{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:09:18Z","timestamp":1789564158885,"version":"build-2803163510"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Cardiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    As survival among individuals with congenital heart disease (CHD) improves, effective transition from pediatric to adult care has become increasingly important. We evaluated the impact of a structured transition education program on transition-related knowledge among adolescents with CHD. This single-center quality improvement study enrolled adolescents aged 12\u201318 years with CHD between February 2025 and April 2026. A baseline survey was administered to cardiology providers at our institution to characterize their current practices. Adolescent participants completed a 22-item Transition-related knowledge assessment survey adapted from the Self-Management and Transition to Adulthood with Treatment [Rx] Questionnaire (STARx) and TRxANSITION tools before and after a structured physician-led educational intervention. Education focused on five domains: CHD knowledge, medication management, healthcare navigation, reproductive health, and psychosocial misconceptions. Participants also received a personalized cardiac passport. Changes in correct responses were analyzed using McNemar\u2019s test. Fifty-three of 80 eligible adolescents participated (51% male; median age 15 years). Significant improvements in correct responses were observed in 19 of the 22 survey items, with absolute gains ranging from 21 to 76% points (all\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05). The largest improvements occurred in knowledge of cardiac diagnosis and surgical history, medication management, health insurance navigation, and reproductive health. Baseline provider surveys revealed frequent counseling on disease-specific topics but limited discussion of reproductive health, insurance planning, and transition-related issues. A structured transition education intervention was associated with substantial improvements in disease knowledge, self-management skills, healthcare navigation, and reproductive health awareness among adolescents with CHD. These findings support integration of standardized transition education into routine pediatric cardiology practice.\n                  <\/jats:p>","DOI":"10.1007\/s00246-026-04445-3","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:45:32Z","timestamp":1789562732000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of a Structured Transition Education Program on Transition Related Knowledge Among Adolescents with Congenital Heart Disease: A Single-Center Quality Improvement Study"],"prefix":"10.1007","author":[{"given":"Keerthana","family":"Banala","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Morales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson","family":"Claure","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satinder","family":"Sandhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"4445_CR1","doi-asserted-by":"crossref","unstructured":"Gurvitz M, Dunn JE, Bhatt A et al (2020) Characteristics of adults with congenital heart defects in the United States. J Am College Cardiol, 76(2), pp.175-182","DOI":"10.1016\/j.jacc.2020.05.025"},{"key":"4445_CR2","doi-asserted-by":"crossref","unstructured":"Gilboa SM, Devine OJ, Kucik JE et al (2016) Congenital heart defects in the United States: estimating the magnitude of the affected population in 2010. Circulation, 134(2), pp.101-109","DOI":"10.1161\/CIRCULATIONAHA.115.019307"},{"key":"4445_CR3","doi-asserted-by":"crossref","unstructured":"Mackie AS, Rempel GR, Kovacs AH et al (2018) Transition intervention for adolescents with congenital heart disease. J Am College Cardiol, 71(16), pp.1768-1777","DOI":"10.1016\/j.jacc.2018.02.043"},{"key":"4445_CR4","unstructured":"Gurvitz M, Krieger EV, Fuller S et al (2025) 2025 ACC\/AHA\/HRS\/ISACHD\/SCAI guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology\/American Heart association joint committee on clinical practice guidelines. Circulation, 153(8), pp.e115-e251"},{"key":"4445_CR5","doi-asserted-by":"crossref","unstructured":"John AS, Jackson JL, Moons P et al (2022) Advances in managing transition to adulthood for adolescents with congenital heart disease: a practical approach to transition program design: a scientific statement from the American Heart Association. J Am Heart Assoc, 11(7), p.e025278","DOI":"10.1161\/JAHA.122.025278"},{"key":"4445_CR6","doi-asserted-by":"crossref","unstructured":"Moons P, Skogby S, Bratt EL et al (2021) Discontinuity of cardiac follow\u2010up in young people with congenital heart disease transitioning to adulthood: a systematic review and meta\u2010analysis. J Am Heart Assoc, 10(6), p.e019552","DOI":"10.1161\/JAHA.120.019552"},{"key":"4445_CR7","doi-asserted-by":"crossref","unstructured":"Diller GP, Arvanitaki A, Opotowsky AR et al (2021) Lifespan perspective on congenital heart disease research: JACC state-of-the-art review. J Am College Cardiol, 77(17), pp.2219-2235","DOI":"10.1016\/j.jacc.2021.03.012"},{"key":"4445_CR8","doi-asserted-by":"crossref","unstructured":"Bredy C, Werner O, Huguet H et al (2024) Efficacy of a transition program in adolescents and young adults with congenital heart disease: the TRANSITION-CHD randomized controlled trial. J Adolesc Health, 75(2), pp.358-367","DOI":"10.1016\/j.jadohealth.2024.04.022"},{"key":"4445_CR9","doi-asserted-by":"crossref","unstructured":"Bratt EL, Mora MA, Sparud-Lundin C et al (2023) Effectiveness of the STEPSTONES transition program for adolescents with congenital heart disease\u2014a randomized controlled trial. J Adolesc Health, 73(4), pp.655-663","DOI":"10.1016\/j.jadohealth.2023.02.019"},{"key":"4445_CR10","doi-asserted-by":"crossref","unstructured":"Thomet C, Schwerzmann M, Budts W et al (2021) Transfer and transition practices in 96 European adult congenital heart disease centres. Int J Cardiol, 328, pp.89-95","DOI":"10.1016\/j.ijcard.2020.11.031"},{"key":"4445_CR11","first-page":"100311","volume":"7","author":"DJ Harrison","year":"2022","unstructured":"Harrison DJ, Uzark K, Gauvreau K, Yu S, Lowery R, Yetman AT, Cramer J, Rudd N, Cohen S, Gurvitz M (2022) Transition readiness in congenital heart disease: are teens and young adults getting the recommended information? Int J Cardiol Congenit Heart Dis 7:100311","journal-title":"Int J Cardiol Congenit Heart Dis"},{"key":"4445_CR12","doi-asserted-by":"crossref","unstructured":"Ferris M, Cohen S, Haberman C et al (2015) Self-management and transition readiness assessment: development, reliability, and factor structure of the STARx questionnaire. J Pediatr Nurs, 30(5), pp.691-699","DOI":"10.1016\/j.pedn.2015.05.009"},{"key":"4445_CR13","doi-asserted-by":"crossref","unstructured":"Ferris ME, Harward DH, Bickford K et al (2012) A clinical tool to measure the components of health-care transition from pediatric care to adult care: the UNC TRxANSITION scale. Renal failure, 34(6), pp.744-753","DOI":"10.3109\/0886022X.2012.678171"}],"container-title":["Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-026-04445-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00246-026-04445-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-026-04445-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:45:42Z","timestamp":1789562742000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00246-026-04445-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":13,"alternative-id":["4445"],"URL":"https:\/\/doi.org\/10.1007\/s00246-026-04445-3","relation":{},"ISSN":["0172-0643","1432-1971"],"issn-type":[{"value":"0172-0643","type":"print"},{"value":"1432-1971","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"assertion":[{"value":"8 July 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare that they have no conflict of interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}