Survival rates of children with severe congenital heart disease (CHD) have increased with ongoing medical progress over the past decades. However, many children with CHD face academic challenges during adolescence, which are associated with executive dysfunction. Executive functions (EF), higher-order cognitive processes allowing goal-directed behavior, can be particularly affected in children with CHD. To improve EF in affected children, a specific EF intervention has been developed. The intervention lasts a total of 8 weeks and is structured in 3 modules. The first module consists of a weekly strategy training in which problems resulting from executive dysfunction are addressed. Online games form the second module. These are games implemented online to promote EF through play. The third module is also based on games: The families receive several board games to play together at home. This third module is voluntary. This intervention is tested on its feasibility. As the intervention was built in a patient centered manner, we expect it to be feasible, showing in a high adherence rate and satisfaction.
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Fun and cognitive demand
Timeframe: 5 minutes
Children's Feeling Scale
Timeframe: 5 minutes
Acceptance and Feasibility scale
Timeframe: 5 minutes
Completion rate (Objective Feasibility):
Timeframe: 5 minutes
Observed engagement
Timeframe: 2 minutes
Session data
Timeframe: 5 minutes
Recruitment rate
Timeframe: 5 minutes
E-Fit Fidelity Measurement System tool
Timeframe: 8 hours
Feedback in coaching sessions
Timeframe: 5 minutes
Observed involvement
Timeframe: 5 minutes
Session rating scale
Timeframe: 2 minutes
Retention rate
Timeframe: 2 minutes
Occurrence of adverse events (AEs)
Timeframe: From Start of the study until the end of the study, assessed up to 25 months
Behavior Rating Inventory of Executive Function (BRIEF)
Timeframe: 15 minutes
Color word Interference Task (D-KEFS)
Timeframe: 5 minutes
Go/NoGo Test battery for attention testing (TAP)
Timeframe: 5 minutes
Trail-Making-Test (D-KEFS)
Timeframe: 5 minutes
Number-Letter-sequencing (WISC-V)
Timeframe: 10 minutes
Tower Task from the (D-KEFS)
Timeframe: 15 minutes
Balloon Analogue Risk Task (BART)
Timeframe: 10 minutes