Self‐Management Behaviour Preferences in Adolescents and Young Adults With Chronic Diseases Undergoing Healthcare Transition: A Mixed‐Methods Systematic Review
Yifan Chen, Sisi Jiang, Yi Qi, Ting Yi, Yiwen Hu, Yan Wang, Ziling Xie, Chaoqun DongABSTRACT
Aim
To summarize current evidence regarding preferences for self‐management behaviours among adolescents and young adults (AYAs) with chronic diseases during the healthcare transition period.
Design
Mixed‐methods systematic review.
Methods
The review following the Joanna Briggs Institute Mixed Methods Systematic Review (JBI M‐MSR) methodology convergent integrated approach, which is separate qualitative and quantitative syntheses followed by integration in a narrative form. The methodological quality of included articles was assessed using the Mixed Methods Appraisal Tool.
Data Sources
We searched nine databases (PubMed, Web of Science, Scopus, MEDLINE, CINAHL Plus, psyINFO, CNKI, Wan Fang and SinoMed) from their inception up to December 4, 2025, restricting results to English and Chinese publications.
Results
A total of 31 studies were included in the review. These studies synthesise three main themes: (1) preferences for medical management behaviours; (2) preferences for emotional coping strategies and (3) preferences for role and identity maintenance.
Conclusion
This review underscores the importance of understanding AYAs' preferences for self‐management behaviours during healthcare transition, offering insights to improve their engagement and adherence.
Implications for the Profession and/or Patient Care
Healthcare providers can improve transition outcomes for AYAs with chronic diseases by surveying their preferences for self‐management behaviours and creating tailored plans.
Impact
Highlights the importance of considering diverse preferences for self‐management behaviours. Contributes to improving health outcomes and quality of life for
Reporting Method
The Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) checklist was followed.
Patient or Public Contribution
This study did not include patient or public involvement in its design, conduct, or reporting.