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Combining patient-specific, digital 3D models with tele-education for adolescents with CHD

Part of: Advanced Imaging

Published online by Cambridge University Press:  16 August 2021

David Liddle Open the ORCID record for David Liddle [Opens in a new window] ,
Sheri Balsara ,
Karin Hamann ,
Adam Christopher ,
Laura Olivieri  and
Yue-Hin Loke
David Liddle*
Affiliation:
Department of Cardiology, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA02115, USA
Sheri Balsara
Affiliation:
Department of Cardiology, Children’s Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA19104, USA
Karin Hamann
Affiliation:
Department of Cardiology, Children’s National Hospital, 111 Michigan Avenue NW, Washington, DC20010, USA
Adam Christopher
Affiliation:
Department of Cardiology, Children’s Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA15224, USA
Laura Olivieri
Affiliation:
Department of Cardiology, Children’s National Hospital, 111 Michigan Avenue NW, Washington, DC20010, USA
Yue-Hin Loke
Affiliation:
Department of Cardiology, Children’s National Hospital, 111 Michigan Avenue NW, Washington, DC20010, USA
*
Author for correspondence: D. Liddle, MD, Pediatric Cardiology, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA02115, USA. Tel: +617 355 7830; Fax: +617 730 0710. E-mail: david.liddle@cardio.chboston.org
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Abstract

Introduction:

Adolescents with CHD require transition to specialised adult-centred care. Previous studies have shown that adolescents’ knowledge of their medical condition is correlated with transition readiness. Three-dimensional printed models of CHD have been used to educate medical trainees and patients, although no studies have focused on adolescents with CHD. This study investigates the feasibility of combining patient-specific, digital 3D heart models with tele-education interventions to improve the medical knowledge of adolescents with CHD.

Methods:

Adolescent patients with CHD, aged between 13 and 18 years old, were enrolled and scheduled for a tele-education session. Patient-specific digital 3D heart models were created using images from clinically indicated cardiac magnetic resonance studies. The tele-education session was performed using commercially available, web-conferencing software (Zoom, Zoom Video Communications Inc.) and a customised software (Cardiac Review 3D, Indicated Inc.) incorporating an interactive display of the digital 3D heart model. Medical knowledge was assessed using pre- and post-session questionnaires that were scored by independent reviewers.

Results:

Twenty-two adolescents completed the study. The average age of patients was 16 years old (standard deviation 1.5 years) and 56% of patients identified as female. Patients had a variety of cardiac defects, including tetralogy of Fallot, transposition of great arteries, and coarctation of aorta. Post-intervention, adolescents’ medical knowledge of their cardiac defects and cardiac surgeries improved compared to pre-intervention (p < 0.01).

Conclusions:

Combining patient-specific, digital 3D heart models with tele-education sessions can improve adolescents’ medical knowledge and may assist with transition to adult-centred care.

Keywords

adult CHD3D heart modeltelehealthtele-educationpatient education
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 6 , June 2022 , pp. 912 - 917
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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