Reply

We are grateful to Tumin et al for their comments. In response, we offer the following points. The purpose of our study was to provide empirically based suggestions for the assessment of transition. We agree that age plays an important part in transition; we in fact examined 2 different age groups, pre-adolescents and adolescents. As shown by the analyses within each group, age may well interact with patients' confidence that they have "got this" when it comes to self-management. We agree, too, that improving self-management skills remains an important goal, but as a first step, a thorough assessment of the adolescent's capacity for self-management is indicated to inform such efforts.

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