The Impact of Perceived Self-Efficacy on Healthcare Transition Outcomes: Perceptions From Parents and Young People.

Kwok, C; Waller, D; Kohn, M; Doyle, FL

The Impact of Perceived Self-Efficacy on Healthcare Transition Outcomes: Perceptions From Parents and Young People.

Kwok, C Waller, D

Kohn, M Doyle, FL

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Child Care Health Dev, 2025, 51, (4), pp. e70125
Issue Date:: 2025-07

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Field	Value	Language
dc.contributor.author	Kwok, C
dc.contributor.author	Waller, D https://orcid.org/0000-0003-4140-6923
dc.contributor.author	Kohn, M
dc.contributor.author	Doyle, FL
dc.date.accessioned	2026-02-03T08:58:53Z
dc.date.available	2025-06-16
dc.date.available	2026-02-03T08:58:53Z
dc.date.issued	2025-07
dc.identifier.citation	Child Care Health Dev, 2025, 51, (4), pp. e70125
dc.identifier.issn	0305-1862
dc.identifier.issn	1365-2214
dc.identifier.uri	http://hdl.handle.net/10453/192853
dc.description.abstract	BACKGROUND: Adolescent and young adults (AYAs) with a chronic health condition face multiple challenges as they transition from paediatric to adult healthcare. To facilitate engagement during healthcare transition, one supportive psychological skillset is health self-efficacy. Outcomes that indicate engagement during healthcare transition involve transition readiness, lower distress, quality of life and general adherence. Although researchers have examined the impact of youth self-efficacy on engagement during healthcare transition, studies are yet to examine the impact of parent-perceived self-efficacy during healthcare transition. The current study aimed to investigate how youth self-efficacy and parent-perceived self-efficacy impacted indicators of engagement during healthcare transition. METHOD: Participants were 54 AYAs and 48 parents who were recruited from The Centre for Adolescent and Young Adult Health at Westmead Hospital. Participating AYAs ranged in age from 12 to 25 years old (M = 17.74, SD = 2.56, Mdn = 17.08). Adolescents completed scales examining health self-efficacy, distress, health-related quality of life and general adherence to treatment. Parents completed scales examining AYAs' health self-efficacy and transition readiness from paediatric to adult healthcare. RESULTS: Uniquely, findings have demonstrated that parent-perceived self-efficacy holds most value in predicting transition readiness. Conversely, youth self-efficacy holds most value in predicting general adherence. CONCLUSION: Both perspectives hold great importance for different outcomes. To promote successful healthcare transition and general adherence, self-efficacy interventions that involve AYAs and parents would be beneficial.
dc.format	Print
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Child Care Health Dev
dc.relation.isbasedon	10.1111/cch.70125
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences, 13 Education, 17 Psychology and Cognitive Sciences
dc.subject.classification	Developmental & Child Psychology
dc.subject.classification	Pediatrics
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	39 Education
dc.subject.classification	52 Psychology
dc.subject.mesh	Humans
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Adolescent
dc.subject.mesh	Male
dc.subject.mesh	Female
dc.subject.mesh	Transition to Adult Care
dc.subject.mesh	Parents
dc.subject.mesh	Young Adult
dc.subject.mesh	Adult
dc.subject.mesh	Quality of Life
dc.subject.mesh	Child
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Humans
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Parents
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Child
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Young Adult
dc.subject.mesh	Transition to Adult Care
dc.subject.mesh	Humans
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Adolescent
dc.subject.mesh	Male
dc.subject.mesh	Female
dc.subject.mesh	Transition to Adult Care
dc.subject.mesh	Parents
dc.subject.mesh	Young Adult
dc.subject.mesh	Adult
dc.subject.mesh	Quality of Life
dc.subject.mesh	Child
dc.subject.mesh	Chronic Disease
dc.title	The Impact of Perceived Self-Efficacy on Healthcare Transition Outcomes: Perceptions From Parents and Young People.
dc.type	Journal Article
utslib.citation.volume	51
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
utslib.for	13 Education
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Provost
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2026-02-03T08:58:52Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	51
utslib.citation.issue	4

Abstract:

BACKGROUND: Adolescent and young adults (AYAs) with a chronic health condition face multiple challenges as they transition from paediatric to adult healthcare. To facilitate engagement during healthcare transition, one supportive psychological skillset is health self-efficacy. Outcomes that indicate engagement during healthcare transition involve transition readiness, lower distress, quality of life and general adherence. Although researchers have examined the impact of youth self-efficacy on engagement during healthcare transition, studies are yet to examine the impact of parent-perceived self-efficacy during healthcare transition. The current study aimed to investigate how youth self-efficacy and parent-perceived self-efficacy impacted indicators of engagement during healthcare transition. METHOD: Participants were 54 AYAs and 48 parents who were recruited from The Centre for Adolescent and Young Adult Health at Westmead Hospital. Participating AYAs ranged in age from 12 to 25 years old (M = 17.74, SD = 2.56, Mdn = 17.08). Adolescents completed scales examining health self-efficacy, distress, health-related quality of life and general adherence to treatment. Parents completed scales examining AYAs' health self-efficacy and transition readiness from paediatric to adult healthcare. RESULTS: Uniquely, findings have demonstrated that parent-perceived self-efficacy holds most value in predicting transition readiness. Conversely, youth self-efficacy holds most value in predicting general adherence. CONCLUSION: Both perspectives hold great importance for different outcomes. To promote successful healthcare transition and general adherence, self-efficacy interventions that involve AYAs and parents would be beneficial.

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http://hdl.handle.net/10453/192853