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Background: To facilitate optimal care for patients with congenital heart disease (CHD), it is important to know which factors contribute to their healthcare use. Clinical and psychological characteristics, such as depressive symptoms, illness perceptions and personality, have been found to predict healthcare use. However, a relatively new concept, illness identity, which assesses the degree to which CHD is integrated into one's identity, has not yet been investigated in relation with healthcare use.Purpose: To examine the predictive value of illness identity on healthcare use in adults with CHD.Methods: In a longitudinal cohort study, 216 adults (mean age=38 years; 50% men) were selected from the database of congenital cardiology in one large-volume university hospital. The self-reported Illness Identity Questionnaire was used to assess the 4 illness identity dimensions: engulfment, rejection, acceptance, and enrichment on baseline. After 1 year, self-reported healthcare use for the CHD or other reasons over the past 6 months was administered: hospitalisations; visits to general practitioners (GP); visits to medical specialists; and emergency department visits. Binary and multinomial logistic regression analyses were conducted, adjusting for age, sex and disease complexity.Results: The more the heart disease dominates one's identity (i.e., engulfment), the more likely this person was to be hospitalised (OR=3.41; 95% CI=1.48–7.87), to have multiple visits at the GP (OR=2.31; 95% CI=1.25–4.25), and to have one (OR=1.98; 95% CI=1.16–3.36) or multiple visits (OR=3.99; 95% CI=2.01–7.92) at the medical specialist, all related to their CHD. They also had multiple visits at the specialist not related to their CHD (OR=1.95; 95% CI=1.07–3.57). Rejection, acceptance and enrichment did not predict healthcare use.Conclusion: When adjusted for age, sex and disease complexity, engulfment predicts healthcare use related to CHD in the upcoming year. Future research should investigate the unique contribution of illness identity in terms of preventing inappropriate healthcare use.status: publishe

P1525Illness identity as predictor of healthcare use in adults with congenital heart disease