Am I ON TRAC for Adult Care? (PDF) is a youth readiness questionnaire developed in 1998 (revised in 2012) as a tool to help youth self-identify their own learning and skill needs as they prepare for the transfer to the adult health care system and adulthood. In 2012, the 25 item assessment tool was validated with 200 youth from various clinics at BC Children’s Hospital for youth 12-19 years of age with a CHC/D. The study validated the psychometric properties of the questionnaire which means that most young people in this age range (12-19 years of age) will understand and respond to the questions in consistent ways. In addition, the
Am I ON TRAC - Parent Version (PDF) was given to parents of the youth, comparing the level of agreement (concordance) between the youth and parent responses.
The study was the master’s thesis of Melissa Moynihan RN MSN, guided by Dr. Elizabeth Saewyc (PI) from the University of British Columbia School of Nursing.
The results of the study have been presented in posters:
- Concordance of youth and parent scores (Society for Adolescent Health and Medicine) (PDF)
- Assessing adolescent readiness to transition (PDF) (International Association of Adolescent Health).
The study has been published:
Moynihan, M., Saewyc, E., Whitehouse, S., Paone, M., & McPherson, G. Assessing readiness for transition from paediatric to adult health care: Revision and psychometric evaluation of the Am I ON TRAC for Adult Care Questionnaire. Journal of Advanced Nursing, 71(6), 1324-1355. DOI: 10.111/jan.12617
Youth Quiz (PDF) is a 48 item checklist that includes the 25 knowledge and behaviour indicators that are in the validated Am I ON TRAC youth readiness questionnaire. It is posted online within the
ON TRAC Youth Toolkit and is downloadable to phone, tablet, and computer. It can be used for youth and families at every clinic visit to track areas to work on, as a companion to the overall readiness assessment. In addition, each indicator is hyperlinked to an Activity Card in the online Youth Toolkit to support youth in developing the skills or knowledge described by the indicator. Similarly, the
Parent & Family Checklist (PDF), built from the
Am I ON TRAC - Parent Version (PDF), has 46 indicators that include the 25 indicators from the study also linked to Activity Cards in the
Each indicator on the
Youth Quiz (PDF) correlates directly to indicators in the clinicians'
Transition Clinical Pathway (Simple) (PDF) and on the
Parent & Family Checklist (PDF) to the
Transition Clinical Pathway (Complex (PDF)). These combined tools offer a process for youth- and family-focused transition assessment, screening, intervention and evaluation.