TY  - EJOU
AU  - Clarke, Molly 
AU  - Hamann, Karin 
AU  - Klein, Nancy 
AU  - Olivieri, Laura 
AU  - Loke, Yue-Hin 

TI  - Use of Patient-Specific “4D” Tele-Education to Enhance Actual and Perceived Knowledge in Congenital Heart Disease (CHD) Patients
T2  - Structural and Congenital Heart Disease

PY  - 2024
VL  - 19
IS  - 1
SN  - 3071-1738

AB  -  <b>Background:</b> Patients with congenital heart disease (CHD) will transition to lifelong adult congenital cardiac care. However, their structural heart disease is challenging to convey via two-dimensional drawings. This study utilized a tele-educational environment, with personalized three-dimensional (3D) modeling and health Details (3D + Details = “4D”), to improve actual and perceived knowledge, both important components of transition readiness in CHD patients. <b>Methods:</b> Participants aged ≥13 years with a history of CHD and cardiac magnetic resonance imaging (MRI) studies were eligible. Cardiac MRI datasets were then used to segment and create 3D heart models (using Mimics, Materialize Inc.). Participants first completed the MyHeart Questionnaire, a validated survey of actual knowledge. A tele-educational session was then scheduled, during which participants were shown a 3D model of a normal heart, followed by their personal 3D heart model and specific health details. Participants then repeated the actual knowledge survey, in addition to questionnaires assessing perceived knowledge pre- and post-session, as well as a satisfaction survey. <b>Results:</b> Twenty-two patients were included. Actual knowledge increased from 75% ± 15% to 89% ± 20% (<i>p</i> = 0.00043) and perceived knowledge increased in five of seven questions. Actual knowledge correlated with perceived knowledge (r = 0.608, <i>p</i> < 0.0001). Ninety-one percent of participants ranked the 3D model as “very satisfactory” and ninety-five percent ranked the educational session as “very helpful” or “extremely helpful.” <b>Conclusions:</b> The use of “4D” tele-education increased both actual and perceived knowledge and may help improve transition readiness in CHD patients.
KW  - Congenital heart disease; tele-education; transition

DO  - 10.32604/chd.2024.046328