In What Contexts, How, and Why Do Transition to Adulthood Interventions Work for Adolescents Living with Disabilities: A Realist Review.

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Title: In What Contexts, How, and Why Do Transition to Adulthood Interventions Work for Adolescents Living with Disabilities: A Realist Review.
Authors: Zidan, Ahlam1 ahlam.zidan@mail.mcgill.ca, Gabay, David2, Poirier, Sarah-Eve3,4, Grandisson, Marie3,4, Jacob, Steve3, Ouimet, Mathieu3, Julien-Gauthier, Francine3,4, Martin-Roy, Sarah4, Lamontagne, Marie-Ève3,4, Desmarais, Chantal3,4, Dahan-Oliel, Noémi1,5
Source: Journal of Vocational Rehabilitation. Sep2025, Vol. 63 Issue 2, p225-241. 17p.
Subject Terms: *Children with disabilities, *Confidence, *Employment, *Educational attainment, Medical information storage & retrieval systems, Research funding, Independent living, Rehabilitation, CINAHL database, Descriptive statistics, Systematic reviews, MEDLINE, Thematic analysis, Medical databases, Social support, Self advocacy, Transition to adulthood, Self-perception, Psychology information storage & retrieval systems
Abstract: Background: Transitioning to adulthood is a demanding phase for youth and more challenging for youth with disabilities. Many transition interventions have been implemented to support transition preparedness for youth with disabilities. However, it is still unclear how these interventions work under different contexts. Objective: The aim of this realist review is to review the literature on different interventions aimed to support adolescents transitioning to adulthood. The research question was: How (Mechanism) and in what circumstances (Context) transition to adulthood interventions work to improve education, employment, and community integration skills outcomes for youth with disabilities (Outcome)? Methods: This review adhered to the essential steps for realist reviews, employing Context-Mechanism-Outcome Configurations (CMOCs) heuristic tools to formulate realist causal explanations. Results: Of the 32 documents that met the inclusion criteria, vocational and educational skills were the most frequently reported outcomes. The review found that transition interventions with inclusive real-life environments that cater specifically to the needs of youth without stigmatization are instrumental in empowering youth's self-advocacy, confidence, and self-determination and enabling active participation and engagement. Conclusions: While this review provides actionable insights, future research should explore the long-term sustainability and scalability of transition interventions. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Vocational Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: In What Contexts, How, and Why Do Transition to Adulthood Interventions Work for Adolescents Living with Disabilities: A Realist Review.
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  Data: <searchLink fieldCode="AR" term="%22Zidan%2C+Ahlam%22">Zidan, Ahlam</searchLink><relatesTo>1</relatesTo><i> ahlam.zidan@mail.mcgill.ca</i><br /><searchLink fieldCode="AR" term="%22Gabay%2C+David%22">Gabay, David</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Poirier%2C+Sarah-Eve%22">Poirier, Sarah-Eve</searchLink><relatesTo>3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Grandisson%2C+Marie%22">Grandisson, Marie</searchLink><relatesTo>3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Jacob%2C+Steve%22">Jacob, Steve</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Ouimet%2C+Mathieu%22">Ouimet, Mathieu</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Julien-Gauthier%2C+Francine%22">Julien-Gauthier, Francine</searchLink><relatesTo>3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Martin-Roy%2C+Sarah%22">Martin-Roy, Sarah</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Lamontagne%2C+Marie-Ève%22">Lamontagne, Marie-Ève</searchLink><relatesTo>3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Desmarais%2C+Chantal%22">Desmarais, Chantal</searchLink><relatesTo>3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Dahan-Oliel%2C+Noémi%22">Dahan-Oliel, Noémi</searchLink><relatesTo>1,5</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Vocational+Rehabilitation%22">Journal of Vocational Rehabilitation</searchLink>. Sep2025, Vol. 63 Issue 2, p225-241. 17p.
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  Data: *<searchLink fieldCode="DE" term="%22Children+with+disabilities%22">Children with disabilities</searchLink><br />*<searchLink fieldCode="DE" term="%22Confidence%22">Confidence</searchLink><br />*<searchLink fieldCode="DE" term="%22Employment%22">Employment</searchLink><br />*<searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Independent+living%22">Independent living</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation%22">Rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+databases%22">Medical databases</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Self+advocacy%22">Self advocacy</searchLink><br /><searchLink fieldCode="DE" term="%22Transition+to+adulthood%22">Transition to adulthood</searchLink><br /><searchLink fieldCode="DE" term="%22Self-perception%22">Self-perception</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Transitioning to adulthood is a demanding phase for youth and more challenging for youth with disabilities. Many transition interventions have been implemented to support transition preparedness for youth with disabilities. However, it is still unclear how these interventions work under different contexts. Objective: The aim of this realist review is to review the literature on different interventions aimed to support adolescents transitioning to adulthood. The research question was: How (Mechanism) and in what circumstances (Context) transition to adulthood interventions work to improve education, employment, and community integration skills outcomes for youth with disabilities (Outcome)? Methods: This review adhered to the essential steps for realist reviews, employing Context-Mechanism-Outcome Configurations (CMOCs) heuristic tools to formulate realist causal explanations. Results: Of the 32 documents that met the inclusion criteria, vocational and educational skills were the most frequently reported outcomes. The review found that transition interventions with inclusive real-life environments that cater specifically to the needs of youth without stigmatization are instrumental in empowering youth's self-advocacy, confidence, and self-determination and enabling active participation and engagement. Conclusions: While this review provides actionable insights, future research should explore the long-term sustainability and scalability of transition interventions. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Vocational Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/10522263251356223
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        Text: English
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      – SubjectFull: Employment
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      – SubjectFull: Educational attainment
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      – SubjectFull: Medical information storage & retrieval systems
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Social support
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      – SubjectFull: Transition to adulthood
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      – TitleFull: In What Contexts, How, and Why Do Transition to Adulthood Interventions Work for Adolescents Living with Disabilities: A Realist Review.
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