As a practitioner dedicated to enhancing the lives of children, it is essential to stay informed about the latest research and its implications for practice. The study "Congenital heart disease in school-aged children: Cognition, education, and participation in leisure activities" provides critical insights that can help you better support children with congenital heart disease (CHD).
Children with CHD are at increased risk for neurodevelopmental deficits, which can impact their cognitive functioning, educational outcomes, and participation in leisure activities. The study examined 134 children with CHD who underwent cardiopulmonary bypass surgery (CPB) and found significant cognitive deficits compared to normative data.
Key Findings
- Total IQ, working memory, and processing speed were significantly lower than norms.
- Teacher-reported metacognition scores were poorer, indicating challenges in executive functions.
- Only 82.4% of children with CHD attended regular school compared to 97% of the general Swiss population.
- 26.4% of children attending regular school required additional educational support.
- 72% of children with CHD participated in at least one sport activity, and 46% were involved in musical activities.
Implications for Practice
These findings underscore the importance of early detection and continuous monitoring of cognitive deficits in children with CHD. As a practitioner, you can implement the following strategies to improve outcomes:
- Regular Assessments: Conduct comprehensive neurodevelopmental assessments to identify cognitive deficits early.
- Educational Support: Advocate for additional educational support, such as individualized education plans (IEPs) and specialized tutoring, to help children succeed academically.
- Leisure Activities: Encourage participation in leisure activities, which can enhance cognitive and social development. Ensure activities are tailored to the child's abilities and interests.
- Parental Involvement: Educate parents about the potential cognitive challenges and the importance of their involvement in their child's education and leisure activities.
Furthermore, it is crucial to collaborate with a multidisciplinary team, including educators, psychologists, and pediatric cardiologists, to provide holistic support to these children.
Encouraging Further Research
While this study provides valuable insights, there is a need for ongoing research to understand the long-term impacts of cognitive deficits in children with CHD. Practitioners are encouraged to stay updated with the latest research and incorporate evidence-based practices into their interventions.
To read the original research paper, please follow this link: Congenital heart disease in school-aged children: Cognition, education, and participation in leisure activities.
