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February 2, 2019Journal of Cardiovascular Medicine

Improving health perception through a transition care model for adolescents with congenital heart disease

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Key result

A CHD-specific transition clinic model significantly reduced pain and anxiety (P<0.001) and improved knowledge, life satisfaction, health perception, and quality of life (P<0.001) at one year.

Why the study?

Empirical data regarding the impact of transition clinic models on improving health perceptions in adolescent patients with congenital heart disease were lacking.

Does a multidisciplinary transition clinic model improve health perceptions, knowledge, and quality of life in adolescents with congenital heart disease?

Population

224 adolescent congenital heart disease patients aged 11-18 years

Comparison

CHD-specific transition clinic model assessed at baseline vs 1 year

Design

Quasi-experimental study

Follow-up

1 year

Authors

SFSerena Francesca FloccoFDFederica DellafioreRCRosario Caruso

Discussion

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Member takes

Overview

May support CHD transition clinics; hypothesis-generating and requires randomized trials before practice change.

Structured PICO

Does a multidisciplinary transition clinic model improve health perceptions, knowledge, and quality of life in adolescents with congenital heart disease?

P
Population
224 adolescents aged 11-18 years with congenital heart disease evaluated before and one year after enrollment in a transition clinic model.
I
Intervention
CHD-specific transition clinic model (CHD-TC) consisting of multidisciplinary standardized interventions to educate and support patients during transition from childhood to adulthood.
O
Outcome
Quality of life, satisfaction, health perceptions, and knowledge assessed at enrolment (T0) and one year after enrolment (T1).patient reported

Main Result

p-value: p=<0.001

A multidisciplinary transition clinic model significantly improves knowledge, quality of life, and health perceptions in adolescents with congenital heart disease.

Cite This Study

Flocco et al. (2019) studied congenital heart disease (n=224). CHD-specific transition clinic model (CHD-TC) vs. Baseline (pre-intervention) was evaluated on Quality of life, satisfaction, health perceptions and knowledge (p=<0.001). A CHD-specific transition clinic model significantly reduced pain and anxiety (P<0.001) and improved knowledge, life satisfaction, health perception, and quality of life (P<0.001) at one year.

synapsesocial.com/papers/6a96eec262b3be453f899262https://doi.org/10.2459/jcm.0000000000000770
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Gli effetti di un set standardizzato di interventi educazionali sulla percezione della salute di adolescenti con cardiopatia congenita (modello Transition): risultati preliminari di uno studio quasi-sperimentale2018 · 12 citations
  2. 2Healthcare transition for youth with heart disease: a clinical trial2014 · 164 citations
  3. 3Transition Intervention for Adolescents With Congenital Heart Disease2018 · 170 citations
  4. 4An Evaluation of Disease Knowledge in Dyads of Parents and Their Adolescent Children With Congenital Heart Disease2013 · 37 citations
  5. 5Evidence for the use of a numerical rating scale to assess the intensity of pediatric pain2009 · 199 citations