Jamesetta A. Newland, PhD, RN, FNP-BC, FAANP, FNAP, is Clinical Associate Professor, New York University College of Nursing, New York, NY.
Factors Influencing Independence in Adolescents With Sickle Cell Disease
Version of Record online: 24 JUL 2008
Journal Compilation © 2008 Wiley Periodicals, Inc.
Journal of Child and Adolescent Psychiatric Nursing
Volume 21, Issue 3, pages 177–185, August 2008
How to Cite
Newland, J. A. (2008), Factors Influencing Independence in Adolescents With Sickle Cell Disease. Journal of Child and Adolescent Psychiatric Nursing, 21: 177–185. doi: 10.1111/j.1744-6171.2008.00149.x
- Issue online: 24 JUL 2008
- Version of Record online: 24 JUL 2008
Vol. 22, Issue 1, 54, Version of Record online: 3 FEB 2009
- chronic disease in childhood;
- psychosocial development;
- sickle cell disease;
PROBLEM: Factors that predict successful transition from pediatric to adult care for adolescents with sickle cell disease are not fully understood, making transfer decisions difficult.
METHODS: Seventy-four adolescents (14–21 years) participated in this descriptive correlational study to investigate the relationships of age, gender, knowledge about sickle cell disease, disease severity, and family relationships to independence.
FINDINGS: Knowledge, severity, and family relationships explained only 25% of the variance for independence in the final model; family relationships were inversely correlated.
CONCLUSIONS: Factors exerting stronger influences on independence remain unknown. Cultural factors may be important among this predominantly African American population.