Adult Partner Research Articles

The Association of Adolescent Gender Performance and Adult Intimate Partner Violence

PurposeA quarter of women and nearly 1 in 10 men in the United States have reported experiencing intimate partner violence (IPV) that had lasting negative impacts at least once during their lifetime. To prevent IPV over the lifecourse, adolescence has been identified as an ideal period for healthy relationship education that addresses the various IPV risk factors. One of those risk factors is believing in traditional gender roles, but the behavioral aspect of gender performance has been understudied. This study explores the relationship between adolescent gender performance and adult IPV perpetration and victimization/survival. MethodsWe used logistic regression to estimate associations of adolescent gender performance and adult IPV perpetration and victimization/survival in a sample of 2,197 males and 2,587 females from The National Longitudinal Study of Adolescent to Adult Health (Add Health) between 1994 and 2008. ResultsMale adolescent gender performance was associated with increased adult IPV perpetration (adjusted odds ratio [AOR] = 1.11; 95% confidence interval [CI], 1.05–1.18 per 10% increase in gender performance) and victimization/survival (AOR = 1.07; 95% CI, 1.03–1.11 per 10% increase in gender performance). Female adolescent gender performance was not associated with adult IPV perpetration or victimization/survival. DiscussionThe more similarly adolescent males behave to their adolescent male peers, the more likely they are to perpetrate and experience IPV in adulthood. This study supports the implementation of gender transformative education during adolescence and the specific need to address how the behaviors associated with male gender performance are risk factors for adult IPV.

Authoring STEM identities through intergenerational collaborative partnerships

ABSTRACT Our multiple case study addresses the lack of opportunities many people have developing positive identification with STEM (science, technology, engineering, math) fields by investigating STEM identity authoring in three intergenerational collaborative partnerships. Adult and teen partners participated in two-day workshops learning conservation science and geospatial technologies to design and implement community projects. Our research examined how the design and implementation of intergenerational projects provided opportunities to: (1) demonstrate competence in STEM knowledge and understandings, (2) participate in performances of STEM practices, and (3) be recognized for competence and performances in STEM fields. Qualitative methods were used throughout. Data consisted of field observations followed by separate semi-structured interviews with each partner. Artifacts such as presentation posters, online maps and websites, educational materials (e.g., pamphlets and booklets), email, and forum posts were used as secondary data sources. We found STEM identities were promoted in intergenerational collaborative partnerships when personal resources and conservation science competences and performances were positively recognized by meaningful others. Our findings inform how informal STEM education programs can foster positive identification with STEM fields that may lead to increased participation in STEM pursuits across the lifespan, and likely have similar implications for formal STEM learning as well.

Concern About Past Trauma Among Nursing Home Admissions: Report From Screening 722 Admissions.

Major life changes can trigger a traumatic stress response in older adults causing trauma symptoms to resurface. In 2019, the Centers for Medicare and Medicaid Services released the requirement, without specific guidance, for trauma-informed care (TIC) as part of person-centered care in long-term care. Observational, cross-sectional. A total of 722 new admissions at one nursing home in metro Atlanta between November 2019 and July2021. We developed a "TRAUMA" framework for TIC screening based on Substance Abuse and Mental Health Services Administration resources. The admissions nurse conducted TIC screening within 48hours of new admissions, including reported trauma and necessary modifications to care plans. Demographic information was derived from electronic records. Analysis included independent sample t-tests, binary logistic regression, and χ2 tests. All data were analyzed using SPSS v.28. Of 722 new admissions, 45 (6.2%) indicated experiencing trauma. There was no significant association with being Black or non-White and experiencing trauma, but there was a significant association with being female and experiencing trauma (χ2 (1)= 5.206, P= .022). Only men reported child physical abuse and war trauma and only women reported adult sexual assault, child sexual assault, adult domestic violence, school or community violence, adult nonintimate partner violence, and other trauma. There was a small, significant negative association of age and trauma (β=-0.037; SE= 0.11; P < .001). The most-reported trauma category was medical trauma, including COVID-related trauma. More than half (51%) requested spiritual intervention and only 2 requested medical intervention with medication as initial interventions. Our experience suggests that knowing the patient and their trauma history allowed the admissions nurse and interdisciplinary care team to modify the person-centered care plan to best meet the patient's needs. Our results also emphasize the need for using universal trauma precautions in all interactions.

Clomiphene citrate treatment during perinatal development alters adult partner preference, mating behaviour and androgen receptor and vasopressin in the male mandarin vole Microtus mandarinus.

During development, many aspects of behaviour, including partner preferences and sexual behaviour, are "organized" by neural aromatization of androgen and oestrogen. This study aimed to analyse these processes in the mandarin vole (Microtus mandarinus); this is a novel mammalian model exhibiting strong monogamous pair bonds. Male pups were treated daily with a sesame oil only (MC) or the oestrogen receptor blocker-clomiphene citrate sesame oil mixture (MT) from prenatal day 14 to postnatal day 10. Female pups were treated daily with sesame oil only (FC). Partner preferences, sexual behaviour, and the expression of androgen receptor (AR) and arginine vasopressin (AVP) were examined when animals were 3months old. The MT and FC groups exhibited male-directed partner preferences and feminized behaviour. AR-immunoreactive neurons (AR-IRs) in the medial preoptic area (mPOA), bed nucleus of stria terminalis (BNST), and medial amygdaloid nucleus (MeA) were reduced in MT males compared to MC males, and there was no significant difference in the number of AR-IRs between MT males and FC females. AVP-immunoreactive neurons (AVP-IRs) in the paraventricular nucleus (PVN) and supraoptic nucleus (SON) were reduced in MT males compared to MC males, and there were no significant differences in the number of AVP-IRs between MT males and FC females. The results indicate a significant role of hormone signalling in the development of male mate preference in the novel monogamous mammal model.

Understanding darkness: age, sex, and tech-proficiency in knowledge and perceptions of technology-mediated abuse

Abstract This article examines how people understand technology-mediated abuse (TMA) between adult romantic partners. Because knowledge and attitudes regarding sensitive issues are created and shaped via technology, users’ interpretations are crucial to understanding life-threatening relational situations such as TMA. In this study, 551 individuals were recruited via community-based chain-referral sampling and asked to describe TMA (e.g., online stalking, hacking, verbal attack, etc.). To varying degrees, age, sex, and technological proficiency each and also, interactively predicted TMA perceptions. Findings showed that older (vs. younger) and male (vs. female) individuals understood different technology-mediated behaviors as harmful when used by adult romantic partners.

A mixed‐methods evaluation of the experience of emerging young adult care partners

AbstractThere is limited literature on emerging young adult (EYA) care partners, despite a recent rise in interest in this group. The purpose of this study is to compare EYA care partners and their non‐care partner peers in the domains of academic achievement and engagement, employment, health‐related behaviors and self‐care, and mental health and respite, as well as to assess EYA care partners’ burden and potential for positive psychosocial sequelae and life changes as a result of their role. Further, within EYA care partners, we examine the relationship between mental health variables and care partner‐relevant variables. Two hundred undergraduates (100 care partners and 100 non‐care partners) completed measures of academic achievement and engagement (grade point average and credit load), employment (number of paid positions held and number of hours worked per week), health‐related behavior/self‐care (visits to the dentist, primary care physician, optometrist, diet healthfulness, exercise, cigarette smoking, and drinks per week) and mental health/respite (depression, anxiety, loneliness, drinking, social support, peer pressure, vacation recency, and frequency). Care partners completed measures of spiritual well‐being, burden, meaning, and benefit‐finding, as well as provided qualitative feedback on how caregiving changed their lives. EYA care partners and non‐care partners did not differ on any variables examined except for the number of jobs held, as EYA care partners held more paid jobs than EYA non‐care partners. EYA care partners showed moderate burden and high levels of finding meaning/benefit, the latter of which was supported by the themes that emerged from their qualitative data. Within EYA care partners, we found that depression and anxiety (mental health variables) were significantly related to spiritual well‐being, burden, benefit finding, and finding meaning through caregiving (care partner‐relevant variables). It is encouraging that the care partner and non‐care partner groups were similar in domains critical for this age group, such as academic achievement and engagement.

Up to the Challenge: Adapting Pediatric Intensive Care During a Global Pandemic.

BackgroundThe COVID-19 pandemic has strained health systems world wide. In our region, surging numbers of critically ill adult patients demanded urgent system-wide responses. During the peak of the pandemic, our Pediatric Intensive Care Unit (PICU) team redesigned the existing educational resources and processes of care to ensure for adult patients for the first time in the hospital’s history.AimDescribe the experiences and impacts of the rapidly initiated Adult COVID-19 Program on health care providers (HCP) and family members. Havelock’s Theory of Change framed the examination of Adult COVID-19 Program participant experiences and surfaced lessons learned.Materials and MethodsA quality improvement review was employed to collect feedback about the program experience from the health care team and patient’s family members. HCP completed a questionnaire 10 months following the implementation of the program and feedback from family members was provided during the program was obtained. Havelock’s Theory of Change was used to explore trends and frame participants’ experiences.ResultsPediatric Intensive Care Unit bedside team members and clinical leaders (n = 17), adult hospital partners (n = 3), and family members (n = 8) participated. HCP describe; motivation and readiness; concern for personal safety and uncertainty experienced in the early program phases; the importance of supports and resources; use of relationships and collaboration to facilitate change; the emotional impacts of this unique experience; and opportunities for individual and team growth. An overarching theme of ‘doing our part to help’ emerged. Family members described the positive impacts of family-centered interventions offered, individualized care, and shock at their family member’s illness.ConclusionThe PICU team rapidly adapted to provide care for adults at the peak of the pandemic. Family members expressed feeling grateful for the care their loved ones received in the pediatric setting. The experience of caring for adult patients with COVID-19 was a source of tension, personal growth, and meaning for the pediatric intensive care team.

Implementing CAPABLE With Care Partners Through an Area Agency on Aging: Identifying Barriers and Facilitators Using the Consolidated Framework for Implementation Research.

Community Aging in Place, Advancing Better Living for Elders (CAPABLE) is an evidence-based intervention to promote aging in place. Although CAPABLE has been implemented in more than 40 community sites, wide variation in implementation exists. Guided by the Consolidated Framework for Implementation Research (CFIR), this study sought to determine key barriers and facilitators that may influence CAPABLE implementation with older adult and care partner dyads through an area agency on aging (AAA). A formative evaluation was completed using qualitative data from the pilot of a Hybrid Trial Type 1 study implementing CAPABLE in an AAA. Multiple sources of data were collected, including 2 focus groups, field notes, a tracking log, and meetings with CAPABLE interventionists. Data were analyzed using a framework method and validated through a negative case analysis approach in NVivo 12 Pro. Fourteen dyads enrolled in the pilot and 6 completed the CAPABLE intervention. Key themes aligned with 10 constructs from 5 domains of the CFIR. Facilitators included adaptability of the intervention, cost, networks and communication, and knowledge and belief of individuals. Barriers included intervention complexity, client needs and resources, and executing the planned process. Results enhance understanding of contextual factors that can influence the implementation of CAPABLE with care partners. Strategies to overcome barriers include simplifying recruitment materials and targeting older adults with recent onset of disability. The CFIR is a valuable resource for planning and evaluation of the implementation of evidence-based interventions to promote aging in place.

Providers Assessing Child Abuse and Neglect

Providers Assessing Child Abuse and Neglect

Young children rely on gossip when jointly reasoning about whom to believe.

People rely on reputational information communicated via gossip when deciding about with whom to cooperate, whom to believe, and whom to trust. In two studies, we investigated whether 5- and 7-year-old children trust in gossip when determining a course of action. In Study 1, 5- and 7-year-old German-speaking peer dyads (N = 64 dyads, 32 female dyads) were presented with a collaborative problem-solving task (e.g., deciding together what a creature eats). Each child individually received conflicting information about the solution from a different informant (e.g., one proposed rocks; the other proposed sand). Each child additionally heard gossip about the informant's reputation: one informant had a good reputation; the other had a bad reputation. In the experimental condition, the reputation was relevant to the task (honesty), whereas it was irrelevant in the control condition (tidiness). Seven-year-old dyads, and 5-year-old dyads to a lesser extent, settled on the items suggested by the informant with good reputation in the experimental but not in the control condition. Only 7-year-old children explicitly referred to the information conveyed via gossip, engaging in metatalk about the reputations of the informants. In Study 2, we replicated these findings in a more controlled experiment in which 5- and 7-year-old American English-speaking children (N = 48, 27 girls) tried to convince an adult partner who proposed the item suggested by the informant with bad reputation. Thus, starting around age 5, and more reliably at age 7, children selectively rely on gossip in identifying trustworthy individuals in their collaborative reasoning with partners. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Comparison of herpes simplex virus 1 genomic diversity between adult sexual transmission partners with genital infection.

Herpes simplex virus (HSV) causes chronic infection in the human host, characterized by self-limited episodes of mucosal shedding and lesional disease, with latent infection of neuronal ganglia. The epidemiology of genital herpes has undergone a significant transformation over the past two decades, with the emergence of HSV-1 as a leading cause of first-episode genital herpes in many countries. Though dsDNA viruses are not expected to mutate quickly, it is not yet known to what degree the HSV-1 viral population in a natural host adapts over time, or how often viral population variants are transmitted between hosts. This study provides a comparative genomics analysis for 33 temporally-sampled oral and genital HSV-1 genomes derived from five adult sexual transmission pairs. We found that transmission pairs harbored consensus-level viral genomes with near-complete conservation of nucleotide identity. Examination of within-host minor variants in the viral population revealed both shared and unique patterns of genetic diversity between partners, and between anatomical niches. Additionally, genetic drift was detected from spatiotemporally separated samples in as little as three days. These data expand our prior understanding of the complex interaction between HSV-1 genomics and population dynamics after transmission to new infected persons.

Older Adult Patients and Care Partners as Knowledge Brokers in Fragmented Health Care.

To describe older adult patients' and care partners' knowledge broker roles during emergency department (ED) visits. Older adult patients are vulnerable to communication and coordination challenges during an ED visit, which can be exacerbated by the time and resource constrained ED environment. Yet, as a constant throughout the patient journey, patients and care partners can act as an information conduit, or knowledge broker, between fragmented care systems to attain high-quality, safe care. Participants included 14 older adult patients ( 65years old) and their care partners (e.g., spouse, adult child) who presented to the ED after having experienced a fall. Human factors researchers collected observation data from patients, care partners and clinician interactions during the patient's ED visit. We used an inductive content analysis to determine the role of patients and care partners as knowledge brokers. We found that patients and care partners act as knowledge brokers by providing information about diagnostic testing, medications, the patient's health history, and care accommodations at the disposition location. Patients and care partners filled the role of knowledge broker proactively (i.e. offer information) and reactively (i.e. are asked to provide information by clinicians or staff), within-ED work system and across work systems (e.g., between the ED and hospital), and in anticipation of future knowledge brokering. Patients and care partners, acting as knowledge brokers, often fill gaps in communication and participate in care coordination that assists in mitigating health care fragmentation.

Universality without uniformity – infants’ reactions to unresponsive partners in urban Germany and rural Ecuador

Previous studies based on non-WEIRD (Western, Educated, Industrialized, Rich, and Democratic) samples provide initial evidence that the still-face effect is universal. Based on the assumption that – independent of their cultural niches – infants share some fundamental expectations of social interactions, we put forth the assumption that a universal response exists for when a social interaction is interrupted. At the same time, we hypothesized that the size of the effect depends on the typicality of the interaction that precedes the adult partners’ interruption. To test these hypotheses, we conducted the Still-Face Paradigm (SFP) with infants (3- and 4.5-month-olds) from two cultural milieus, namely Münster (urban Germany) and the Kichwa ethnic group from the northern Andes region (rural Ecuador), as these contexts presumably offer different ways of construing the self that are associated with different parenting styles, namely distal and proximal parenting. Furthermore, we developed a paradigm that comes much closer to the average expected environment of Kichwa infants, the “No-Touch Paradigm” (NTP). Overall, the results support our initial hypothesis that the still-face effect is universal. Moreover, infants from both cultural milieus responded to the no-touch condition with a change in negative affect. At the same time, some of the infants’ responses were accentuated in a culture-specific way: Kichwa infants had a stronger response to an interruption of proximal interaction patterns during the NTP. While our findings underline infants’ universal predisposition for face-to-face interaction, they also suggest that cultural differences in internalized interactions do influence infant behavior and experience and, in turn, development.

Patterns of Intimate Partner Violence and the Harsh Parenting of Children.

While research shows that adult intimate partner violence (IPV) and harsh parenting of children co-occur, less information is available about whether specific types or patterns of IPV create greater risk for harsh parenting, and whether these patterns vary by gender. This study used latent class analysis (LCA) to examine unique patterns of IPV perpetration and victimization among men and women, and variation across patterns by gender, parenting status, and harsh parenting of children. Data are from the Lehigh Longitudinal study (n = 332). LCA produced four classes of IPV perpetration and victimization (Minor Psychological; None; Moderate; and Severe), which were invariant by gender. Although any level of IPV was associated with an increase in harsh parenting, patterns of IPV characterized by a greater number of and more severe types, were particularly associated with the use of harsh parenting toward their children for both mothers and fathers. Parents were overrepresented in all IPV classes compared to the No-IPV class. Results suggest the need for more broad screening and increased supports for parents that are tailored to different levels of need.

Sexual Health Problems and Their Association with Psychological Distress: Investigating the Role of Dyadic Coping Behaviors among Young Adult Breast Cancer Survivors and Partners

ABSTRACT Introduction Cancer-related sexual health problems are among the most prevalent and distressing consequences of breast cancer. Representative studies have shown almost one-half of adult U.S. women reporting sexual dysfunction; among female young adult breast cancer survivors (YABCS) this figure approaches an estimated 75%. When untreated, sexual problems can persist throughout survivorship and negatively affect physical and psychological health. Despite the prevalence of sexual health concerns among this population and the negative impact on intimate relationships, the extant literature has marginally considered the role of interpersonal factors. Objective The present work utilized a dyadic perspective assessing emotional distress, satisfaction with sexual relationship, sexual functioning, and relationship satisfaction among YABCS and their partners in the first-year post-diagnosis. Using the Systemic-Transactional Model of Dyadic Coping theoretical framework, it was additionally assessed whether dyadic coping behaviors moderated the relationship between sexual health and distress. Methods YABCS (n=83) and partners (n=40) from an NCI-designated cancer center completed a cross-sectional survey. Validated questionnaires of psychological distress (PHQ-9), relationship functioning (DAS-7), satisfaction with sexual relationship (GMSEX), sexual function (IIEF, FSFI), and dyadic coping [Dyadic Coping Inventory, (DCI)] were administered. Descriptive statistics and independent sample t-tests were used to assess mean differences between survivors and partners’ measures. In addition, the moderating role of dyadic coping on the relationship between sexual health measures and psychological distress was assessed using the PROCESS macro. Results In the present sample, more than one-half of YABCS scored above the cut-off for clinically significant sexual dysfunction (51.6%), compared to 20% of the partners. Both patients and partners reported elevated scores for relationship satisfaction, positive dyadic coping behaviors and low distress. Significant differences were detected in satisfaction with sexual relationship and stress communication, with YABCS reporting lower satisfaction (p&amp;lt;.05), higher self- reported stress communication (p&amp;lt;.01) and male partners rating higher women's engagement in stress communication behaviors (p&amp;lt;.05). Common dyadic coping moderated the relationship between sexual functioning subscales and distress in male partners, with higher distress for those reporting low levels of shared coping behaviors. Similarly, stress communication by the partner moderated the relationship between desire and distress. Among YABCS partner-reported dyadic coping behaviors moderated the relationship between vaginal lubrication and distress, with lower rates of distress for YABCS reporting elevated partner stress communication. Conclusions Despite elevated relationship satisfaction, a substantial subgroup of YABCS and partners experience impaired sexual functioning. Our study provides emerging evidence about the role of interpersonal factors on the relationship between sexual health and distress among YABCS and partners. Specifically, the study reveals that perceived partner stress communication and common dyadic coping behaviors could be clinical intervention targets. Additional research is needed to confirm these findings in larger dyadic samples, including cancer types that are not sex-based. Healthcare providers serving YABCS and their partners should utilize standardized sexual health tools and screening protocols to identify and address survivor, partner, and couple-based factors that can alleviate the impact of sexual health problems on psychological well-being during cancer survivorship. Disclosure No

Cortical activation during cooperative joint actions and competition in children with and without an autism spectrum condition (ASC): an fNIRS study

Children with an Autism Spectrum Condition (ASC) have social communication and perceptuomotor difficulties that affect their ability to engage in dyadic play. In this study, we compared spatio-temporal errors and fNIRS-related cortical activation between children with and without an ASC during a Lincoln Log dyadic game requiring them to play leader or follower roles, move in synchrony or while taking turns, and move cooperatively or competitively with an adult partner. Children with an ASC had greater motor, planning, and spatial errors and took longer to complete the building tasks compared to typically developing (TD) children. Children with an ASC had lower superior temporal sulcus (STS) activation during Turn-take and Compete, and greater Inferior Parietal Lobe (IPL) activation during Lead and Turn-take compared to TD children. As dyadic play demands increased, TD children showed greater STS activation during Turn-take (vs. Synchrony) and Compete (vs. Cooperate) whereas children with an ASC showed greater IPL activation during Lead and Compete (vs. Cooperate). Our findings suggest that children with an ASC rely on self-generated action plans (i.e., increased IPL activation) more than relying on their partner’s action cues (i.e., reduced STS activation) when engaging in dyadic play including joint actions and competition.

Preschool children's use of meta-talk to make rational collaborative decisions.

In collaborative decision‐making, partners compare reasons behind conflicting proposals through meta‐talk. We investigated UK‐based preschoolers’ (mixed socioeconomic status) use of meta‐talk (Data collection: 2018–2020). In Study 1, 5‐ and 7‐year‐old peer dyads (N = 128, 61 girls) heard conflicting claims about an animal from two informants. One prefaced her claim with “I know”; the other with “I think”. Dyads identified the more reliable informant through meta‐talk (“She said she knows”). In Study 2, 3‐ and 5‐year‐olds (N = 64, 34 girls) searched for a toy with an adult partner making incorrect proposals. Children refuted this through reporting what they had witnessed (It cannot be there because “I saw it move”, “she moved it”). In preschool period, children start using meta‐talk to make rational collaborative decisions.

A systematic review and Bayesian meta-analysis of the development of turn taking in adult-child vocal interactions.

Fluent conversation requires temporal organization between conversational exchanges. By performing a systematic review and Bayesian multi-level meta-analysis, we map the trajectory of infants' turn-taking abilities over the course of early development (0 to 70months). We synthesize the evidence from 26studies (78 estimates from 429 unique infants, of which at least 152 are female) reporting response latencies in infant-adult dyadic interactions. The data were collected between 1975 and 2019, exclusively in North America and Europe. Infants took on average circa 1s to respond, and the evidence of changes in response over time was inconclusive. Infants' response latencies are related to those of their adult conversational partners: an increase of 1s in adult response latency (e.g., 400 to 1400ms) would be related to an increase of over 1s in infant response latency (from 600 to 1857ms). These results highlight the dynamic reciprocity involved in the temporal organization of turn-taking. Based on these results, we provide recommendations for future avenues of enquiry: studies should analyze how turn-by-turn exchanges develop on a longitudinal timescale, with rich assessment of infants' linguistic and social development.

Intra-topic latency as an automated behavioral marker of treatment response in autism spectrum disorder

Data science advances in behavioral signal processing and machine learning hold the promise to automatically quantify clinically meaningful behaviors that can be applied to a large amount of data. The objective of this study was to identify an automated behavioral marker of treatment response in social communication in children with autism spectrum disorder (ASD). First, using an automated computational method, we successfully derived the amount of time it took for a child with ASD and an adult social partner (N pairs = 210) to respond to each other while they were engaged in conversation bits (“latency”) using recordings of brief, natural social interactions. Then, we measured changes in latency at pre- and post-interventions. Children with ASD who were receiving interventions showed significantly larger reduction in latency compared to those who were not receiving interventions. There was also a significant group difference in the changes in latency for adult social partners. Results suggest that the automated measure of latency derived from natural social interactions is a scalable and objective method to quantify treatment response in children with ASD.

Protocol for READY2Exit: a patient-oriented, mixed methods study examining transition readiness in adolescents with co-occurring physical and mental health conditions

AbstractBackgroundUp to 57% of adolescents and young adults (AYA) with chronic physical health conditions experience mental health conditions, the presence of which contributes to increased morbidity and poor quality of life. AYA with co-occurring physical and mental health conditions, therefore, may experience additional challenges as they transition from pediatric to adult services. While transition readiness – the acquisition of self-management and advocacy skills – contributes to successful transitions to adult care, this concept has not been adequately explored for AYA with co-occurring physical and mental health conditions. Research is needed to identify whether the presence of a mental health comorbidity is associated with transition readiness, and what the experiences of AYA with co-occurring conditions are as they exit pediatric services. This paper outlines the protocol for theReadiness andExperiences ofADolescents andYoung Adults with Co-occurring Physical and Mental Health ConditionsExiting Pediatric Services (READY2Exit) study; the first study to address this gap using a patient-oriented, mixed methods design.MethodsA sequential explanatory mixed methods design will be used to understand the transition readiness of 16–21 year olds with physical and mental health conditions using quantitative and qualitative data. First, Transition Readiness Assessment Questionnaire (TRAQ) scores will be compared among AYA with chronic health conditions, with and without mental health comorbidity. Interviews will then be conducted with approximately 15 AYA with co-occurring health and mental health conditions and analyzed using qualitative description. The READY2Exit study will be conducted in collaboration with five Young Adult Research Partners (YARP) aged 18–30 with lived experience in the health/mental health systems across Canada. The YARP will partner in key tasks such as interview guide co-design, data interpretation, and knowledge translation tool development.DiscussionAYA with co-occurring physical and mental health conditions may have unique needs as they prepare for health care transitions. The results of this study will inform the refinement of transition readiness practices to improve care for this group. The active involvement of the YARP across study phases will bring the critical perspectives of young adults to READY2Exit, ensuring the methods, research approaches and outputs align with their needs.