Applying the Self-determination Theory to Health-related Quality of Life for Adolescents with Congenital Heart Disease

•Health-related quality of life varies for adolescents with congenital heart disease•Adolescence is a critical period for establishing health-related behaviors•SDT can help explain maintenance of health-related behaviors and well-being in adolescents with congenital heart disease•Congenital heart disease severity is not associated with health-related quality of life•Increased social support and self-efficacy are associated with better health-related quality of life