The Effect of Structured Transition Care Model Applied to Adolescents With Congenital Heart Disease

NCT ID: NCT06433401

Last Updated: 2025-01-31

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 70 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-08-29
• Study Completion Date: 2025-03-30

Brief Summary

Congenital heart disease is one of the most common congenital defects with a high mortality and morbidity rate. Children with congenital heart disease step from pediatric care to adult care during adolescence. This situation has brought up transitional care, which is defined as "the purposeful and planned movement of adolescents and young adults with chronic physical and medical conditions from pediatric to adult-oriented health systems". Since adolescents with congenital heart disease are at high risk for complications in adulthood, it is very important to raise awareness, increase the level of readiness for adult care and gain self-management skills during the transition phase. This study was planned as a randomized controlled experimental study to evaluate the effect of the developmental transition care model applied to adolescents with congenital heart disease during the transition from pediatric care to adult care on the transition readiness level, self-management skills and care satisfaction of adolescents.

Studies have shown that both adolescents with congenital heart disease and their caregivers need professional support, appropriate transition education and care before transition to adult care in order to increase adaptation to adult care, to gain self-management skills and to reduce their concerns. Studies in which adolescents are followed up after transition to adult care show that when the transition process is not successfully completed, there is excessive time between the last pediatric control and the first adult control or there are losses in further follow-up. Although there are studies in our country in which transition care is applied, this study is planned because there is no intervention study in which developmental transition care model is applied to adolescents with congenital heart disease. It is thought that this study will increase the transition readiness levels, self-management skills and care satisfaction of adolescents with congenital heart disease and guide the nurses working with them.

Detailed Description

Congenital heart disease is one of the most common congenital defects with high mortality and morbidity rates. The American Heart Association reports that at least eight out of every 1000 babies born are born with heart disease. In Turkey, an average of 11,000-17,000 babies are born with congenital heart disease each year. Congenital heart diseases are a very large group of diseases and the level and prognosis of defects in this group vary. While severe defects result in neonatal and infant mortality, almost all children with mild defects survive. With the adolescent period, children step from pediatric care to adult care. While the transition to adulthood causes psychological and social changes for a healthy adolescent and his/her family, the need for additional care for adolescents with chronic diseases and the change in access to health services make the transition period even more challenging. This situation has brought transition care, defined as "the purposeful and planned movement of adolescents and young adults with chronic physical and medical conditions from pediatric health systems to adult-oriented health systems" to the agenda. Since adolescents with congenital heart disease are at high risk for complications in adulthood, raising awareness of the need for regular medical follow-up and preparing them for changes in the health care environment are very important for a successful transition.

The aim of transitional care is to maintain the control and well-being of the disease in adulthood and maximize its potential by providing the quality care practices needed by the adolescent without interruption. Studies have shown that both adolescents with congenital heart disease and their caregivers need professional support, appropriate transition education and care before transition to adult care in order to increase their adaptation to adult care, gain self-management skills and reduce their concerns. The American Academy of Pediatrics (APA) recommends that the transition process should begin with transition planning between the ages of 12-14. However, since physiological and psychological development and needs are not related to the chronological age of the individual, the essence of timing in the transition process is flexibility. The timing of transition varies depending on many individual and environmental variables such as age, gender, physical and psychological maturation, current medical condition, compliance and adherence to treatment, readiness of the adolescent for transition, finding an appropriate adult care provider, and insurance policies. In studies in which adolescents with congenital heart disease were followed up after transition to adult care, when the transition process was not successfully completed, there was a gap between the last pediatric control and the first adult control. In conclusion, there is no intervention study in our country in which the developmental transition care model was applied to adolescents with congenital heart disease and the results were evaluated. In addition, based on clinical experiences and observations, it was determined that adolescents and their parents had difficulties in the transition from pediatric care to adult care and this negatively affected self-management related to the disease. The aim of this study was to evaluate the effect of the developmental transition care model applied to adolescents with congenital heart disease during the transition from pediatric care to adult care on the transition readiness level, self-management skills and care satisfaction of adolescents.

Conditions

Congenital Heart Disease in Adolescence

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: SINGLE

Study Groups

Transition care group

The transitional care group is a group that will receive a transitional care training consisting of a total of 3 modules in which the content is arranged for individualized needs with expert opinion from 10 faculty members working in the field of Child Health and Diseases Nursing.The education sessions will be conducted every months in sessions of approximately 35-40 minutes face-to-face in the training room allocated to the individual researcher.

Group Type: EXPERIMENTAL

Transitional care training with brochures, posters and slide training materials

Intervention Type: BEHAVIORAL

Education at 1 and 2 months after the first interview

Control group

The control group is the group receiving routine care that continues the normal follow-up of the clinic without any intervention. However, in terms of compliance with ethical principles, the same training will be given to them upon their request after the research is completely completed.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Transitional care training with brochures, posters and slide training materials

Education at 1 and 2 months after the first interview

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Voluntarily agree to participate in the research
• To be between the ages of 16-20,
• Having a diagnosis of congenital heart disease,
• Being followed up with a diagnosis of congenital heart disease for at least one year in the polyclinics where the study was conducted,
• To be able to communicate in Turkish,
• Not having any mental deficiency that may prevent communication

Exclusion Criteria

• Refusing to participate in the research,
• Not being able to communicate in Turkish,
• Not showing up regularly for follow-ups,
• Having any mental disability that may prevent communication

• Minimum Eligible Age: 16 Years
• Maximum Eligible Age: 20 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ankara Yildirim Beyazıt University

OTHER

Sponsor Role: lead

Responsible Party

tutkukırçı

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Tutku KIRÇI TEMİZ, PhD s.

Role: PRINCIPAL_INVESTIGATOR

Ankara Yildirim Beyazıt University

Evrim KIZILER, Asst.Prof.

Role: STUDY_DIRECTOR

Ankara Yildirim Beyazıt University

Utku ARMAN ÖRÜN, Prof.Dr.

Role: STUDY_DIRECTOR

Republic of Turkey Ministry of Health Ankara Etlik City Hospital

Locations

Republic of Turkey Ministry of Health Ankara Etlik City Hospital

Ankara, Ankara Yenimahalle, Turkey (Türkiye)

Site Status: NOT_YET_RECRUITING

Republic of Turkey Ministry of Health Ankara Etlik City Hospital

Ankara, , Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

Tutku KIRÇI TEMİZ, PhD s.

Role: CONTACT

tutkukrc29095@gmail.com

+905064278982

Utku ARMAN ÖRÜN, Prof.Dr.

Role: CONTACT

utkuarman.orun@sbu.edu.tr

+905322933072

Facility Contacts

Ankara Etlik City Hospital

Role: primary

etliksh.iletisim@saglik.gov.tr

0312 797 00 00

Other Identifiers

AnkaraYBU-SBF-TKT-01

Identifier Type: -

Identifier Source: org_study_id