Transitional care interventions and patient empowerment in adolescents and young adults with chronic conditions: A scoping review for medication management.

Authors

Jamaliah Jamari, Ernieda Hatah, Noraida Mohamed Shah

Published in

Research in social & administrative pharmacy : RSAP. Aug 14, 2026. Epub Aug 14, 2026.

Abstract

The transition from paediatric to adult healthcare for Adolescents and Young Adults (AYAs) with chronic conditions is critical, often marked by fragmented care, declining adherence, and worsening disease control. Although structured Transition of Care (TOC) frameworks exist, intervention components remain inconsistently defined, lack explicit theoretical grounding, and inadequately address competencies such as medication management.
This review aimed to (1) identify transitional care interventions for AYAs with chronic conditions; (2) classify intervention components using Psychological Empowerment Theory; (3) map components related to medication management; and (4) identify gaps in conceptualisation and implementation.
A scoping review was conducted following JBI methodology and PRISMA-ScR guidelines. Scopus, Web of Science, and Ovid MEDLINE were searched for English-language studies published between January 2015 and January 2026. Eligible studies evaluated transitional care interventions incorporating medication management or empowerment components. Data were deductively mapped onto the intrapersonal, interactional, and behavioural domains of Psychological Empowerment Theory.
Thirty studies, representing a total of 3812 participants, were included. Interventions predominantly targeted interactional components, particularly disease knowledge, alongside behavioural components such as self-management. Intrapersonal constructs, including self-efficacy and psychosocial support, were least addressed and inconsistently operationalised. Pharmacist involvement was reported in only three studies (10%), primarily involving medication education and self-management skills training rather than longitudinal engagement across the transition pathway.
By applying Psychological Empowerment Theory as an organising lens, this review shows that current TOC interventions prioritise knowledge and skills while underemphasising intrapersonal empowerment, risking the conflation of knowledge with empowerment and highlighting gaps in supporting sustained medication management. Future research should develop theoretically grounded, multidisciplinary models integrating clinical pharmacy expertise across the transition pathway.

PMID:
42608226
Bibliographic data and abstract were imported from PubMed on 18 Aug 2026.

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