Aim 3: Pilot Study of a Serious Game to Promote Transition Readiness Skills

Metadata metrics from players interaction with the game will be collected, including the number of game logins. The higher the number the more engagement with the game.

Metadata metrics from players interaction with the game will be collected, including the amount of time spent (i.e., minutes) on the game. The greater the amount of time the more engagement with the game.

Metadata metrics from players interaction with the game will be collected including the number of game sections that are completed. The higher the number indicates more engagement with the game.

A percentage will be calculated from the number of participants approached and number of participants who enrolled. Sufficient recruitment is equal to or greater than 60%.

Retention of participants will be assessed by calculating a percentage from the number who enrolled and number who completed the study. Sufficient retention will be greater than or equal to 60%.

After completing the intervention, participants will be asked to complete questionnaires about their satisfaction and usability of the game (e.g., system usability scale (SUS). On the SUS, responses are from 1 to 5 for each item and greater scores indicate higher acceptability.

Five item measure developed by study team that asks participants to rate how worried and prepared they feel for their appointment

TRAQ is a validated scale indicating baseline transition readiness skills across: medication management, tracking health concerns, and communication Higher scores indicate better readiness to independently manage care.

This validated scale evaluates transition readiness, including perceived knowledge of adolescents with CHD. Self reported knowledge questions are domain specific to CHD.

This scale, developed by the study team evaluates comprehension of study-specific learning objectives. All items are scored 1-5, with higher scores indicating higher learning comprehension

The validated PROMIS scale evaluates anxiety in its 8-item form. All items are scored 1-5, with higher scores indicating greater anxiety

The STARx scale is an independently validated scale measuring pedatric patient ability to manage healthcare independently. Three subscales measure behavior, knowledge, and difficulty. All scales are measured 1-5 scale with an additional N/A option for certain questions. Higher scores indicate positive outcomes among the subscales. Only the second two subscales are used at the second time point

The General Self-Efficacy scale is a validated, self-reported scale on self-efficacy. Items are scored 1-4, with higher scores indicating greater self-efficacy

A validated scale that measures teen quality of life for those with heart conditions. Items are scaled 1-4, and higher scores indicate lower quality of life.

Developed by the study team with items to measure engagement with their cardiologist during their appointment.

Using the GotTransition Framework, this measure assesses parent-reported transition readiness perceptions.

Developed by study team. Measures worry and preparedness for vistits in young adults

The STARx scale is an independently validated scale measuring parent-reported pediatric patient ability to manage healthcare independently. Three subscales measure behavior, knowledge, and difficulty. All scales are measured 1-5 scale with an additional N/A option for certain questions. Higher scores indicate positive outcomes among the subscales. Only the last two subscales are used at the second time point

Developed by the study team with items to measure engagement with care after the game.

A validated scale that measures teen quality of life for those with heart conditions. Items are scaled 1-4, and higher scores indicate a lower quality of life.

Developed by the study team. Measures clinician-reported patient engagement during a study visit after playing the game.