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Factors Influencing Independence in Adolescents With Sickle Cell Disease



This article is corrected by:

  1. Errata: Erratum Volume 22, Issue 1, 54, Article first published online: 3 February 2009

  • Jamesetta A. Newland, PhD, RN, FNP-BC, FAANP, FNAP, is Clinical Associate Professor, New York University College of Nursing, New York, NY.

Author contact:, with a copy to the Editor:


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.