Validation of the Transition Readiness and Appropriateness Measure (TRAM) for the Managing the Link and Strengthening Transition from Child to Adult Mental Healthcare in Europe (MILESTONE) study

MILESTONE Consortium

doi:10.1136/bmjopen-2019-033324

Validation of the Transition Readiness and Appropriateness Measure (TRAM) for the Managing the Link and Strengthening Transition from Child to Adult Mental Healthcare in Europe (MILESTONE) study

MILESTONE Consortium

King's College London
National Institute for Health Research Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust
HealthTracker Ltd
Plymouth University
International Breast Cancer Study Group and ASST Spedali Civili di Brescia
Warwick Medical School
University of Warwick
University Hospital of Split
Saint John of God Clinical Research Center
Erasmus MC
KBC Osijek
ASST Della Valcamonica
IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli
Yulius Academy
Yulius Academie
University of Bari Aldo Moro
University College Dublin
Our Ladies Hospital for Sick Children
Saint John of God Hospitaller Services
Coventry and Warwickshire Partnership NHS Trust
CHU de Montpellier
Hôpital Saint Eloi
ASST of Valcamonica
University Hospital Ulm
Josefinum
Ulm University
University of Leuven
KU Leuven– University Hospital Leuven
KU Leuven
ASST Lecco
ASST Lariana
Niguarda Metropolitan Great Hospital
Fondazione IRCCS San Gerardo dei Tintori
ASST Monza
DISM
AUSL of Parma
University of Geneva
Children Hospital Bambino Gesu
ASST Santi Paolo e Carlo
Lille Regional University Hospital Centre
Assistance Publique Hôpitaux de Marseille
INSERM 1415 CHRU Tours
Centre Hospitalier de Versailles
ZfP Südwürttemberg
The University of Osijek
Concentris Research Management GmbH
Croydon CAMHS
Lambeth CAMHS
Lewisham CAMHS
Southwark CAMHS
Gether NHS Foundation Trust
South Staffordshire and Shropshire Healthcare NHS Foundation Trust SSSFT
The Black Country Partnership Foundation NHS Trust
Worcestershire Health and Care NHS Trust
Birmingham Childrens Hospital

Research output: Contribution to a Journal (Peer & Non Peer) › Article › peer-review

36 Citations (Scopus)

Abstract

Objective Young people moving from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) are faced with significant challenges. To improve this state of affairs, there needs to be a recognition of the problem and initiatives and an urgent requirement for appropriate tools for measuring readiness and outcomes at the transfer boundary (16-18 years of age in Europe). The objective of this study was to develop and validate the Transition Readiness and Appropriateness Measure (TRAM) for assessing a young person's readiness for transition, and their outcomes at the transfer boundary. Design MILESTONE prospective study. Setting Eight European Union (EU) countries participating in the EU-funded MILESTONE study. Participants The first phase (MILESTONE validation study) involved 100 adolescents (pre-transition), young adults (post-transition), parents/carers and both CAMHS and AMHS clinicians. The second phase (MILESTONE cohort study and nested cluster randomised trial) involved over 1000 young people. Results The development of the TRAM began with a literature review on transitioning and a review of important items regarding transition by a panel of 34 mental health experts. A list of 64 items of potential importance were identified, which together comprised the TRAM. The psychometric properties of the different versions of the TRAM were evaluated and showed that the TRAM had good reliability for all versions and low-to-moderate correlations when compared with other established instruments and a well-defined factor structure. The main results of the cohort study with the nested cluster randomised trial are not reported. Conclusion The TRAM is a reliable instrument for assessing transition readiness and appropriateness. It highlighted the barriers to a successful transition and informed clinicians, identifying areas which clinicians on both sides of the transfer boundary can work on to ease the transition for the young person.

Original language	English
Article number	e033324
Journal	BMJ Open
Volume	10
Issue number	6
DOIs	https://doi.org/10.1136/bmjopen-2019-033324
Publication status	Published - 23 Jun 2020
Externally published	Yes

Keywords

adult mental health services
child and adolescent mental health services
Transition Readiness and Appropriateness Measure (TRAM)
validation
young persons

Access to Document

10.1136/bmjopen-2019-033324

Cite this

@article{53966e8582874ee5b4c6670fbc3daa56,

title = "Validation of the Transition Readiness and Appropriateness Measure (TRAM) for the Managing the Link and Strengthening Transition from Child to Adult Mental Healthcare in Europe (MILESTONE) study",

abstract = "Objective Young people moving from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) are faced with significant challenges. To improve this state of affairs, there needs to be a recognition of the problem and initiatives and an urgent requirement for appropriate tools for measuring readiness and outcomes at the transfer boundary (16-18 years of age in Europe). The objective of this study was to develop and validate the Transition Readiness and Appropriateness Measure (TRAM) for assessing a young person's readiness for transition, and their outcomes at the transfer boundary. Design MILESTONE prospective study. Setting Eight European Union (EU) countries participating in the EU-funded MILESTONE study. Participants The first phase (MILESTONE validation study) involved 100 adolescents (pre-transition), young adults (post-transition), parents/carers and both CAMHS and AMHS clinicians. The second phase (MILESTONE cohort study and nested cluster randomised trial) involved over 1000 young people. Results The development of the TRAM began with a literature review on transitioning and a review of important items regarding transition by a panel of 34 mental health experts. A list of 64 items of potential importance were identified, which together comprised the TRAM. The psychometric properties of the different versions of the TRAM were evaluated and showed that the TRAM had good reliability for all versions and low-to-moderate correlations when compared with other established instruments and a well-defined factor structure. The main results of the cohort study with the nested cluster randomised trial are not reported. Conclusion The TRAM is a reliable instrument for assessing transition readiness and appropriateness. It highlighted the barriers to a successful transition and informed clinicians, identifying areas which clinicians on both sides of the transfer boundary can work on to ease the transition for the young person.",

keywords = "adult mental health services, child and adolescent mental health services, Transition Readiness and Appropriateness Measure (TRAM), validation, young persons",

author = "\{MILESTONE Consortium\} and Paramala Santosh and Jatinder Singh and Laura Adams and Mathilde Mastroianni and Natalie Heaney and Kate Lievesley and Ilyas Sagar-Ouriaghli and Giovanni Allibrio and Rebecca Appleton and Nikolina Davidovi{\'c} and \{De Girolamo\}, Giovanni and Gwen Dieleman and \{Dodig-{\"A} †urkovi{\'c}\}, Katarina and Tomislav Frani{\'c} and Charlotte Gatherer and Suzanne Gerritsen and Elisa Gheza and Jason Madan and Lidia Manenti and Athanasios Maras and Francesco Margari and Fiona Mcnicholas and Adriana Pastore and Moli Paul and Diane Purper-Ouakil and Francesco Rinaldi and Vehbi Sakar and Ulrike Schulze and Giulia Signorini and Cathy Street and Priya Tah and Sabine Tremmery and Amanda Tuffrey and Helena Tuomainen and Frank Verhulst and Jane Warwick and Anna Wilson and Dieter Wolke and Federico Fiori and Swaran Singh and Claire Daffern and Alastair Canaway and James Griffin and Philip Wells and Lomax, \{Rose Marie\} and \{de Girolamo\}, Giovanni and Alessandro Ferrari and Cecilia Ferrari and Laura Rivolta and Flavia Levi and Eliza Gheza and Maria Cataldo and Giorgia Morini and Cecilia Toselli and Pamela Stagni and Pamela Varvara and Ottaviano Martinelli and Patrizia Conti and Emiliano Monzani and Lucia Margari and Paola Stagi and Fabrizio Starace and Giuseppe Carr{\`a} and Renata Nacinovic and Paolo Scocco and Michela Gatta and Fabio Vanni and Sabrina Ferrari and Marco Armando and Stefano Vicari and Angelo Bertani and Edda Zanetti and Leighton McFadden and Cassandra Deane and Fr{\'e}d{\'e}rick Russet and Virginie Maurice and V{\'e}ronique Humbertclaude and Renaud Jardri and Aesa Parenti and Fonseca, \{David Da\} and Isabelle Charvin and Fr{\'e}d{\'e}rique Bonnet-Brilhault and Chryst{\`e}le Bodier and Catherine Prigent and Mario Speranza and H{\'e}l{\`e}ne LidaPulik and \{van Bodegom\}, Larissa and Mathilde Overbeek and Esther Kooymans and Iris Link and Melanie Saam and Ulrike Breuninger and J{\"o}rg Fegert and Sonja Aslan and Sarah Miller and Renate Schepker and Beata Williams and Anne Sartor and Elena Tanase and Ingrid Holme",

note = "Publisher Copyright: {\textcopyright} 2020 Author(s) (or their employer(s)). Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",

year = "2020",

month = jun,

day = "23",

doi = "10.1136/bmjopen-2019-033324",

language = "English",

volume = "10",

journal = "BMJ Open",

issn = "2044-6055",

publisher = "BMJ Publishing Group",

number = "6",

}

TY - JOUR

T1 - Validation of the Transition Readiness and Appropriateness Measure (TRAM) for the Managing the Link and Strengthening Transition from Child to Adult Mental Healthcare in Europe (MILESTONE) study

AU - MILESTONE Consortium

AU - Santosh, Paramala

AU - Singh, Jatinder

AU - Adams, Laura

AU - Mastroianni, Mathilde

AU - Heaney, Natalie

AU - Lievesley, Kate

AU - Sagar-Ouriaghli, Ilyas

AU - Allibrio, Giovanni

AU - Appleton, Rebecca

AU - Davidović, Nikolina

AU - De Girolamo, Giovanni

AU - Dieleman, Gwen

AU - Dodig-Ä †urković, Katarina

AU - Franić, Tomislav

AU - Gatherer, Charlotte

AU - Gerritsen, Suzanne

AU - Gheza, Elisa

AU - Madan, Jason

AU - Manenti, Lidia

AU - Maras, Athanasios

AU - Margari, Francesco

AU - Mcnicholas, Fiona

AU - Pastore, Adriana

AU - Paul, Moli

AU - Purper-Ouakil, Diane

AU - Rinaldi, Francesco

AU - Sakar, Vehbi

AU - Schulze, Ulrike

AU - Signorini, Giulia

AU - Street, Cathy

AU - Tah, Priya

AU - Tremmery, Sabine

AU - Tuffrey, Amanda

AU - Tuomainen, Helena

AU - Verhulst, Frank

AU - Warwick, Jane

AU - Wilson, Anna

AU - Wolke, Dieter

AU - Fiori, Federico

AU - Singh, Swaran

AU - Daffern, Claire

AU - Canaway, Alastair

AU - Griffin, James

AU - Wells, Philip

AU - Lomax, Rose Marie

AU - de Girolamo, Giovanni

AU - Ferrari, Alessandro

AU - Ferrari, Cecilia

AU - Rivolta, Laura

AU - Levi, Flavia

AU - Gheza, Eliza

AU - Cataldo, Maria

AU - Morini, Giorgia

AU - Toselli, Cecilia

AU - Stagni, Pamela

AU - Varvara, Pamela

AU - Martinelli, Ottaviano

AU - Conti, Patrizia

AU - Monzani, Emiliano

AU - Margari, Lucia

AU - Stagi, Paola

AU - Starace, Fabrizio

AU - Carrà, Giuseppe

AU - Nacinovic, Renata

AU - Scocco, Paolo

AU - Gatta, Michela

AU - Vanni, Fabio

AU - Ferrari, Sabrina

AU - Armando, Marco

AU - Vicari, Stefano

AU - Bertani, Angelo

AU - Zanetti, Edda

AU - McFadden, Leighton

AU - Deane, Cassandra

AU - Russet, Frédérick

AU - Maurice, Virginie

AU - Humbertclaude, Véronique

AU - Jardri, Renaud

AU - Parenti, Aesa

AU - Fonseca, David Da

AU - Charvin, Isabelle

AU - Bonnet-Brilhault, Frédérique

AU - Bodier, Chrystèle

AU - Prigent, Catherine

AU - Speranza, Mario

AU - LidaPulik, Hélène

AU - van Bodegom, Larissa

AU - Overbeek, Mathilde

AU - Kooymans, Esther

AU - Link, Iris

AU - Saam, Melanie

AU - Breuninger, Ulrike

AU - Fegert, Jörg

AU - Aslan, Sonja

AU - Miller, Sarah

AU - Schepker, Renate

AU - Williams, Beata

AU - Sartor, Anne

AU - Tanase, Elena

AU - Holme, Ingrid

PY - 2020/6/23

Y1 - 2020/6/23

N2 - Objective Young people moving from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) are faced with significant challenges. To improve this state of affairs, there needs to be a recognition of the problem and initiatives and an urgent requirement for appropriate tools for measuring readiness and outcomes at the transfer boundary (16-18 years of age in Europe). The objective of this study was to develop and validate the Transition Readiness and Appropriateness Measure (TRAM) for assessing a young person's readiness for transition, and their outcomes at the transfer boundary. Design MILESTONE prospective study. Setting Eight European Union (EU) countries participating in the EU-funded MILESTONE study. Participants The first phase (MILESTONE validation study) involved 100 adolescents (pre-transition), young adults (post-transition), parents/carers and both CAMHS and AMHS clinicians. The second phase (MILESTONE cohort study and nested cluster randomised trial) involved over 1000 young people. Results The development of the TRAM began with a literature review on transitioning and a review of important items regarding transition by a panel of 34 mental health experts. A list of 64 items of potential importance were identified, which together comprised the TRAM. The psychometric properties of the different versions of the TRAM were evaluated and showed that the TRAM had good reliability for all versions and low-to-moderate correlations when compared with other established instruments and a well-defined factor structure. The main results of the cohort study with the nested cluster randomised trial are not reported. Conclusion The TRAM is a reliable instrument for assessing transition readiness and appropriateness. It highlighted the barriers to a successful transition and informed clinicians, identifying areas which clinicians on both sides of the transfer boundary can work on to ease the transition for the young person.

AB - Objective Young people moving from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) are faced with significant challenges. To improve this state of affairs, there needs to be a recognition of the problem and initiatives and an urgent requirement for appropriate tools for measuring readiness and outcomes at the transfer boundary (16-18 years of age in Europe). The objective of this study was to develop and validate the Transition Readiness and Appropriateness Measure (TRAM) for assessing a young person's readiness for transition, and their outcomes at the transfer boundary. Design MILESTONE prospective study. Setting Eight European Union (EU) countries participating in the EU-funded MILESTONE study. Participants The first phase (MILESTONE validation study) involved 100 adolescents (pre-transition), young adults (post-transition), parents/carers and both CAMHS and AMHS clinicians. The second phase (MILESTONE cohort study and nested cluster randomised trial) involved over 1000 young people. Results The development of the TRAM began with a literature review on transitioning and a review of important items regarding transition by a panel of 34 mental health experts. A list of 64 items of potential importance were identified, which together comprised the TRAM. The psychometric properties of the different versions of the TRAM were evaluated and showed that the TRAM had good reliability for all versions and low-to-moderate correlations when compared with other established instruments and a well-defined factor structure. The main results of the cohort study with the nested cluster randomised trial are not reported. Conclusion The TRAM is a reliable instrument for assessing transition readiness and appropriateness. It highlighted the barriers to a successful transition and informed clinicians, identifying areas which clinicians on both sides of the transfer boundary can work on to ease the transition for the young person.

KW - adult mental health services

KW - child and adolescent mental health services

KW - Transition Readiness and Appropriateness Measure (TRAM)

KW - validation

KW - young persons

UR - https://www.scopus.com/pages/publications/85087098835

U2 - 10.1136/bmjopen-2019-033324

DO - 10.1136/bmjopen-2019-033324

M3 - Article

C2 - 32580979

AN - SCOPUS:85087098835

SN - 2044-6055

VL - 10

JO - BMJ Open

JF - BMJ Open

IS - 6

M1 - e033324

ER -

Validation of the Transition Readiness and Appropriateness Measure (TRAM) for the Managing the Link and Strengthening Transition from Child to Adult Mental Healthcare in Europe (MILESTONE) study

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this