Feasibility of the TRANSITION program as an add-on to regular daily living support for young adults: an open mixed-methods study

TRANSITION is a structured behavioral and educational program to support young adults with mental, behavioral, and neurodevelopmental conditions transitioning into adulthood. This study investigated its feasibility as an add-on to regular daily living support in social services. A non-randomized single-arm mixed method design was used. Twenty-eight service users, aged 19–29, were enrolled to participate in the program for 20 weeks alongside their support workers. They rated their engagement and satisfaction and reported any adverse effects. Eighteen support workers received training in the program. A subsample of service users (<i>n</i> = 11) and support workers (<i>n</i> = 9) was interviewed about their experiences. Qualitative content analysis using an abductive approach and quantitative analyses with descriptive statistics was integrated and mapped to specific feasibility areas in a joint display. Service users completing the study (<i>n</i> = 26) generally rated satisfaction and engagement highly. While some service users experienced stress related to their participation, no serious adverse events were reported. Service users and support workers highlighted the program’s clear structure and focus on specific goals as particularly valuable. The results indicate that TRANSITION is a feasible complement to regular support in social service settings. Further evaluation of the program is justified.Implications for rehabilitationThe TRANSITION program is a feasible add-on to regular support in daily living for young adults with mental, behavioral, and neurodevelopmental conditions.Support workers can deliver the program, although training, practice, and regular supervision are needed.Service users perceive that the program adds clarity and valued direction to their support.The program may help service users and support workers become more aware of the inherent benefits of user engagement in daily living support. The TRANSITION program is a feasible add-on to regular support in daily living for young adults with mental, behavioral, and neurodevelopmental conditions. Support workers can deliver the program, although training, practice, and regular supervision are needed. Service users perceive that the program adds clarity and valued direction to their support. The program may help service users and support workers become more aware of the inherent benefits of user engagement in daily living support.

TRANSITION项目（TRANSITION）是一项结构化的行为与教育干预项目，旨在为存在精神、行为及神经发育障碍的青年群体提供支持，帮助其顺利向成年期过渡。本研究探讨了该项目作为社会服务中常规日常生活支持附加方案的可行性。研究采用非随机单臂混合研究设计方案。共计28名年龄介于19至29岁的服务对象，与其支持专员共同参与了为期20周的项目。参与者需对自身的参与度与满意度进行评分，并报告任何不良事件。另有18名支持专员接受了该项目的相关培训。研究对11名服务对象与9名支持专员组成的亚样本进行了访谈，以了解其项目参与体验。本研究整合了基于溯因法的质性内容分析与描述性统计量化分析，并通过联合展示矩阵将分析结果映射至特定可行性评估维度。完成本研究的26名服务对象，普遍对项目满意度与参与度给出了较高评分。尽管部分服务对象在参与过程中出现了压力相关反应，但未报告任何严重不良事件。服务对象与支持专员均认为，该项目清晰的架构与针对特定目标的聚焦特性极具价值。研究结果表明，TRANSITION项目可作为社会服务场景中常规支持方案的可行补充。该项目仍需开展进一步评估。

康复领域应用启示：
TRANSITION项目可作为存在精神、行为及神经发育障碍的青年群体日常支持的可行附加方案。支持专员可负责项目的执行，但需预先接受培训、实操练习并获得定期督导。服务对象认为，该项目为其支持服务增添了清晰性与具指导意义的方向。该项目或可帮助服务对象与支持专员更清晰地认识到，服务对象参与日常支持服务所带来的内在价值。TRANSITION项目可作为存在精神、行为及神经发育障碍的青年群体日常支持的可行附加方案。支持专员可负责项目的执行，但需预先接受培训、实操练习并获得定期督导。服务对象认为，该项目为其支持服务增添了清晰性与具指导意义的方向。该项目或可帮助服务对象与支持专员更清晰地认识到，服务对象参与日常支持服务所带来的内在价值。