{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T21:31:13Z","timestamp":1793914273150,"version":"4.8.0"},"reference-count":51,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"unspecified","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951125100784_as1\"><jats:title>Objective:<\/jats:title><jats:p>The impact of CHD on safe driving for adolescents is currently unknown. A prospective, qualitative descriptive study was conducted among adolescents with CHD to describe perceived barriers, facilitators, and impacts of CHD on safe, independent driving among adolescents.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125100784_as2\"><jats:title>Study design:<\/jats:title><jats:p>Twenty-eight adolescents aged 15\u201319 years with CHD participated in virtual, semi-structured interviews in 2023. Adolescent interview data were analysed with conventional content analysis refined by Theoretical Domains Framework in NVivo software.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125100784_as3\"><jats:title>Results:<\/jats:title><jats:p>Mean participant age was 16.4 \u00b1 0.23 years (57% male). Single ventricle physiology (25%) and septal defects (32%) were prevalent diagnoses among the study population. Most participants (92%) did not have driving restrictions.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125100784_as4\"><jats:title>Two themes emerged from the data:<\/jats:title><jats:p>Driving as a normal rite of passage for adolescents with CHD; and confident\u2014but curious\u2014about the impacts of CHD on driving. Adolescents felt confident that driving is not impacted by CHD. They were curious about the likelihood of cardiovascular emergencies and related symptoms while driving. Perceived barriers and facilitators to safe, independent driving were like what has been described in published literature among adolescents without CHD.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125100784_as5\"><jats:title>Conclusion:<\/jats:title><jats:p>These findings celebrate the normalcy of driving during adolescence and reveal curiosities about the impacts of stress, anxiety, fatigue, and risks of heart attack and stroke on driving. Adolescents may look to CHD healthcare providers to help them learn about driving. These findings may inform the development of tools to facilitate meaningful conversations with adolescents regarding driving safety as part of the transition to adult CHD care.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951125100784","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T06:18:48Z","timestamp":1752473928000},"page":"1388-1393","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["\u201cLike everybody else\u201d: Adolescent perceptions of safe, independent driving with a CHD"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0446-0878","authenticated-orcid":false,"given":"Leigh Ann","family":"DiFusco","sequence":"first","affiliation":[{"name":"University of Pennsylvania School of Nursing"},{"name":"The Children\u2019s Hospital of Philadelphia Center for Injury Research Prevention"},{"name":"Penn Injury Science Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3136-5237","authenticated-orcid":false,"given":"Rachel A.","family":"Solomon","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Nursing"},{"name":"The Children\u2019s Hospital of Philadelphia Center for Injury Research Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey H.","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Nursing"},{"name":"The Children\u2019s Hospital of Philadelphia Center for Injury Research Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7246-4379","authenticated-orcid":false,"given":"C.","family":"Ward McIntosh","sequence":"additional","affiliation":[{"name":"The Children\u2019s Hospital of Philadelphia Center for Injury Research Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3856-8542","authenticated-orcid":false,"given":"Catherine C.","family":"McDonald","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Nursing"},{"name":"The Children\u2019s Hospital of Philadelphia Center for Injury Research Prevention"},{"name":"Penn Injury Science Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,7,14]]},"reference":[{"key":"S1047951125100784_ref45","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20054003"},{"key":"S1047951125100784_ref10","unstructured":"10. 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Updated literature review of the effects of medical conditions on driving Report No. DOT HS 813 503 National Highway Traffic Safety Administration, 2023."},{"key":"S1047951125100784_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(14)00080-7"},{"key":"S1047951125100784_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2011.10.016"},{"key":"S1047951125100784_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2005.08.006"},{"key":"S1047951125100784_ref7","unstructured":"7. Fischer, JC , Walshe, EA , Gaynor, WJ , et\u00a0al. Characterizing driving outcomes at the transition to adulthood in patients with congenital heart disease (CHD). presented at: Pediatric Academic Societies; 2023; Washington, DC."},{"key":"S1047951125100784_ref21","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2008.018572"},{"key":"S1047951125100784_ref31","unstructured":"31. Driver Fitness Medical Guidelines. 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