema teaching method: An experimental study
PloS one
despite elevated health risks young adulthood many adolescents young adults serious health care needs face barriers transfer adult specialty practitioner health disparities may occur transition validate content updated socialecological model adolescent young adult readiness transition promote health equity smarte group adolescents young adults sickle cell disease scd supports health equity framework components reviewed systems power eg institutional practitioner bias environments networks eg peer school support added smarte preexisting factors health literacy included within readiness factors adolescents young adults aged 16 29 years scd caregivers practitioners participated convergent mixedmethods study within childrens hospital philadelphia january august 2022 content validity assessed nominations top 3 important transition barriers prior interviews focus groups ratings importance smarte factors 04 scale ratings 2 support validity interviews focus groups nominations 3 important factors transition health equity qualitative content analysis interview transcripts study enrolled 10 pediatric adolescents young adults mean sd age 186 29 years 4 female 6 male 10 transferred adolescents young adults mean sd age 229 21 years 8 female 2 male 9 caregivers mean sd age 498 87 years 5 female 4 male 9 practitioners mean sd age 456 105 years 8 female 1 male quantitative ratings supported content validity smarte met established criteria validity systems power endorsed transition barrier 14 38 participants reported prior interviews focus groups interview participants endorsed smarte factors important transition new factors systems power environments networks rated mean sd 28 123 31 090 respectively 0 4 scale importance important factors transition equity varied participant group factors endorsed supporting comprehensiveness smarte qualitative data corroborated quantitative findings supporting validity minor modifications made definitions smarte obtained initial content validation inclusion health equity factors adolescents young adults scd caregivers practitioners model evaluated populations adolescents young adults chronic disease