{
  "abstract": "Background The transition from paediatric to adult cardiology is a high-risk period for the growing international population of congenital heart disease (CHD) survivors, often characterised by care discontinuity, loss to follow-up, and increased morbidity. This systematic review synthesises evidence on the efficacy of digital health interventions, specifically mobile health and tele-education, in mitigating these risks and optimising transition readiness.Material and Methods A systematic search was conducted across ten electronic databases, MEDLINE, CINAHL, EMBASE, and IEEE Xplore. Two independent reviewers included peer-reviewed studies evaluating digital transition tools for patients aged 12–25 years. Methodological quality was appraised using the Cochrane Risk of Bias 2 (RoB 2) tool and the Newcastle-Ottawa Scale (NOS).Results Nine studies (N=269) met the inclusion criteria, evaluating interventions including mobile apps, SMS, and 3D modelling. Results indicated that ‘human factor’ is critical. One randomised controlled trial (RCT) combining online active coaching demonstrated significant improvements in health self-efficacy (p=0.003), psychological well-being (p=0.013), and physical activity (p=0.027). Tele-education, utilising patient-specific 3D heart models, significantly enhanced disease knowledge (p<0.01). Conversely, self-guided apps without coaching failed to show significant impacts on transition readiness or physical activity (p>0.05). Studies revealed a moderate overall risk of bias, primarily due to blinding difficulties and poor inclusivity. Despite learning disabilities affecting approximately 10% of the CHD population, most studies excluded this subgroup. Furthermore, no study provided a direct comparison between digital tools and the standard of care, such as nurse-led transition.Conclusions Digital interventions offer a promising, scalable adjunct to transition care, particularly when augmented by personalised coaching or visualisation tools. However, current evidence is limited by small sample sizes and the exclusion of neurodiverse patients. Future research must prioritise inclusivity and employ robust RCT designs comparing digital strategies directly against nurse-led models to establish clinical non-inferiority or superiority, within multidisciplinary transition services.",
  "authors": [
    {
      "affiliations": [
        "Faculty of Medicine, University College London, London, United Kingdom"
      ],
      "name": "Abhinav Kandala"
    },
    {
      "affiliations": [
        "Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom"
      ],
      "name": "Kaushika Rautray"
    },
    {
      "affiliations": [
        "Royal Brompton Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom",
        "Imperial College London, London, United Kingdom"
      ],
      "name": "Hajar Habibi"
    }
  ],
  "title": "237 Digital interventions for facilitating the transition of young people with congenital heart disease to adult healthcare: a systematic review",
  "uid": "cc7e3fe5-0829-5249-9563-1c2102168ef1"
}