Pilot Testing the Youth Engaging Transition: Perspectives of Youth, Parents, and School Physical Therapists

To investigate the feasibility, acceptability, and relevance of the Youth Engaging Transition (YET) instrument. In this observational study, nine youth (16-21 years) with motor disabilities, their parents, and school physical therapists completed the YET, then triad members gave feedback about the experience (n = 27). Parents and PTs agreed that both sections (S1: Future Plans and S2: Self-Assessment and Goal Planning) were feasible. Three triads questioned the youth’s understanding of the YET. Parents agreed that S1 and S2 were acceptable. Three PTs disagreed that S2 was an appropriate scope/depth. Five triads questioned the YET’s length and repetitiveness. Youth and PTs reported that the YET was relevant. Perhaps due to previous transition planning experience, some parents reported not learning new information by completing the YET. Parents’ and PTs’ ratings were aligned, suggesting a common experience using the YET. Results of this pilot study suggest that the YET has promise as a feasible, acceptable, and relevant transition planning instrument. Larger studies investigating the validity and reliability of the YET should include modifications to the YET, involve other transition team members, and ascertain the team’s previous involvement in the planning process. Future YET iterations will include enhanced cognitive accessibility and shortened length.为探究青年参与过渡规划量表（Youth Engaging Transition, YET）的可行性、可接受性与相关性，本观察性研究纳入9名16至21岁的运动障碍青年、其家长及学校物理治疗师完成YET量表填写，随后由青年、家长与对应物理治疗师组成的三人小组（共计27名受试者）对量表使用体验进行反馈。家长与物理治疗师均认可量表的两个模块——S1：未来规划与S2：自我评估与目标规划具备可行性。有3组青年-家长-物理治疗师三人小组对青年能否理解YET量表内容提出质疑。家长同样认可S1与S2模块的可接受性，但有3名物理治疗师认为S2模块的范围与深度未达适配标准。有5组青年-家长-物理治疗师三人小组认为YET量表存在篇幅过长、内容重复的问题。青年与物理治疗师均认为YET量表具备相关性。部分家长反馈称，因此前已有过渡规划相关经验，完成YET量表并未使其获取新的信息。家长与物理治疗师的评分一致性较高，提示二者在使用YET量表时拥有共通的体验。本预试验结果表明，YET量表作为过渡规划工具，具备可行性、可接受性与应用前景。后续开展针对YET量表效度与信度的大规模研究时，需对量表进行优化调整，纳入更多过渡团队成员，并明确团队成员此前参与规划工作的经历。未来迭代的YET量表将提升认知易用性并缩短篇幅。