Table 1 Items Included in the Transition Readiness Assessment Questionnaire, version 4.1a
From: Assessment of transition readiness in adolescents and young adults with chronic health conditions
Domain 1: Skills for Chronic Condition Self-Management | Domain 2: Skills for Self-Advocacy and Health Care Utilization |
|---|---|
Do you fill a prescription if you need to? | Do you fill out the medical history form, including a list of your allergies? |
Do you know what to do if you are having a bad reaction to your medications? | Do you keep a calendar or list of medical and other appointments? |
Do you pay or arrange payments for your medications? | Do you tell the doctor or nurse what you are feeling? |
Do you take medications correctly and on your own? | Do you ask questions of the doctor, nurse or clinic staff? |
Do you reorder medications before they run out? | Do you make a list of questions before the doctor’s visit? |
Do you call the suppliers when there is a problem with the equipment? | Do you request the accommodations & support you need at school or work? |
Do you order medical equipment before they run out? | Do you apply for a job or work or vocational services? |
Do you arrange payment for the medical equipment and supplies? | Do you get financial help with school or work? |
Do you call the doctor’s office to make an appointment? | Do you help plan or prepare meals/food? |
Do you call the doctor about unusual changes in your health? | Do you help keep home/room clean or clean up after meals? |
Do you apply for health insurance if you lose your current coverage? | Do you use neighborhood stores and services? |
Do you know what your health insurance covers? | Do you use community support services or advocacy services when you need them? |
Do you manage your money and budget household expenses? | Â |
Do you reorder medications before they run out? | Â |