Readiness Assessment Research Articles

Head-to-toe bedside ultrasound for adult patients on extracorporeal membrane oxygenation.

Bedside ultrasound represents a well-suited diagnostic and monitoring tool for patients on extracorporeal membrane oxygenation (ECMO) who may be too unstable for transport to other hospital areas for diagnostic tests. The role of ultrasound, however, starts even before ECMO initiation. Every patient considered for ECMO should have a thorough ultrasonographic assessment of cardiac and valvular function, as well as vascular anatomy without delaying ECMO cannulation. The role of pre-ECMO ultrasound is to confirm the indication for ECMO, identify clinical situations for which ECMO is not indicated, rule out contraindications, and inform the choice of ECMO configuration. During ECMO cannulation, the use of vascular and cardiac ultrasound reduces the risk of complications and ensures adequate cannula positioning. Ultrasound remains key for monitoring during ECMO support and troubleshooting ECMO complications. For instance, ultrasound is helpful in the assessment of drainage insufficiency, hemodynamic instability, biventricular function, persistent hypoxemia, and recirculation on venovenous (VV) ECMO. Lung ultrasound can be used to monitor signs of recovery on VV ECMO. Brain ultrasound provides valuable diagnostic and prognostic information on ECMO. Echocardiography is essential in the assessment of readiness for liberation from venoarterial (VA) ECMO. Lastly, post decannulation ultrasound mainly aims at identifying post decannulation thrombosis and vascular complications. This review will cover the role of head-to-toe ultrasound for the management of adult ECMO patients from decision to initiate ECMO to the post decannulation phase.

The Industrial Internet of Things (IIoT) and its roles in the Fourth Industrial Revolution: A review

The Industrial Internet of Things and Industry 4.0 are now two highly sought-after areas of research and development, attracting significant interest from both academic and industrial sectors. The two ideas, Industry 4.0 and IIoT, share significant similarities, with Industry 4.0 being seen as the use of IIoT specifically in the automation and manufacturing sectors. Within the framework of the present Industry 4.0 paradigm, many growth pathways have emerged, collectively leading to notable enhancements in terms of efficiency, flexibility, communication, adaptability, customization, and modularity in the industrial sector. The Industry 4.0 is rapidly evolving within the framework of the Industrial Internet of Things (IIoT), and the authors are recognizing the necessity for a comprehensive and in-depth overview of the many research areas that are currently expanding. The area will remain intriguing in the foreseeable future due to its significant potential for enhancing the existing industrial technologies. An exhaustive evaluation of the current systems in the automotive sector, emergency response, and chain management on IIoT has been conducted, revealing that IIoT has been widely adopted across several technological domains. Industry 4.0 is the term used to describe the present automation and data sharing trend in businesses. Presently, there is a dearth of agreement about the assessment of an organization's readiness for Industry 4.0. Industry 4.0 encompasses a diverse array of digital technologies that profoundly influence industrial enterprises. The literature on Industry 4.0 has had significant exponential growth during the previous decade. The results of our research confirm the idea of Industry 4.0 as a concept that goes beyond the Smart Manufacturing sector, hence opening up possibilities for collaboration with other interconnected disciplines.

Using Technology Readiness Assessment to Map Brazil’s Space Sector

Using Technology Readiness Assessment to Map Brazil’s Space Sector

Utilization of the Keeping Hope Possible Toolkit with parents of children with life limiting and life threatening illnesses during the COVID-19 pandemic: Exploring pediatric nurses and allied healthcare provider opinions

BackgroundFor families with children diagnosed with complex illnesses, the COVID-19 pandemic added many challenges. In order to mitigate inevitable disruptions in pediatric care settings, caregivers may need added supports and resources. The Keeping Hope Possible (KHP) Toolkit is a self-administered intervention intended to enhance caregiving experiences of parents with a child with multiple needs. However, little is known about effectively disseminating the Toolkit. Purpose and methodsA qualitative, thematic analysis was conducted to explore the opinions and perceptions of pediatric nurses and allied healthcare providers (HCPs) in relation to the dissemination and use of the KHP Toolkit for use by families with complex medical needs. Structured interview data were analyzed from a sample of seven pediatric HCPs working in various care settings in one Canadian province. FindingsFive themes were developed including: Recognising Importance of the KHP Toolkit; Needing Support and Direction; Implementation and Use of the KHP Toolkit; Realizing Important Considerations for Success; and, Emphasizing Connection through Isolated Times. DiscussionParticipants recognized the importance of the KHP Toolkit for parents and extended family in a variety of settings to encourage self-care, daily structure, and connectedness. Thus, pediatric nurses' awareness and openness to the initial dissemination of the Toolkit is essential, and a subsequent interprofessional team approach will ensure consistent reminders and support for families. Application to practiceCareful assessment of family readiness for learning about and using the KHP Toolkit is essential, along with an interprofessional approach to consistent inquiry and support at each family encounter.

Assessing business readiness for Industry 4.0: A bibliometric analysis of research trends

This research provides a comprehensive analysis of the state of readiness assessment for enterprises in the context of Industry 4.0. It examines the most influential authors, countries, and journals in this field, identifies key research themes, and explores the evolving landscape of Industry 4.0. By bibliometric analysis, this study uncovers the intricate network of co-authorship and co-citation among researchers, journals, and countries. The analysis underscores the dominance of China in terms of both publication volume and citation impact, driven by its strategic "Made in China 2025" plan. The United States and India also make substantial contributions, reflecting the global nature of Industry 4.0 research. The key themes in this area include digital transformation, IT innovations, production, and supply chain management. This study pinpoints three distinct clusters of journals, demonstrating the multidisciplinary nature of Industry 4.0. In addition, a co-occurrence analysis of keywords highlights the most prevalent themes, including Industry 4.0, frameworks, big data, and performance. This research offers valuable insights into the research landscape, informing scholars and industry stakeholders of key players, trends, and emerging areas in assessing enterprise readiness for Industry 4.0.

Comparative assessment of birth preparedness and complication readiness among couples in rural and urban communities of Ekiti State, Southwestern Nigeria

Objectives: To assess and compare the level of Birth Preparedness and Complications Readiness (BPCR) and determine the predicting effect of socio-demographic factors on it among couples in rural and urban communities of Ekiti State.Design: A community-based comparative cross-sectional study.Setting: The study was conducted in twelve rural and twelve urban communities in Ekiti State.Participants: Couples from rural and urban communities. Female partners were women of reproductive age group (15-49 years) who gave birth within twelve months before the survey.Main outcome measures: Proportion of couples that were well prepared for birth and obstetric emergencies, and its socio-demographic determinants.Results: The proportion of couples that were well prepared for birth and its complications was significantly higher in urban (60.5%) than rural (48.4%) communities. The study also revealed that living above poverty line (95% CI=1.01– 3.79), parity and spousal age difference less than five years (95% CI=1.09 – 2.40) were positive predictors of BPCR among respondents.Conclusions: Urban residents were better prepared than their rural counterparts. Living above poverty line, parity, and spousal age difference less than five years were positive predictors of BPCR. There is a need to emphasize on educating couples on the importance of identifying blood donors as a vital component of BPCR.

Development of a multidimensional military readiness assessment.

There is a need to be able to accurately evaluate whether an injured service member is able to return to duty. An effective assessment would challenge and measures physical and cognitive performance in a military-relevant context. Current assessments are lacking in one or more of these aspects. The simulation and data capture abilities of virtual reality systems are promising for use as the basis of multidimensional assessments. The team has previously developed a military-specific assessment in the Computer Assisted Rehabilitation Environment (CAREN) called the Readiness Evaluation During simulated Dismounted Operations (REDOp). Due to notable limitations in the original assessment, we have developed the next iteration, REDOp2. The assessment is able to challenge and measure a broader range of physical and cognitive performance domains in a more streamlined fashion. While limited to facilities with a CAREN, REDOp2 has the potential to provide an effective tool for highly trained and experienced wounded service members that require thorough assessment prior to returning to duty to ensure the safety of the team and mission. This methods paper describes the specific limitations in REDOp, how they were addressed in REDOp2, and suggested next steps to prepare the assessment for implementation.

AI Readiness Level in Public Administration: Case of the Russian Federation

The study explores approaches to the analysis of measurable indicators of artificial intelligence and its use in the system of sectoral public administration. As a part of the research the author developed the methodological basis for assessing the likelihood of the emergence of artificial intelligence. The research proposed analysis of the external base, technology, statistical reliability, education, labor market, citizens’ perspectives and development of the index of readiness for the emergence of artificial intelligence in sectoral public administration. The author carried out analysis of state functions and tasks for the introduction of artificial intelligence technologies, monitoring of measurable results of the introduction of artificial intelligence, analysis of government programs and cases of digital transformation based on AI technologies. It is shown, that currently, when using artificial intelligence solutions in the public sector, only individual problem blocks are mainly analyzed. The author states that a comprehensive index and a comprehensive risk analysis are not available both in Russia and abroad. The developed approaches to readiness assessment would help to reduce the costs of public administration and the risks of mistakes in the implementation of AI technologies.

The assessment of readiness to change among head managers of primary healthcare centers in Makkah, KSA

BackgroundKSA is currently undergoing significant changes in its healthcare system, with a particular emphasis on enhancing the role of primary healthcare centers (PHCs) to elevate patient experience and overall healthcare quality. At the forefront of this transformation are head managers in PHCs, who play a crucial role in implementing these changes effectively. The readiness of these managers is paramount to the successful execution of the envisioned transformation and the subsequent improvement of patient experience. ObjectiveThis study aims to assess the readiness to change among head managers of primary healthcare centers in Makkah, KSA. MethodologyCross-sectional study utilized the ADKAR model questionnaire, consisting of 22 Likert scale questions, to assess PHCs head managers' awareness, desire, knowledge, ability, reinforcement, and overall change readiness. ResultsThe study found a significant association between higher educational levels and increased awareness (β = 0.214, p = 0.030), along with greater desire (β = 0.207, p = 0.029) among primary healthcare (PHC) managers. Additionally, a positive association was found between age (≥41 years) and knowledge among PHC managers (β = 0.138, p = 0.030). However, managers with 11 or more years of experience showed a negative association with change readiness (β = −0.112, p = 0.001). ConclusionThe ADKAR model outlines five dimensions that are useful for identifying the readiness and willingness of head managers in PHCs in Makkah cluster to undergo change. Assessing change readiness is crucial for organizational transformation, with head managers playing a significant role. Factors such as age, education, and experience influence managers' readiness for change in primary healthcare centers (PHCs) in Makkah.

Application of lecture-and-team-based learning in stomatology: in-class and online

BackgroundThis study aimed to evaluate stomatological students’ learning efficacy and their attitude towards Lecture-Team-Based Learning (LTBL) on topics regarding the design of removable partial dentures via in-class, online, and both in combination.MethodsStudents from seven distinct grades participated in the course in their fourth academic year (Years 2015, 2016, 2017, 2018, 2019, 2020, and 2021). Students of Years 2015–2019 attended in-class LTBL, students of Year 2020 attended online LTBL, and students of Year 2021 attended the combination mode. The scores of three examinations were compared, namely, individual readiness assessment test, team readiness assurance test, and individual application test. Visual Analog Scales (VAS) were used for students to self-assess their mastery of prosthodontics knowledge before and after the course. Anonymous questionnaires were delivered to evaluate their satisfaction with LTBL via a Likert scale.ResultsIn each academic year, the three exam scores were significantly improved as the course progressed and VAS-post scores were significantly higher than VAS-pre scores. The three examination and VAS scores of students in Year 2020 were significantly lower than those in Years 2019 and 2021. Students were highly satisfied with the LTBL course based on the three parameters of knowledge acquisition, teamwork, and classroom atmosphere.ConclusionStudents were highly satisfied with the LTBL course and their learning performance was improved as the course progressed both in-class and online. Online LTBL could be adopted when students have to study online, while in-class LTBL could perform better when combined with video records of an online LTBL course.

Blockchain-Based Electronic Health Records: Revolutionizing healthcare in Malaysia

Introduction: Despite the government's continuous efforts since the 1990s, the public healthcare sector of Malaysia still faces issues related to system deployment and technology adoption. As a result, the nationwide health information exchange remains as not fully established, hampering the Malaysian aspirations of health service provision for citizens. The government long to establish health information exchange, enabling blockchain technology-based applications. This paper aims to review the government's digitalization initiatives and describe the provision of blockchain Electronic Health Records for healthcare services in Malaysia. Methodology: A review of the scholarly databases Scopus, Web of Science, and Google Scholar, along with the grey literature from the Malaysian government, was conducted. In addition, health-related government websites have been searched for information until the end of March 2023. Results: There were 55 documents yielded from the database, and a grey literature search was retained for content analysis. Discussion: The major barrier that could push back governments' efforts is user resistance, particularly from medical professionals. Besides, Regulatory reform is needed to facilitate blockchain provision for healthcare data management. Technical issues directly associated with the system and vendor are worth addressing. Conclusion: Malaysia has a progressive vision towards healthcare digitalization aimed at 2030. To be able to successfully achieve this target then it is essential to implement appropriate strategies. User readiness assessment calls for research, while system-related issues regarding; hardware, software, and vendor needs to be properly planned. Patients' ownership of medical data is to be allowed by law. Currently this information strictly belongs to hospitals and health partitioners therefore data management is physician centric.

Weaning from mechanical ventilation and assessment of extubation readiness

Tremendous advancements in neonatal respiratory care have contributed to the improved survival of extremely preterm infants (gestational age ≤ 28 weeks). While mechanical ventilation is often considered one of the most important breakthroughs in neonatology, it is also associated with numerous short and long-term complications. For those reasons, clinical research has focused on strategies to avoid or reduce exposure to mechanical ventilation. Nonetheless, in the extreme preterm population, 70–100% of infants born 22–28 weeks of gestation are exposed to mechanical ventilation, with nearly 50% being ventilated for ≥ 3 weeks. As contemporary practices have shifted towards selectively reserving mechanical ventilation for those patients, mechanical ventilation weaning and extubation remain a priority yet offer a heightened challenge for clinicians. In this review, we will summarize the evidence for different strategies to expedite weaning and assess extubation readiness in preterm infants, with a particular focus on extremely preterm infants.

Emerging Adults With Type 2 Diabetes: Understanding Illness Experience and Transition to Adult Care

PurposeYouth-onset type 2 diabetes (T2D) is increasingly common and is often diagnosed shortly before transition from pediatric to adult care. Little is known about the experience of emerging adults (EAs) with T2D and the readiness, barriers, and facilitators to transition. This study sought to describe the illness experience of EAs with T2D and perceptions about transition, and explore themes by “transition readiness,” measured by the Transition Readiness Assessment Questionnaire (TRAQ). MethodsIn this mixed-methods study, we conducted semi-structured interviews with EAs with T2D using a guide grounded in the health belief model, administered the TRAQ, and collected disease metrics from the electronic medical record. We developed a coding scheme using a directed content-analysis approach and triangulated qualitative and quantitative data to compare themes stratified by mean TRAQ score. ResultsParticipants described modifying factors like adjusting to life with a chronic illness and coping with mental health issues as critical elements of the illness experience that influence transition. Individual beliefs emerged including the perceived risk of disease complications being informed by experience of family members, self-efficacy in diabetes care hinging on the ability to be highly organized, and transition as a daunting obstacle with numerous emotional and logistical barriers. Participants emphasized the need for support from caregivers and providers throughout transition. Themes did not vary significantly by TRAQ score. DiscussionExperiences of EAs with T2D suggest more assistance is needed in the transition period to address factors such as mental health, organizational skills, and identifying support people to facilitate care.

The effect of a distance education training program on nurse Interns' readiness for distance education and their perceptions of lifelong learning.

The purpose of this study is to assess the effect of a distance education training program on nurse interns' readiness for distance education and their perceptions of lifelong learning. A quasi-experimental research approach with one-group, pre/post-test was used. The study used a quasi-experimental research approach and was carried out at Damanhour University's Faculty of Nursing. A study was carried out on 345 interns' students. All nursing interns enrolled in the 2020-2021 internship training year. The researchers employed a program that contained a distance education readiness assessment as well as a questionnaire about the perceived advantages of lifelong learning. The majority (99.7%) of nurse interns were highly ready for distance education, whereas only 0.3 percent were moderately ready following the training program implementation immediately. In comparison to pre-training, the majority (91.9%) of them were somewhat ready for distance education, while just 7.2 percent were highly prepared. Furthermore, the majority (97.1%) of them had high total skills of distance education after implementation of the training program by 3 months, and 95.4 percent had high total skills of learning immediately after the training program, whereas 26.1% of nurse interns had high total skills before the training program, at p value 0.01.

Psychosocial reintegration post-traumatic spinal cord injury in Rwanda: An exploratory study.

Traumatic spinal cord injury (TSCI) survivors are confronted by both physical and psychosocial barriers when returning to their communities. Therefore, reintegration is an important aspect of their journey back into social life. To assess psychosocial reintegration after TSCI in Rwanda. All community-dwelling adults who were registered in the previous epidemiological study were recruited and injury characteristics questionnaire and the Sydney Psychosocial Reintegration Scale version 2 (SPRS-2) were used to collect data through a telephone interview. The study traced 58 participants, 77.6% (n = 45) were male and 56.9% (n = 33) were categorised with paraplegia. Overall, the results show poor community reintegration. The SPRS-2 and domain mean (SD) scores were: overall SPRS-2 of 20.95 (11.56), occupational activity (OA) of 3.68 (4.31), interpersonal relationship (IR) of 7.11(4.31) and living skills (LS) of 7.43 (5.32). Gender significantly influenced overall SPRS-2 (p = 0.011) and two domains: OA (p = 0.005) and LS (p = 0.012). Level of injury was significantly associated with an OA domain score of SPRS-2 (p = 0.002). Gender explained 29% of the variance in the LS domain of SPRS-2, with males reporting better psychosocial reintegration. Gender strongly predicted psychosocial reintegration following a TSCI, which is an indication of the role of social support. Traumatic SCI rehabilitation should be holistic to help prepare the person to return to the community. There should be an assessment of an individual's readiness to return to the community before discharge from the hospital.

Assessment of Opioid Overdose Risk and Response Readiness Among Patients at a Clinic for Uninsured Patients

Background: The opioid epidemic has been worsening. Fortunately, studies show that bystanders can effectively administer naloxone to reverse opioid overdose, and overdose education programs result in improved ability to respond to overdose. However, there has been limited research investigating opioid overdose risk and response preparedness among patients without insurance. This descriptive report aimed to assess risk of opioid overdose among patients without insurance in addition to their family members and close contacts and assess whether these patients, as crucial bystanders, were prepared to respond to opioid overdose.
 Methods: Patients without insurance at a student-run free clinic completed an anonymous, voluntary survey during in-person appointments. Data were collected for eight months from 2021-2022. One-proportion Z-test compared respondent rates of opioid use with overall statewide community rates reported by the Wisconsin Department of Health Services (DHS) Opioid Dashboard. Subgroup analysis further described the data collected, and hypothetical number needed to screen (NNS) calculations explored possible screening methods for naloxone distribution.
 Results: Seventy-two patients responded to the survey. The past-year rate of medically prescribed opioid use in the study population (12.5%) did not differ from the rate statewide (15.8%; p=0.44). Zero respondents reported personal opioid overdose in the past year, but six overdoses had been witnessed. Among respondents with family or close contacts who use opioids, 50% of those respondents who do not carry naloxone do not know where to get it, but 75% of those respondents who are not trained on how to respond to overdose would like to be. Lastly, screening for family or close contact opioid use offered the lowest hypothetical NNS of screening methods considered.
 Conclusions: Patients without insurance at student-run free clinics, including those with family members or close contacts who use opioids, likely represent a target population for opioid overdose education and naloxone distribution.

Health system's availability and readiness of health facilities for chronic non-communicable diseases: Evidence from the Ethiopian national surveys.

Non-communicable diseases (NCDs) currently cause more deaths than all other causes of deaths. Cardiovascular disease, diabetes, cancer, and chronic respiratory diseases-threaten the health and economies of individuals and populations worldwide. This study aimed to assess the availability and readiness of health facilities for chronic non-communicable diseases (NCDs) and describe the changes of service availability for common NCDs in Ethiopia. Methods We used data from the 2014 Ethiopia Service Provision Assessment Plus (ESPA +) and 2016 and 2018 Service Availability and Readiness Assessment (SARA) surveys, which were cross-sectional health facility-based studies. A total of 873 health facilities in 2014, 547 in 2016, 632 in 2018 were included in the analysis. (ESPA+) and SARA surveys are conducted as a census or a nationally/sub-nationally representative sample of health facilities. Proportion of facilities that offered the service for diabetes, cardiovascular disease, chronic respiratory disease, cancer diseases, mental illness, and chronic renal diseases was calculated to measure health service availability. The health facility service readiness was measured using the mean availably of tracer items that are required to offer the service. Thus, 13 tracer items for diabetes disease, 12 for cardiovascular disease, 11 for chronic respiratory disease and 11 cervical cancer services were used. The services available for diagnosis and management did not show improvement between 2014, 2016 and 2018 for diabetes (59%, 22% and 36%); for cardiovascular diseases (73%, 41% and 49%); chronic respiratory diseases (76%, 45% and 53%). Similarly, at the national level, the mean availability of tracer items between 2014, 2016 and 2018 for diabetes (37%, 53% and 48%); cardiovascular diseases (36%, 41% and 42%); chronic respiratory diseases (26%, 27% and 27%); and cancer diseases (6%, 72% and 51%). However, in 2014 survey year, the mean availability of tracer items was 7% each for mental illness and chronic renal diseases, respectively. The majority of the health facilities have low and gradual decrement in the availability to provide NCDs services in Ethiopia. There is a need to increase NCD service availability and readiness at primary hospitals and health centers, and private and rural health facilities where majority of the population need the services.

Industry 4.0 Readiness and Roadmap in Food Industry: Insights from Indonesian Manufacturing Enterprises Using Explanatory Sequential Mixed-Method Design

The paper aims to understand the current readiness level of Industry 4.0 in the food industry. Furthermore, the study explores the prioritized Industry 4.0 dimensions and initiatives needed to improve the readiness level. The study uses an explanatory sequential mixed-method design. In the quantitative phase, the Industry 4.0 readiness assessment was conducted using the Smart Industry Readiness Index framework. The quantitative study further explores the prioritized dimensions using The Prioritization Matrix framework. In the qualitative phase, interviews with industry practitioners from the participating companies were conducted to gain more understanding and propose the conceptual roadmap. The study found that the Indonesian food industry has a better average readiness than the global average but significantly lower than the best-in-class manufacturers. Vertical Integration, Shop Floor Intelligence, Shop Floor Automation, and Workforce Learning & Development are four priority dimensions to increase the readiness level in the food industry. A conceptual roadmap was proposed to improve the readiness index based on the strategic planning horizon, prioritized dimensions, and initiatives identified from interview results. The results of this study would provide an additional reference for applying explanatory sequential mixed-method design. The prioritized dimensions found would also benefit other researchers in the development of the readiness or maturity model. This paper provides a deeper understanding of Industry 4.0 readiness, the prioritized dimensions, and related improvement initiatives to propose the strategic roadmap for the food industry by utilizing explanatory sequential mixed-method design.

A Review of Industry 4.0 Assessment Instruments for Digital Transformation

Nowadays, different Industry 4.0 technologies have been implemented into diverse industries. However, these implementations are not standardized across similar industries and countries. Consequently, companies are actively looking for assessment instruments—maturity models, roadmaps, frameworks, readiness assessments—to assist in their digital transformation, to determine their Industry 4.0 level, and to identify technologies and strategies that should be implemented in specific areas, thus developing a feasible implementation plan. A review is conducted following the PRISMA (Preferred Reporting Items for Systematic Literature Reviews and Meta-Analyses) methodology to analyze the different research works on assessment instruments focused on Industry 4.0. A total of 538 articles, book chapters, conference proceedings, editorial material, reviews, and reports written in the English language were retrieved. Of these, 132 research papers were examined using a mixed analysis format to generate bibliometrics, and 36 articles were then deeply studied for a complete meta-analysis. The findings and insights of this meta-analysis led to a compilation and summary of dimensions, outcomes, enablers, and key components typically involved in Industry 4.0, which are comprehensively integrated to present the best practices for assessing Industry 4.0 and deploying a digital transformation that can impact productivity, flexibility, sustainability, quality, costs, and time.

Perceived transition readiness among adolescents and young adults with neurofibromatosis type 1 and plexiform neurofibromas: a cross-sectional descriptive study.

Neurofibromatosis type 1 (NF1) is a genetic cancer predisposition syndrome that can impact multiple organ systems and is associated with plexiform neurofibroma tumors, requiring care from birth through adulthood. Adolescents and young adults (AYAs) with NF1 face several barriers to transition from pediatric to adult care. This cross-sectional study aimed to assess transition readiness in this population and to evaluate relationships between specific NF1 symptoms and transition readiness. AYAs (aged 16-24) enrolled in existing studies related to NF1 were eligible. AYAs and their parents completed measures of transition readiness (Transition Readiness Assessment Questionnaire version 4 [TRAQ-4]), and AYAs also completed a transition readiness interview (UNC TRxANSITION). Thirty-eight AYAs (mean age = 19.95 ± 2.68 years) participated in the study. Average TRAQ scores indicated that AYAs were still learning Self-Management skills (M = 3.37, SD = 1.08) and Self-Advocacy skills (M = 3.98, SD = 0.67). Older AYAs had higher TRAQ scores for Self-Management (r = 0.70, p < .001) and Self-Advocacy (r = 0.41, p = .011) than younger AYAs. Parents and AYAs had similar TRAQ scores. About one third of AYAs (37.8%, n = 14) expressed uncertainty about how NF1 might affect them in the future. The remaining AYAs mostly expressed concerns regarding tumor growth, pain, or cancer. In this small study, preliminary findings suggest that AYAs with NF1 express confidence in many areas of transition readiness but continue to require support, particularly with Self-Management skills. Given the gaps in understanding of future health risks, AYAs with NF1 would benefit from early assessment, psychoeducation, and support for transition readiness to adult care.