{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:13:54Z","timestamp":1789146834965,"version":"build-2803163510"},"reference-count":33,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,9,11]],"date-time":"2027-09-11T00:00:00Z","timestamp":1820620800000},"content-version":"am","delay-in-days":375,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23 DK125670"],"award-info":[{"award-number":["K23 DK125670"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","goldjournal.net","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Urology"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.urology.2026.07.013","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:19:45Z","timestamp":1784009985000},"page":"170-175","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Health Literacy Trends and Associations With Transition Readiness in Youth with Spinal Dysraphism"],"prefix":"10.1016","volume":"215","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6214-1568","authenticated-orcid":false,"given":"Jamie A.","family":"Michael","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn Wei","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine A.","family":"Hirsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Herrera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilina","family":"Rosoklija","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James T.","family":"Rague","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin M.","family":"Bowman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill E.","family":"Larson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineeta T.","family":"Swaroop","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Earl Y.","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana K.","family":"Bowen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth B.","family":"Yerkes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7972-4671","authenticated-orcid":false,"given":"David I.","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.urology.2026.07.013_bib1","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.1016\/j.jpeds.2012.05.040","article-title":"Improved survival among children with spina bifida in the United States","volume":"161","author":"Shin","year":"2012","journal-title":"J Pediatr"},{"key":"10.1016\/j.urology.2026.07.013_bib2","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1542\/peds.2011-0969","article-title":"Supporting the health care transition from adolescence to adulthood in the medical home","volume":"128","author":"American Academy of P","year":"2011","journal-title":"Pediatrics"},{"key":"10.1016\/j.urology.2026.07.013_bib3","doi-asserted-by":"crossref","first-page":"40 e41","DOI":"10.1016\/j.jpurol.2016.09.020","article-title":"How successful is the transition to adult urology care in spina bifida? A single center 7-year experience","volume":"13","author":"Szymanski","year":"2017","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.urology.2026.07.013_bib4","doi-asserted-by":"crossref","first-page":"e145","DOI":"10.1542\/peds.2008-1298","article-title":"Planning for health care transitions: results from the 2005-2006 National Survey of Children With Special Health Care Needs","volume":"123","author":"Lotstein","year":"2009","journal-title":"Pediatrics"},{"key":"10.1016\/j.urology.2026.07.013_bib5","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1542\/peds.2012-3050","article-title":"Current status of transition preparation among youth with special needs in the United States","volume":"131","author":"McManus","year":"2013","journal-title":"Pediatrics"},{"key":"10.1016\/j.urology.2026.07.013_bib6","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1016\/j.urology.2014.12.019","article-title":"Transition of urologic patients from pediatric to adult care: a preliminary assessment of readiness in spina bifida patients","volume":"85","author":"Stephany","year":"2015","journal-title":"Urology"},{"key":"10.1016\/j.urology.2026.07.013_bib7","doi-asserted-by":"crossref","first-page":"191","DOI":"10.5489\/cuaj.8247","article-title":"Healthcare utilization during transition to adult care in patients with spina bifida A population-based, longitudinal study in Ontario, Canada","volume":"17","author":"Matta","year":"2023","journal-title":"Can Urol Assoc J"},{"key":"10.1016\/j.urology.2026.07.013_bib8","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.ecl.2023.09.003","article-title":"Incorporating the six core elements of health care transition in type 1 diabetes care for emerging adults","volume":"53","author":"Malik","year":"2024","journal-title":"Endocrinol Metab Clin North Am"},{"key":"10.1016\/j.urology.2026.07.013_bib9","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.pedn.2021.06.004","article-title":"Formal vs. informal transition in adolescents with cystic fibrosis: a retrospective comparison of outcomes","volume":"62","author":"Middour-Oxler","year":"2022","journal-title":"J Pediatr Nurs"},{"key":"10.1016\/j.urology.2026.07.013_bib10","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1177\/1367493517712479","article-title":"Improving transition to adult healthcare for young people with cystic fibrosis: a systematic review","volume":"21","author":"Coyne","year":"2017","journal-title":"J Child Health Care"},{"key":"10.1016\/j.urology.2026.07.013_bib11","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1177\/0193945919875470","article-title":"A systematic review of transition readiness in youth with chronic disease","volume":"42","author":"Varty","year":"2019","journal-title":"West J Nurs Res"},{"key":"10.1016\/j.urology.2026.07.013_bib12","doi-asserted-by":"crossref","first-page":"167 e161","DOI":"10.1016\/j.jpurol.2019.11.016","article-title":"Assessment of health literacy in adolescents with spina bifida and their caregivers: a multi-institutional study","volume":"16","author":"Lightfoot","year":"2020","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.urology.2026.07.013_bib13","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1177\/1367493519831493","article-title":"Health literacy, nutrition knowledge, and health care transition readiness in youth with chronic kidney disease or hypertension: A cross-sectional study","volume":"24","author":"Zhong","year":"2020","journal-title":"J Child Health Care"},{"key":"10.1016\/j.urology.2026.07.013_bib14","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1002\/acr.23739","article-title":"How do health literacy, numeric competencies, and patient activation relate to transition readiness in adolescents and young adults with rheumatic diseases?","volume":"71","author":"Lazaroff","year":"2019","journal-title":"Arthritis Care Res"},{"key":"10.1016\/j.urology.2026.07.013_bib15","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.cgh.2012.02.017","article-title":"Clinicians poorly assess health literacy-related readiness for transition to adult care in adolescents with inflammatory bowel disease","volume":"10","author":"Huang","year":"2012","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.urology.2026.07.013_bib16","article-title":"Sociodemographic characteristics, health literacy, and care compliance in families with Spina Bifida","volume":"4","author":"Cooper","year":"2017","journal-title":"Glob Pediatr Health"},{"key":"10.1016\/j.urology.2026.07.013_bib17","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1080\/092970490911324","article-title":"Attention problems and executive functions in children with spina bifida and hydrocephalus","volume":"11","author":"Burmeister","year":"2007","journal-title":"Child Neuropsychology"},{"key":"10.1016\/j.urology.2026.07.013_bib18","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.27034","article-title":"Assessment of health literacy and self-reported readiness for transition to adult care among adolescents and young adults with Spina Bifida","volume":"4","author":"Rague","year":"2021","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.urology.2026.07.013_bib19","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.acap.2014.03.008","article-title":"The transition readiness assessment questionnaire (TRAQ): its factor structure, reliability, and validity","volume":"14","author":"Wood","year":"2014","journal-title":"Acad Pediatr"},{"key":"10.1016\/j.urology.2026.07.013_bib20","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1093\/jpepsy\/jsp128","article-title":"Measuring the transition readiness of youth with special healthcare needs: validation of the TRAQ--Transition Readiness Assessment Questionnaire","volume":"36","author":"Sawicki","year":"2011","journal-title":"J Pediatr Psychol"},{"key":"10.1016\/j.urology.2026.07.013_bib21","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1080\/10810730.2012.712615","article-title":"Measurement variation across health literacy assessments: implications for assessment selection in research and practice","volume":"17","author":"Haun","year":"2012","journal-title":"J Health Commun"},{"key":"10.1016\/j.urology.2026.07.013_bib22","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1016\/j.acap.2016.06.007","article-title":"The associations of chronic condition type and individual characteristics with transition readiness","volume":"16","author":"Beal","year":"2016","journal-title":"Acad Pediatr"},{"key":"10.1016\/j.urology.2026.07.013_bib23","doi-asserted-by":"crossref","DOI":"10.7448\/IAS.20.4.21500","article-title":"The Happy Teen programme: a holistic outpatient clinic-based approach to prepare HIV-infected youth for the transition from paediatric to adult medical care services in Thailand","volume":"20","author":"Lolekha","year":"2017","journal-title":"J Int AIDS Soc"},{"key":"10.1016\/j.urology.2026.07.013_bib24","first-page":"741","article-title":"Educational initiative to increase knowledge for transition to adult care in adolescents with cystic fibrosis","volume":"28","author":"Perez","year":"2023","journal-title":"J Pediatr Pharmacol Ther"},{"key":"10.1016\/j.urology.2026.07.013_bib25","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1053\/jpdn.2002.30930","article-title":"A natural history study of adolescents and young adults with sickle cell disease as they transfer to adult care: a need for case management services","volume":"17","author":"Wojciechowski","year":"2002","journal-title":"J Pediatr Nurs"},{"key":"10.1016\/j.urology.2026.07.013_bib26","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1002\/ppul.1073","article-title":"Transition programs in cystic fibrosis centers: perceptions of pediatric and adult program directors","volume":"31","author":"Flume","year":"2001","journal-title":"Pediatr Pulmonol"},{"key":"10.1016\/j.urology.2026.07.013_bib27","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1002\/ppul.10083","article-title":"Transition programs in cystic fibrosis centers: perceptions of patients","volume":"33","author":"Anderson","year":"2002","journal-title":"Pediatr Pulmonol"},{"key":"10.1016\/j.urology.2026.07.013_bib28","article-title":"Transitions Clinical Report Authoring Group; American Academy of Pediatrics; American Academy of Family Physicians; American College of Physicians. Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home","volume":"143","author":"White","year":"2019","journal-title":"Pediatrics"},{"key":"10.1016\/j.urology.2026.07.013_bib29","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1542\/peds.2004-1321","article-title":"Health care transition: youth, family, and provider perspectives","volume":"115","author":"Reiss","year":"2005","journal-title":"Pediatrics"},{"key":"10.1016\/j.urology.2026.07.013_bib30","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1177\/0009922814541169","article-title":"Ready, set, stop: mismatch between self-care beliefs, transition readiness skills, and transition planning among adolescents, young adults, and parents","volume":"53","author":"Sawicki","year":"2014","journal-title":"Clin Pediatr"},{"key":"10.1016\/j.urology.2026.07.013_bib31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.pedn.2020.08.010","article-title":"Evaluation of the TRxANSITION index-parent version for assessment of readiness to transition to adult care among youth with chronic conditions","volume":"58","author":"Hart","year":"2021","journal-title":"J Pediatr Nurs"},{"key":"10.1016\/j.urology.2026.07.013_bib32","first-page":"415","article-title":"The reliability and validity of a newly developed spina bifida-specific Transition Readiness Assessment Questionnaire: transition readiness assessment questionnaire-supplement (TRAQ-SB)","volume":"12","author":"Johnson","year":"2019","journal-title":"J Pediatr Rehabil Med"},{"key":"10.1016\/j.urology.2026.07.013_bib33","first-page":"405","article-title":"Transition readiness assessment questionnaire Spina Bifida (TRAQ-SB) specific module and its association with clinical outcomes among youth and young adults with spina bifida","volume":"12","author":"Wood","year":"2019","journal-title":"J Pediatr Rehabil Med"}],"container-title":["Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090429526004450?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090429526004450?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T16:51:59Z","timestamp":1789145519000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0090429526004450"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":33,"alternative-id":["S0090429526004450"],"URL":"https:\/\/doi.org\/10.1016\/j.urology.2026.07.013","relation":{},"ISSN":["0090-4295"],"issn-type":[{"value":"0090-4295","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Health Literacy Trends and Associations With Transition Readiness in Youth with Spinal Dysraphism","name":"articletitle","label":"Article Title"},{"value":"Urology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.urology.2026.07.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}