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Congenital Heart Disease (CHD)NCT07898384

Optimizing Care Transitions in CHD

A study testing Peer mentorship in people with Congenital Heart Disease (CHD) and Mentorship, run by The Hospital for Sick Children at 1 site in Canada.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

Adolescents and young adults (AYA) with congenital heart disease (CHD) face psychosocial stresses as they transition to adult care. Parents of AYA with CHD also experience increased caregiver burden and psychosocial stresses. Read more about this study

Who is it for?
Ages 16 years and older
What is being tested?
Peer mentorship
Could I receive a placebo?
No, everyone receives an active treatment
How many people
110 participants
Where
1 siteCanada
Study dates
Sep 2026to Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • AYA with CHD
  • diagnosed with moderate to severe CHD with an expected 5-year survival rate of more than 70% according to the treating cardiologist or a qualified healthcare professional,
  • 16-25 years old with the capacity to give consent,
  • able to speak and read English,
  • willingness to commit to 5-10 texts and/or calls of 20-30 minutes each with a peer mentor over a period of 12 weeks,
  • access to a device (e.g., smartphone, tablet, computer) capable of using free WhatsApp software.
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  • Parents of AYA with CHD
  • parent of an AYA between the ages of 16 and 25 with moderate to severe CHD with an expected 5-year survival rate of more than 70% according to the treating cardiologist or a qualified healthcare professional currently followed by SickKids,
  • access to a device (e.g., smart phone, tablet, computer) capable of using free WhatsApp software,
  • able to speak and read English, and (4) willingness to commit to 5-10 texts and/or calls of 20-30 minutes each with a parent mentor over a period of 12 weeks.
  • Young adult mentors (1)21-30 year old with CHD (2) nominated by a member of their healthcare team as a good candidate to act in the mentor role based on maturity and emotional stability (e.g., good communication skills, positive adaptation and adjustment, strong support network), (3) willingness to commit to virtual peer mentor training, (4) able to speak and read English, (5) access to a device (e.g., smart phone, tablet, computer) capable of using free WhatsApp software.
  • Parent mentors
  • parents of AYA with CHD between the ages of 21-30 year old
  • willingness to commit to virtual peer mentor training,
  • able to speak and read English,
  • access to a device (e.g., smart phone, tablet, computer) capable of using free WhatsApp software.

Who cannot join

  • AYA mentees will be excluded if they: (1) have significant cognitive impairments as assessed by a qualified healthcare provider, or (2) have a diagnosis of an active psychological disorder (e.g., Major Depressive Disorder) likely to interfere with their ability to manage their care as determined by a qualified healthcare provider, or (3) received surgery for a CHD diagnosis in the last 6 months, or (4) have undergone a heart transplant, or (5) are participating in current peer support programs, or (6) are receiving end-of-life care.
  • Parent mentees will be excluded if
  • they have significant cognitive impairments as assessed by a qualified healthcare provider, or
  • they have a diagnosis of an active psychological disorder (e.g., Major Depressive Disorder) likely to interfere with their ability to manage their child's care as determined by a qualified healthcare provider, or
  • their child received surgery for a CHD diagnosis in the last 6 months, or
  • their child has undergone a heart transplant, or
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  • they are participating in current peer support programs, or
  • their child is receiving end-of-life care.
  • Young adult and parent mentors
  • Significant cognitive impairments as assessed by a qualified healthcare provider, or
  • have a diagnosis of an active psychological disorder (e.g.: Major Depressive Disorder, etc.; determined through chart review by a qualified HCP) likely to influence assessment of health-related quality of life and/or interfere with their ability to manage their own care, or
  • are participating in other peer support or self-management interventions.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Canada1 site
  • The Hospital for Sick Children

    Toronto, Ontario

    Samantha Anthony, 416-813-7654 ext. 303126, samantha.anthony@sickkids.ca

    Samantha Anthony

Other trials in Canada

About this study

Official title: Optimizing Care Transitions in Congenital Heart Disease: Pediatric to Adult Transition

Adolescents and young adults (AYA) with congenital heart disease (CHD) face psychosocial stresses as they transition to adult care. Parents of AYA with CHD also experience increased caregiver burden and psychosocial stresses. Peer support provided by a person with a similar experience has been found to improve disease self-management and psychosocial health outcomes in pediatric healthcare. However, many AYA with CHD still do not have access to formal social support resources. The aim of this study is to improve pediatric to adult transitions in healthcare by evaluating peer mentorship programs for AYA with CHD and their parents.

Established, online mentorship programs, iPeer2Peer(iP2P)/iParent2Parent, will be employed through a pilot feasibility waitlist randomized controlled trial with repeated measures across four sites. Eighty mentees (AYA and parents of AYA) will be recruited and randomized into intervention and control groups. Forty mentees in the intervention group will be matched 1:1 with 30 trained mentors (young adults and parents of AYA). AYA mentees will be matched with young adult mentors and parents of AYA will be matched with other parent mentors. These pairings will connect over 12 weeks through video calls and text messaging to provide peer support to improve self-management and psychosocial health outcomes.

Read the detailed description

Primary Objective: to evaluate the feasibility of virtual intervention programs (iP2P and iParent2Parent) for AYA with CHD and their parents as both mentors and mentees in terms of: (a) enrollment and withdrawal rates (b) adherence with the programs (c) perceptions regarding the acceptability and level of engagement in the programs of both mentees and mentors, and (d) perceptions of barriers and enablers of the programs. Secondary Objective: to explore these programs impact on preliminary psychosocial outcomes. Specifically,

  • Impact of the iP2P program on: (a) transition readiness including self-management skills, (b) perceived social support, and (c) emotional distress, in AYA mentees. (a) perceived social role satisfaction and (b) emotional distress, in young adult mentors.
  • Impact of the iParent2Parent program on:
  1. perceived social support, (b) emotional distress, and (c) coping, in parent mentees. <!-- -->
  2. perceived social role satisfaction, and (b) emotional distress, in parent mentors.

A waitlist pilot RCT allows for an effective comparison of the study intervention with a control group receiving standard of care while not disadvantaging the control group who will have the option of participating in the intervention following the completion of the trial. This design therefore ensures that a potentially useful and effective intervention is accessible to all participants.

Up to 110 participants will be enrolled in the study from CHD programs in Toronto (SickKids/Toronto General Hospital), Edmonton (Stollery Children's Hospital/Mazankowski Alberta Heart Institute), Vancouver (BC Children's Hospital/St. Paul's Hospital), andMontreal (Ste. Justine/Montreal Heart Institute).

Up to 40 AYA (ages 16-25) and 40 parent mentees will be enrolled across the CHD programs, with about 10 AYA and about 10parent mentees per city.

Up to 15 young adults (ages 21-30) and 15 parent mentors will be enrolled across the adult sites of these CHD programs(Toronto General Hospital, Mazankowski Alberta Heart Institute, St. Paul's Hospital, and Montreal Heart Institute). The investigators anticipate 3-4 young adult mentors, and 3-4 parent mentors will be enrolled per site.

All mentees (40 mentees) will be asked to participate in semi-structured individual interviews at baseline (ME T1) and and all mentees in the intervention group (20 mentees) will be asked to participate in semi-structured interviews at 12 weeks - immediately post-intervention (ME T2). Interviews will be conducted by an interviewer trained in qualitative methods by telephone, in-person or virtually via the PHIPA-compliant version of Zoom or Microsoft Teams (depending on participants' preference), at a time that is convenient for the participant. Interviews will be guided by a semi-structured interview guide. ME T1 interviews will aim to assess motivations for participation, hopes and expectations, and preferences around mentor characteristics; and ME T2 interviews will aim to assess the primary outcomes evaluating feasibility.

All mentors (30 mentors) will be asked to participate in a focus group/semi-structured interview prior to mentor training (MR T1) and study end (MR T2). MR T1 focus groups/interviews will aim to assess motivations for participation and hopes and expectations, and MR T2 focus groups/interviews will aim to assess the primary outcomes evaluating feasibility. Focus groups/interviews will be conducted by an interviewer trained in qualitative methods. Focus groups/interviews will be conducted on a mutually agreed upon date and over the internet via a web-based video communication program (e.g., PHIPA-compliant version of Zoom or Microsoft Teams).

The semi-structured individual interviews and focus groups will be audiotaped, transcribed and analyzed using qualitative descriptive approach using thematic and content analysis.

Being tested
Peer mentorship
Keywords
congenital heart disease, mentorship, peer support, care transition, adolescent and young adult, parent
Medical subject headings
Heart Defects, Congenital, Chronic Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Peer mentorshipBehavioural

    Also called Peer mentoring, Peer support

    The iPeer2Peer/iParent2Parent intervention is a peer support mentorship program that will provide modelling and reinforcement by pre-screened and trained peer mentors to the mentees. The mentorship program will encourage mentees to develop and engage in self-management and transition skills and support the participants; practice of these skills. The mentors will provide information and support to mentee participants via 5-10 calls (using WhatsApp) of 20-30 minute durations and text messaging (using WhatsApp) for 12 weeks to encourage participation in self-management skill building tailored to their needs.

Study groups in NCT07898384
Study groupRoleWhat they receive
Intervention groupExperimentalIn addition to their standard medical care, mentees in the experimental group will receive mentorship and support via the iP2P/iParent2Parent program. Trained mentors will provide information and support to mentee participants to encourage participation in self-management skill-building tailored to their needs. Each mentor will work with no more than two mentees at once for the study. Efforts will be made to pair mentors and mentees who share similar characteristics (e.g., similar disease severity, symptom profile, treatment regimen experiences, caregiver role, sex/gender, geographic area of residence). To ensure safety, a member of the research team will monitor all calls and messaging conversations as well as intervene in any potential safety concerns (e.g., discussion of suicidal ideation) or inappropriate behavior (e.g. bullying).
Receives: Behavioral: Peer mentorship
Waitlist control groupNo interventionThe control group will receive standard care without the iP2P/iParent2Parent intervention. The control group will be offered the iP2P/iParent2Parent intervention after completion of all outcome measures for a period of 12 weeks with the same research team support.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Recruitment and withdrawal rates

    Recruitment rates (more than 70%) and withdrawal rates (less than 15%) as calculated using data recorded in participant recruitment log.

    Measured: 12 weeks

  2. Adherence

    Adherence with iP2P/iParent2Parent program (more than 80% rate of completion of at least five audio or video calls over 12 weeks and 100% rate of completion of all online outcome measures) as calculated using data recorded in participant program tracking log.

    Measured: 12 weeks

  3. Acceptability/Level of engagement

    Acceptability and level of engagement of the iP2P/iParent2Parent program intervention as measured through focus groups/interviews with mentors and interviews with mentees guided by the Theoretical Framework of Acceptability. Focus groups and interviews will take approximately 45 minutes per timepoint.

    Measured: 12 weeks

  4. Barriers/Enablers

    Barriers and enablers of the iP2P/iParent2Parent program intervention as measured through focus groups/interviews with mentors and interviews with mentees.

    Measured: 12 weeks

Secondary outcomes (18)
  1. Perceived social role satisfaction (young adult mentor outcome)

    Perceived social role satisfaction measured by the PROMIS Satisfaction with Social Roles and Activities.

    Minimum value: 0 Maximum value: 100 Higher score indicates better outcome

    Measured: 12 weeks

  2. Emotional distress (young adult mentor outcome)

    Emotional distress measured by the Generalized Anxiety Disorder-7 (GAD-7). Minimum value: 0 Maximum value: 21 Higher score indicates worse outcome

    Measured: 12 weeks

  3. Emotional distress (young adult mentor outcome)

    Emotional distress measured by the Patient Health Questionnaire-8 (PHQ-8). Minimum value: 0 Maximum value: 24 Higher score indicates worse outcome

    Measured: 12 weeks

  4. Perceived social role satisfaction (parent mentor outcome)

    Perceived social role satisfaction measured by the PROMIS Satisfaction with Social Roles and Activities.

    Minimum value: 0 Maximum value: 100 Higher score indicates better outcome

    Measured: 12 weeks

  5. Emotional distress (parent mentor outcome)

    Emotional distress measured by the Generalized Anxiety Disorder-7 (GAD-7). Minimum value: 0 Maximum value: 21 Higher score indicates worse outcome

    Measured: 12 weeks

  6. Emotional distress (parent mentor outcome)

    Emotional distress measured by the Patient Health Questionnaire-8 (PHQ-8). Minimum value: 0 Maximum value: 24 Higher score indicates worse outcome

    Measured: 12 weeks

  7. Emotional distress (parent mentor outcome)

    Emotional distress measured by the Parental Stress Scale (PSS). Minimum value: 18 Maximum value: 90 Higher score indicates worse outcome

    Measured: 12 weeks

  8. Transition readiness (adolescent/young adult mentee outcome)

    Transition readiness measured by the Transition Readiness Assessment Questionnaire (TRAQ).

    Minimum value: 20 Maximum value: 100 Higher score indicates better outcome

    Measured: 12 and 24 weeks

  9. Perceived social support (adolescent/young adult mentee outcome)

    Perceived social support measured by the Multidimensional Scale of Perceived Social Support (MSPSS).

    Minimum value: 12 Maximum value: 84 Higher score indicates better outcome

    Measured: 12 and 24 weeks

  10. Emotional distress (adolescent/young adult mentee outcome)

    Emotional distress measured by the Generalized Anxiety Disorder-7 (GAD-7). Minimum value: 0 Maximum value: 21 Higher score indicates worse outcome

    Measured: 12 and 24 weeks

  11. Emotional distress (adolescent/young adult mentee outcome)

    Emotional distress measured by the Patient Health Questionnaire-8 (PHQ-8). Minimum value: 0 Maximum value: 24 Higher score indicates worse outcome

    Measured: 12 and 24 weeks

  12. Mentor quality (adolescent/young adult mentee outcome)

    Mentor quality measured by the Mentor Behaviour Scale. Minimum value: 15 Maximum value: 75 Higher score indicates better outcome

    Measured: 12 and 24 weeks

  13. Emotional distress (parent mentee outcome)

    Emotional distress measured by the Generalized Anxiety Disorder-7 (GAD-7). Minimum value: 0 Maximum value: 21 Higher score indicates worse outcome

    Measured: 12 and 24 weeks

  14. Emotional distress (parent mentee outcome)

    Emotional distress measured by the Patient Health Questionnaire-8 (PHQ-8). Minimum value: 0 Maximum value: 24 Higher score indicates worse outcome

    Measured: 12 and 24 weeks

  15. Emotional distress (parent mentee outcome)

    Emotional distress measured by the Parental Stress Scale (PSS). Minimum value: 18 Maximum value: 90 Higher score indicates worse outcome

    Measured: 12 and 24 weeks

  16. Coping (parent mentee outcome)

    Coping as measured by the Coping Health Inventory for Parents (CHIP-16). Minimum value: 0 Maximum value: 48 Higher score indicates better outcome

    Measured: 12 and 24 weeks

  17. Mentor quality (parent mentee outcome)

    Mentor quality measured by the Mentor Behaviour Scale. Minimum value: 15 Maximum value: 75 Higher score indicates better outcome

    Measured: 12 and 24 weeks

  18. Perceived social support (parent mentee outcome)

    Perceived social support measured by Multidimensional Scale Of Perceived Social Support (MSPSS).

    Minimum value: 12 Maximum value: 84 Higher score indicates better outcome

    Measured: 12 and 24 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Oct 2026
  2. Study startSep 2026 (estimated)
  3. Primary completionDec 2027 (estimated)
  4. Study completionDec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
A pilot feasibility waitlist randomized controlled trial (RCT) design with repeated measures, and following CONSORT guidelines, will be used to evaluate the iP2P and iParent2Parent programs in AYA with CHD and their parents. A waitlist pilot RCT allows for an effective comparison of the study intervention with a control group receiving standard of care while not disadvantaging the control group who will have the option of participating in the intervention following the completion of the trial. This design therefore ensures that a potentially useful and effective intervention is accessible to all participants.
Masking
Single blind
Who is masked
Investigator
Enrolment
110 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07898384
Sponsor's protocol ID
1000081856
Status last verified
Oct 2026
First submitted
17 Jul 2026
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Peer mentorship in people with Congenital Heart Disease (CHD) and Mentorship, run by The Hospital for Sick Children at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Samantha Anthony (416-813-7654 ext. 303126, samantha.anthony@sickkids.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Recruitment and withdrawal rates (time frame: 12 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Oct 2026.

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