Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care

The ADAPT survey consists of 26 questions assessing the quality of health care transition preparation for youth with chronic health conditions, based on youth report of whether specific recommended processes of care were received. The ADAPT survey generates measures for each of 3 domains: 1) Counseling on Transition Self-Management, 2) Counseling on Prescription Medication, and 3) Transfer Planning. ADAPT measure scores are calculated using the sum of the proportions of positive responses to between 3 and 5 individual items. Complete instructions for measure score calculations are provided in the Detailed Measure Specifications (Appendix A). 

1) Counseling on Transition Self-Management:
The numerator is the sum of the proportions of positive responses to the five questions about counseling on transition self-management, among respondents with valid responses to all questions.

2) Counseling on prescription medication:
The numerator is the sum of the proportions of positive responses to the three questions about counseling on prescription medication, among respondents who indicate that they take prescription medication every day and with valid responses to all questions. 

3) Transfer planning:
The numerator is the sum of the proportions of positive responses to the four questions about transfer planning, among respondents who report being treated by a pediatric provider and with valid responses to all questions.