Mackie AS, Rempel G, Kovacs AH, Kaufman M, Rankin KN, Jelen S, Hons B, Yaskina M, Sananes R, Oechslin E, Dragieva D, Mustafa S, Williams E, Schuh M, Manlhiot C, Anthony S, Magill-Evans J, Nicholas D, McCrindle BW. Transition intervention for adolescents with congenital heart disease. Journal of the American College of Cardiology. 2018;71(16):1768-1777. https://doi.org/10.1016/j.jacc.2018.02.043. Access Abstract
NPM: 12: Transition
Intervention Components (click on component to see a list of all articles that use that intervention): Nurse/Nurse Practitioner, Planning for Transition, Pediatric to Adult Transfer Assistance, Integration into Adult Care, YOUTH, Education on Disease/Condition, HEALTH_CARE_PROVIDER_PRACTICE
Intervention Description: A cluster randomized clinical trial was conducted of a nurse-led transition intervention for 16- to 17-year-olds with moderate or complex CHD versus usual care. The intervention group received two 1-h individualized sessions targeting CHD education and self-management skills. The primary outcome was excess time to adult CHD care, defined as the interval between the final pediatric and first adult cardiology appointments, minus the recommended time interval, analyzed by using Cox proportional hazards regression accounting for clustering. Secondary outcomes included scores on the MyHeart CHD knowledge survey and the Transition Readiness Assessment Questionnaire.
Conclusion: A nurse-led intervention reduced the likelihood of a delay in adult CHD care and improved CHD knowledge and self-management skills.
Study Design: Cluster randomizedclinical trial
Setting: Clinic-based (Outpatient clinic)
Target Audience: Adolescents attending outpatient clinics in 1 of 2 tertiary care pediatric cardiology programs in Canada
Data Source: Questionnaires
Sample Size: 121 (58 intervention, 63 control)
Age Range: 16-17 years