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Full-Text Articles in Entire DC Network
The Magic Wand: The Transformation Of Literary Journals And The Middle Class In Early Nineteenth-Century Germany, Charlotte Bayer
The Magic Wand: The Transformation Of Literary Journals And The Middle Class In Early Nineteenth-Century Germany, Charlotte Bayer
University Honors Theses
Compared to other products of German Romanticism, scholarship has almost entirely overlooked the magazine Wünschelruthe (1818). No in-depth, original research has been made on the magazine since 1929. Investigations into the Wünschelruthe have only been within the frame of its connection to more influential works and authors within the German canon or as digression in biographies on its main contributors, and these writings usually neglect the actual content in the magazine. From a catalogue of dozens of literary magazines produced in Germany during the late Enlightenment and Romantic eras, the Wünschelruthe is also one of a select few (if not …
Bringing The Focus Of Curriculum Back To The Students And What Does This Look Like For Teachers, Gabriella Anaya
Bringing The Focus Of Curriculum Back To The Students And What Does This Look Like For Teachers, Gabriella Anaya
University Honors Theses
As a future ELA teacher, I was curious about how the books students read influence their learning. Specifically, I wondered: How does letting students choose their own books impact reading comprehension outcomes? Studies suggest that the reading materials were not necessarily what we should be focusing on, rather the teaching methodology and how it implements reading materials. The key methodology that contributed to reading comprehension improvement was instilling motivation in students by fostering student autonomy over their own learning in the classroom. This is the main idea in which my research concentrates on connecting research on reading comprehension with practical …
Moving Beyond Traditional Cost Containment For Glp-1 Coverage Within Oregon's Proposed Universal Health Plan, Manoj Rajesh
Moving Beyond Traditional Cost Containment For Glp-1 Coverage Within Oregon's Proposed Universal Health Plan, Manoj Rajesh
University Honors Theses
In 2022, Oregon voters passed Measure 111, constitutionally mandating access to affordable health care. As the Universal Health Plan Governance Board (UHPGB) designs the state's proposed single-payer system, it faces an unprecedented financial vulnerability: the clinical demand for GLP-1 receptor agonists. These high-cost, indefinite-use medications for obesity and metabolic syndrome threaten to overwhelm fixed public budgets. Historically, both the Oregon Health Plan's Medicaid framework and commercial private insurers have relied on static cost-containment models—categorical exclusions, step therapy, and aggressive utilization management—that achieve short-term fiscal solvency at the expense of comprehensive preventative care. This thesis argues that to fulfill the mandate …
A Trans-Omics Gene-Smoking Interaction Study Of Lung Cancer Based On Consortium Data, Ning Xie, Xiaowen Xu, Yanru Wang, Aoxuan Wang, Xiang Wang, Xuan Wang, Mengsheng Zhao, Jiacheng Zhou, Yongyue Wei, Manel Esteller, Zhibin Hu, Hongbing Shen, Rayjean J Hung, Christopher I Amos, Yi Li, David C Christiani, Feng Chen, Yang Zhao, Ruyang Zhang
A Trans-Omics Gene-Smoking Interaction Study Of Lung Cancer Based On Consortium Data, Ning Xie, Xiaowen Xu, Yanru Wang, Aoxuan Wang, Xiang Wang, Xuan Wang, Mengsheng Zhao, Jiacheng Zhou, Yongyue Wei, Manel Esteller, Zhibin Hu, Hongbing Shen, Rayjean J Hung, Christopher I Amos, Yi Li, David C Christiani, Feng Chen, Yang Zhao, Ruyang Zhang
Faculty, Staff and Students Publications
Rationale: Genetically predicted molecular traits provide a cost-effective approach for identifying biomarkers and uncovering underlying biological mechanisms. We extended this framework to investigate gene-smoking interactions in lung cancer susceptibility.
Objectives: To identify trans-omics gene-smoking interactions affecting lung cancer risk and to assess how biomarkers modify effect of smoking.
Methods: We conducted the first trans-omics gene-smoking interaction study of lung cancer by integrating consortium-scale individual genotype data (27 737 cases vs 449 910 noncases) from the International Lung Cancer OncoArray Consortium (ILCCO-OncoArray), Transdisciplinary Research Into Cancer of the Lung (TRICL), Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO), and the …
Malaria In Children At 9 Us Hospitals: 2016-2023, Sesh Alexander Sundararaman, Brianne Roper, Amy K F Davis, Karen L Hanze Villavicencio, Jonathan A Mayhew, Michelle L Wang, Nina L Tang, Vijaya L Soma, Ziyi Wang, Margaret E Feeney, Indi Trehan, Jill E Weatherhead, Chandy C John, Jeffrey S Gerber, Audrey R Odom John
Malaria In Children At 9 Us Hospitals: 2016-2023, Sesh Alexander Sundararaman, Brianne Roper, Amy K F Davis, Karen L Hanze Villavicencio, Jonathan A Mayhew, Michelle L Wang, Nina L Tang, Vijaya L Soma, Ziyi Wang, Margaret E Feeney, Indi Trehan, Jill E Weatherhead, Chandy C John, Jeffrey S Gerber, Audrey R Odom John
Faculty, Staff and Students Publications
Objectives: This study set out to describe imported pediatric malaria in the United States over an 8-year period, including patient demographics, clinical outcomes, and risk factors for severe disease.
Methods: A retrospective descriptive study of pediatric patients treated for malaria at 9 hospitals in the United States from 2016 to 2023 was conducted to analyze patient demographics, clinical outcomes, and risk factors for severe malaria.
Results: A total of 171 children were treated across the 9 US hospitals included in this study from 2016 to 2023. Most patients had traveled to West Africa to visit friends and relatives. Fever was …
Identification Of A Persistent Ascaris-Derived Kalirin Epitope Associated With Chronic T Cell Activation In The Lung, Yifan Wu, Leroy Versteeg, Meng-Chih Wu, Jill E Weatherhead
Identification Of A Persistent Ascaris-Derived Kalirin Epitope Associated With Chronic T Cell Activation In The Lung, Yifan Wu, Leroy Versteeg, Meng-Chih Wu, Jill E Weatherhead
Faculty, Staff and Students Publications
Ascariasis remains a dominant global health burden due to its vast prevalence and associated morbidity. The obligatory migration of Ascaris larvae through pulmonary tissue triggers intense type-2 inflammation which typically presents as acute allergic airway disease. Even after the parasite is eliminated, a single episode of larval migration can result in chronic lung damage and dysfunction, which may be driven by the long-term retention of helminth antigens in macrophages. However, the molecular identity of these retained antigens, and the mechanisms by which they sustain chronic T cell responses, remain unknown. In this study, we utilized immunopeptidomics to identify a retained …
Mindful Self-Compassion To Reduce Pain Interference Among Adults With Osteogenesis Imperfecta, Amena Sediqi, Roya Al-Khalili, Saunya Dover, Corien Peeters, Adam Khalif, V Reid Sutton, Frank Rauch, Brendan Lee, Eric A Storch, Marie-Eve Robinson
Mindful Self-Compassion To Reduce Pain Interference Among Adults With Osteogenesis Imperfecta, Amena Sediqi, Roya Al-Khalili, Saunya Dover, Corien Peeters, Adam Khalif, V Reid Sutton, Frank Rauch, Brendan Lee, Eric A Storch, Marie-Eve Robinson
Faculty, Staff and Students Publications
Between 60 and 80% of adults with osteogenesis imperfecta (OI) experience chronic pain and associated interference. Currently available pain therapies often provide marginal efficacy. Mindful self-compassion (MSC) has emerged as a promising intervention for coping with chronic pain. We conducted a single-center 8-week pilot intervention study to assess the feasibility and acceptability of a MSC program among adults with OI and co-occurring chronic pain. Individuals attended the validated MSC course consisting of 8 weekly virtual 2-h sessions. Participants completed a battery of validated questionnaires assessing pain, various aspects of well-being, and physical function at baseline and post-intervention. Participants wore the …
Educational Leadership Styles And School Outcomes: Correlational Evidence From Texas, Djenane Bolton
Educational Leadership Styles And School Outcomes: Correlational Evidence From Texas, Djenane Bolton
Electronic Theses and Dissertations
This quantitative study examined the relationships between principal leadership styles and educational outcomes within Texas’s high-stakes accountability system. Federal reforms such as the No Child Left Behind Act and the Every Student Succeeds Act increased accountability and pressure on public schools, making principals the primary agents of student performance and school effectiveness. In Texas, these ideals were reinforced by standardized assessments, accountability ratings, and teacher and leader evaluation systems, underscoring the need to understand how leadership styles affected this environment. The purpose of this study was to investigate the relationships between instructional, directive, and participative leadership styles and the factors …
Purposefully Black Interactional Systems: Disrupting Punitive School Discipline Models Through Banter, The Funk, And The Black Aesthetic, S. M. Wilson
Black Educology Mixtape "Journal"
This empirical study seeks to understand the narratives of four Black men teachers and two Black women teachers about how they implement school discipline and classroom management in their K–12 contexts. This track draws on interdisciplinary perspectives from education, linguistic anthropology, and African American studies to understand how banter and ritual insults function as alternatives to traditional discipline. Phenomenology and thematic analysis of six semistructured interviews demonstrated Black teachers’ beliefs that outdated and punitive orientations should be challenged. These teachers enacted discipline through talk—particularly banter, ritual insults, and what I call “purposefully Black interactional systems,” which embed discipline within them, …
Remixing The Academy Through Backyard Spaces: The Making Of Black Educology, The Mixtape, Dre Carter, Eghosa Obaizamomwan-Hamilton
Remixing The Academy Through Backyard Spaces: The Making Of Black Educology, The Mixtape, Dre Carter, Eghosa Obaizamomwan-Hamilton
Black Educology Mixtape "Journal"
As Black academics, researchers, and educators, we navigate the twin topographies of the academy and the open territories of possibility. Connecting these realms, we construct “backyard project” spaces—semi-enclosed areas linking academic spaces and liberated spaces. We use our creation of the backyard as a locality wherein we challenge oppressive, antiquated academic systems and anti-Blackness without waiting for reform. For example, our collective project, the Black Educology Mixtape “Journal,” exemplifies this concept. This track discusses the “backyard” as an extension of both third and fugitive spaces and, through material culture and fugitivity as method, highlights the backyard as a site for …
Uplifting Black Pedagogical Rituals Of Purpose Through Portraits Of Toni Morrison’S Humanistic Education, Darion A. Wallace, Natalie Hibdon, Gabriela Lopez
Uplifting Black Pedagogical Rituals Of Purpose Through Portraits Of Toni Morrison’S Humanistic Education, Darion A. Wallace, Natalie Hibdon, Gabriela Lopez
Black Educology Mixtape "Journal"
No abstract provided.
So Great A Cloud Of Witnesses: A Critical Race Counterstory On Teacher Preparation And Repair, La Mont Terry
So Great A Cloud Of Witnesses: A Critical Race Counterstory On Teacher Preparation And Repair, La Mont Terry
Black Educology Mixtape "Journal"
Selective liberal arts colleges (SLACs) are traditionally undergraduate institutions that focus on providing a broad education in the arts, sciences, and humanities rather than the professional training for the workforce typically available at other institutions of higher education. Despite their comprehensive curriculum, many SLACs have a decades-long commitment to teacher preparation as recognition of the connected nature of K–12 schooling and higher education. This track examines the closure of one such teacher preparation program at an urban liberal arts college and its impact on the faculty who taught in it. Using the critical race theory method of counterstorytelling, I position …
We Buried The Curriculum And Called It Holy, Charles E. Becknell Jr., Johnna Rocker-Clinton
We Buried The Curriculum And Called It Holy, Charles E. Becknell Jr., Johnna Rocker-Clinton
Black Educology Mixtape "Journal"
This track develops the concept of apocalyptic pedagogy by situating it within Africana studies and classroom rituals, illustrating how curriculum itself can be examined, buried, and reimagined through practices rooted in Black educology. Drawing on ancestral knowledge and collective memory, the track envisions ritual as curriculum, where libation and remembrance become practices of mourning and reclamation. Rather than centering institutional reform, the track frames education as a ritual circle enacting pedagogy as remembrance, mourning, and rebirth, honoring Black life as sacred.
Kong Koch: An Autoethnography On Jieng Indigenous Wisdom And Ethos Of Leadership, Dau D. Jok
Kong Koch: An Autoethnography On Jieng Indigenous Wisdom And Ethos Of Leadership, Dau D. Jok
Black Educology Mixtape "Journal"
In this track, I argue that Jieng (Dinka) epistemology reshapes leadership by foregrounding restraint (achin te lui ye), emotional regulation (kong koch), and social harmony (wel tuc). These Indigenous approaches challenge dominant trait-based leadership models by exposing their limits in confronting social and contextual diversity. To illustrate these ideas, I draw on personal accounts and member checks with my grandmother (Aboba) to show how Jieng wisdom reframes concepts of leadership, disposition, and practice. Building on this, the track advances Afrocentric leadership literature by defining leadership as communal accountability. Furthermore, it stresses the urgent need for scholars and practitioners to engage …
Harriet Tubman’S Underground Railroad As Ancestral Technology For Black Futures, Julia Lynch
Harriet Tubman’S Underground Railroad As Ancestral Technology For Black Futures, Julia Lynch
Black Educology Mixtape "Journal"
This track draws on BlackMothering to frame Harriet Tubman not only as a conductor of freedom but as an architect of ancestral technology, designing strategies of survival that continue to instruct contemporary struggles. Tubman’s praxis—relational, anticipatory, and collective—illuminates the enduring power of Black knowledge systems to chart pathways through systems of violence and oppression. In conversation with Tiffani Marie and Kenjus Watson’s theorization of Apocalyptic Education and what Django Paris and H. Samy Alim describe as culturally sustaining pedagogy, this track explores how Tubman’s Underground Railroad praxis offers a blueprint for Black sustainability using (a) health and survival, (b) spatial …
After The Bell: Black Sustainability As A Practice Of Remembering, Darius Phelps
After The Bell: Black Sustainability As A Practice Of Remembering, Darius Phelps
Black Educology Mixtape "Journal"
This track is an elegy and a blueprint—a poetic inquiry into what remains after the schoolhouse is buried. It builds alongside my published work on poetic inquiry, joy, and healing as pedagogical praxis. Drawing upon the frameworks of Tiffani Marie and Kenjus Watson’s Apocalyptic Education and the notion of Ruha Benjamin’s ancestral intelligence, this track reimagines sustainability not as environmental rhetoric but as spiritual and communal practice. Through verse, narrative reflection, and pedagogical testimony, I explore how Black educators and communities sustain life amid institutional decay—transforming grief into growth, resistance into restoration. Anchored in ancestral memory and the radical traditions …
Black Boys And The New Media Mixtape: Ownership, Aspiration, And Hustle In A Digital Age, Kareem Edouard, Taquan S. Stewart
Black Boys And The New Media Mixtape: Ownership, Aspiration, And Hustle In A Digital Age, Kareem Edouard, Taquan S. Stewart
Black Educology Mixtape "Journal"
In this track, we explore how “new media” platforms become modern “mixtape” tools for Black boys to remix identity and cultural narratives in the digital age. As Audre Lorde reminded us, “The master’s tools will never dismantle the master’s house.” Still, we aim to interrogate whether these tools can be repurposed for empowerment. This framework unfolds in three parts: examining ownership and the gatekeeping of cultural narratives, exploring how new media platforms shape aspirations and identities for Black boys, and identifying the tools and pathways for Black boys to both see themselves as creators and access content that reflects them. …
Embodied Archives: The Body As Technology Of Black Sustainability, Felicia Rutledge
Embodied Archives: The Body As Technology Of Black Sustainability, Felicia Rutledge
Black Educology Mixtape "Journal"
This track develops the concept of embodied archives as technologies of Black sustainability in apocalyptic times. Building from Diana Taylor’s distinction between the archive and the repertoire, and in conversation with Hortense Spillers, Saidiya Hartman, Christina Sharpe, Sami Schalk, Tiffani Marie and Kenjus Watson, and Ruha Benjamin, I argue that Black bodies function as living repositories of knowledge. Long before schools claimed authority over learning, communities preserved memory in movement, rhythm, oral and signed languages, tactile practices, and everyday rituals of care. Disabled Black bodyminds, through practices such as braille literacy and augmentative and alternative communication, further illustrate how assistive …
Dancing In The Wake | Like Moss Over Modernity, Simple Ant
Dancing In The Wake | Like Moss Over Modernity, Simple Ant
Black Educology Mixtape "Journal"
This offering is a meditation on existing and thriving in the wake of civilization. For centuries, we have educated one another to believe in, and glorify, the insatiable desires of our modern way of life. I begin with the premise that what we call “civilization” is a system predicated on death, violence, and exploitation, because it requires the endless extraction and consumption of the living Earth. Living in this way guts the Earth to feed our ideas of “progress” and “prosperity.” The effect now is that our civilization, our society, our way of life is rotting—bringing with it decay and …
Abdeslem El Idrissi And Abdelkader Jamoussi, Estevanico: Tracing The Footsteps Of A Remarkable African Explorer, Mourad El Khatibi
Abdeslem El Idrissi And Abdelkader Jamoussi, Estevanico: Tracing The Footsteps Of A Remarkable African Explorer, Mourad El Khatibi
SOROUD: The journal of Literacy Criticism
This book review discusses Estevanico: Tracing the Footsteps of a Remarkable African Explorer, edited by Abdeslem El Idrissi and Abdelkader Jamoussi and published in 2024 by Premium Book Publishers. The volume brings together conference proceedings devoted to Mustafa Zemmouri, also known as Estevanico, and revisits his role as an exceptional Moroccan and African explorer. The review summarizes the contributions that approach Estevanico from historical, literary, cultural, and geopolitical perspectives, including his place in the Narvaez expedition, his representation in Cabeza de Vaca's account, and his symbolic importance for Black history and Moroccan cultural memory. It presents the book as a …
The Subaltern And The Decolonisation Of Colonial Discourse: A Study Of Laila Lalami's The Moor's Account, Driss El Housayny
The Subaltern And The Decolonisation Of Colonial Discourse: A Study Of Laila Lalami's The Moor's Account, Driss El Housayny
SOROUD: The journal of Literacy Criticism
This article examines how Laila Lalami's The Moor's Account revisits the story of Moroccan traveler Mustafa Al-Azmouri by following the development of his character and his interaction with the events of the novel. It highlights the novel's attempt to reveal the contradictions of Western colonial discourse by positioning Al-Azmouri as a recorder of Pánfilo de Narváez's expedition, free from the political and social constraints that shaped the official account. The article also studies individual and collective memory and the struggle over narrative authority between the margins and the center.
Editorial (English)Exploring The World: Knowledge And Imagination (English), Chouaib Halifi
Editorial (English)Exploring The World: Knowledge And Imagination (English), Chouaib Halifi
SOROUD: The journal of Literacy Criticism
No abstract provided.
Nineteenth Century Deaf Education In The United States: A Survey Of The Schools, Styles Of Instruction, And The Events That Led To The Dark Ages Of Deaf Education, Christopher Arra
Nineteenth Century Deaf Education In The United States: A Survey Of The Schools, Styles Of Instruction, And The Events That Led To The Dark Ages Of Deaf Education, Christopher Arra
Inquiry: The Journal of the Virginia Community Colleges
The present study reviewed 19th-century deaf education in the United States and investigated controversial curriculum changes that led to the Dark Ages of Deaf Education. Two pedological approaches to deaf education were discussed: oralism and manualism, and a brief review of the 19th-century deaf education schools in the United States was also conducted. Readers are also made aware of the specific events that led to the Dark Ages of Deaf Education, and implications for Instructors are also discussed.
Full Text
Inquiry: The Journal of the Virginia Community Colleges
No abstract provided.
Supporting Nurse Practitioner Autonomy: A Policy Proposal To Advance Hospice Np Scope, Lauren Hochart
Supporting Nurse Practitioner Autonomy: A Policy Proposal To Advance Hospice Np Scope, Lauren Hochart
Doctor of Nursing Practice Final Manuscripts
The Nurse Practitioner (NP) profession has achieved many advancements in its autonomy and scope of practice in the last 61 years since becoming a recognized advanced practice registered nursing role. However, some areas of healthcare still limit the NPs ability to practice autonomously even though it is within their scope of practice. This is notable in the subspecialty of hospice care with regards to certifying a terminal diagnosis as part of eligibility determination for a Medicare beneficiary to be able to receive covered hospice services. This health policy paper reviews current hospice regulations and provides evidence to support the benefits …
Exercise Prescription For Adults With Prediabetes In The Primary Care Clinic, Katherine W. Hall
Exercise Prescription For Adults With Prediabetes In The Primary Care Clinic, Katherine W. Hall
Doctor of Nursing Practice Final Manuscripts
Prediabetes affects approximately one in three adults in the United States, with an estimated 10% progressing to Type 2 Diabetes Mellitus (T2DM) annually. Despite strong evidence supporting exercise as a first-line intervention to prevent disease progression, most patients in primary care settings do not receive structured physical activity counseling. This evidence-based project (EBP) aims to address this gap by implementing a standardized protocol to assess baseline physical activity levels and deliver individualized exercise prescriptions to adults with prediabetes in the primary care clinic.
Eligible participants, defined by HbA1c values between 5.70% and 6.49%, were identified during routine primary care visits …
Enhancing Emergency Department Preparedness For Amniotic Fluid Embolism Through Evidence-Based Simulation Training, Olivia M. Smoak
Enhancing Emergency Department Preparedness For Amniotic Fluid Embolism Through Evidence-Based Simulation Training, Olivia M. Smoak
Doctor of Nursing Practice Final Manuscripts
Maternal mortality in the United States remains a significant and worsening public health concern, with increasing reliance on emergency departments (EDs) as access points for maternal care. Emergency clinicians are therefore more likely to encounter high-acuity obstetric emergencies, including maternal cardiac arrest and amniotic fluid embolism (AFE), yet often receive limited formal training in these conditions. Simulation-based education, interdisciplinary training, and cognitive aids have been identified as effective strategies to improve performance in high-risk, low-frequency events.
The purpose of the evidence-based practice project was to evaluate whether an interdisciplinary simulation with obstetric-led debrief and introduction of the AFE checklist improves …
Innovating Adhd Care: A Doctoral Capstone On A Pilot Adult Adhd Diagnostic Clinic Implementation, Fozia Aman
Innovating Adhd Care: A Doctoral Capstone On A Pilot Adult Adhd Diagnostic Clinic Implementation, Fozia Aman
Doctor of Nursing Practice Final Manuscripts
Objective: To evaluate whether an APRN-led pilot Adult ADHD Diagnostic Clinic within a large academic healthcare system in the San Diego area improves timely access to diagnostic evaluation and optimizes care disposition for adults with suspected ADHD.
Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by inattention and/or hyperactivity-impulsivity that interferes with functioning in daily life. It often emerges in childhood and persists into adulthood, affecting approximately 360 million adults globally. Despite its prevalence and associated functional and psychiatric burden, adult ADHD remains underdiagnosed and undertreated due to limited primary care training, stigma, and reduced access to psychiatric services, resulting in delayed …
Sleep Tight: A Sleep Hygiene Bundle For Adults To Improve Sleep Quality In A Skilled Nursing Facility, Meaghan Corbin
Sleep Tight: A Sleep Hygiene Bundle For Adults To Improve Sleep Quality In A Skilled Nursing Facility, Meaghan Corbin
Doctor of Nursing Practice Final Manuscripts
Abstract
Nearly two thirds of skilled nursing facility (SNF) residents report poor sleep. Negative consequences of poor sleep are depressed mood, anxiety, pain, cognitive impairment, increased risk for dementia, fatigue, decreased concentration, and lower activity participation. A review of literature has shown that implementation of non-pharmacological sleep interventions can significantly improve sleep quality. The aim to screen SNF residents on current self-reported sleep quality and provide non-pharmacological sleep interventions. The evidence-based project utilized the 8 A’s Model. Using the Pittsburg Sleep Quality Index (PSQI), a resident with a score above 0, received the non-pharmacological sleep hygiene bundle: eye mask, earplugs, …
Improving Transition To Adult Care: Assessing Health Insurance Literacy In Adolescent Patients With Congenital Heart Disease, Kaitlyn V. Mudge
Improving Transition To Adult Care: Assessing Health Insurance Literacy In Adolescent Patients With Congenital Heart Disease, Kaitlyn V. Mudge
Doctor of Nursing Practice Final Manuscripts
Background: With advances in surgery and medical management, 95% of children with congenital heart disease (CHD) survive into adulthood. Transition to adult care is an intricate process. Up to 60% of adolescents fail to follow through with cardiology care, facing three times the risk of needing emergency services. Only 25% of young adults with CHD knew of the need to change their care to an adult provider and to acquire health insurance as an adult. One barrier to successful transition is a lack of insurance coverage and limited insurance health literacy. Higher insurance literacy is associated with increased utilization …