{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T08:27:39Z","timestamp":1790152059637,"version":"4.0.1"},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,8,10]],"date-time":"2019-08-10T00:00:00Z","timestamp":1565395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ohio State University College of Medicine Barnes Research Scholarship"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care & Research"],"published-print":{"date-parts":[[2019,9]]},"abstract":"Objective<\/jats:title>To evaluate how demographics, health literacy, numeracy, and patient activation are related to transition readiness in adolescent and young adult (AYA<\/jats:styled-content>) patients and to describe how parent\/guardian (PG<\/jats:styled-content>) performance on these metrics predicts AYA<\/jats:styled-content> patients\u2019 transition readiness.<\/jats:p><\/jats:sec>Methods<\/jats:title>In this single center, cross\u2010sectional study, consecutive English\u2010speaking AYA<\/jats:styled-content> patients ages 17\u201321 years and PG<\/jats:styled-content>s were recruited from outpatient rheumatology clinics. Participants completed the following self\u2010reported instruments: demographic questionnaire, Short Test of Fundamental Health Literacy, Objective Numeracy Scale, Subjective Numeracy Scale, Symbolic\u2010number mapping, Patient Activation Measure, and Transition Readiness Assessment Questionnaire (TRAQ<\/jats:styled-content>; AYA<\/jats:styled-content> patients only).<\/jats:p><\/jats:sec>Results<\/jats:title>Ninety\u2010one AYA<\/jats:styled-content> patients participated in the study, of whom 64 of 91 (70%) had juvenile idiopathic arthritis, and 54 PG<\/jats:styled-content>s. Mean \u00b1 SD TRAQ<\/jats:styled-content> score was 4.0 \u00b1 0.65, correlating with \u201cI am starting to do this\u201d stage of change. Most participants (98%) had adequate health literacy. Multivariable regression analysis showed that AYA<\/jats:styled-content> patients of female sex, older age, and higher patient activation significantly predicted higher TRAQ<\/jats:styled-content> scores (P<\/jats:italic> < 0.05). No PG<\/jats:styled-content> characteristics were linked to higher AYA<\/jats:styled-content> patient TRAQ<\/jats:styled-content> scores.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Transition readiness in AYA<\/jats:styled-content> patients as measured by TRAQ<\/jats:styled-content> is associated with female sex, older age, and higher patient activation. Though sex and age are nonmodifiable, interventions to boost patient activation represent a promising opportunity to improve transition readiness and outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.23739","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T04:45:44Z","timestamp":1535604344000},"page":"1264-1269","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["How Do Health Literacy, Numeric Competencies, and Patient Activation Relate to Transition Readiness in Adolescents and Young Adults With Rheumatic Diseases?"],"prefix":"10.1002","volume":"71","author":[{"given":"Samuel M.","family":"Lazaroff","sequence":"first","affiliation":[{"name":"Ohio State University Columbus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexa","family":"Meara","sequence":"additional","affiliation":[{"name":"Ohio State University 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