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. Author manuscript; available in PMC: 2011 Dec 1.
Published in final edited form as: Pediatr Transplant. 2010 Dec;14(8):944–953. doi: 10.1111/j.1399-3046.2010.01349.x

Table 1.

Domains of the Transition Readiness Survey (TRS)

Domain Number of Items Item(s)Example
Adolescent Report (TRS:A/YA)
Self-Management 12 I wear a Medialert ID; Who notices when prescriptions needs to be refilled?
 Allocation of Responsibility 5 In the past 2 weeks, how often did you remember to take your medications without an adult reminding you? How often did your parent remind you to take your medication?
Perceived Regimen Knowledge 10 I can name all of my medications; I know how often I need to come to appointments.
Demonstrated Skills 9 Name your medications; John took his morning dose of medicine at 7 AM. He takes his 2nd dose 10 hours later. What time does he take his 2nd dose?
Psychosocial Adjustment 11 I have no control over my health in the future; I am limited in what I can achieve in the future because of my transplant.
Parent Report (TRS:P)
Adolescent Self- Management 11 My child wears a Medialert ID; Who notices when prescriptions need to be refilled?
 Allocation of Responsibility 5 In the past 2 weeks, how often did you remind your child to take his/her medication?
Adolescent Regimen Knowledge My child can name all of their medications My child knows how often they need to come to their appointments
Demonstrated Skills 5 John took his morning dose of medicine at 7 AM. He takes his 2nd dose 10 hours later. What time does he take his 2nd dose?
Adolescent Psychosocial Adjustment 11 My child feels they have little control over their health; Because of their transplant, my child cannot pursue certain jobs in the future.
Regimen Knowledge 2 My child needs to take medications for the rest of their life.