Plain English Summary
Background and study aims
In Northern Ireland lots of babies are born every year with heart problems and following advances in treatment, most of these children are growing up to reach adulthood. Everyone knows that regular exercise and a healthy lifestyle can have benefits but few people get the recommended amount of regular activity each week. We believe that children with heart problems are a group who could benefit from regular exercise. In this study we would like to find out how physical and mental health compares between children with major and minor heart problems. We would like to see if by a motivational program we can encourage them and their families to increase their level of daily activity and make healthier lifestyle choices. We would also like to see if we can show positive benefits on both physical and mental health by increased activity. If this study is successful it will provide a better understanding of how children and their families view their heart problems and provide evidence that regular exercise can have benefits for children with congenital heart disease.
Who can participate?
Patients with congenital heart disease, aged 5-10 years, who attended the participating hospital are invited to take part.
What does the study involve?
Participants will be randomly allocated to one of two groups. One group will be called the intervention group and the other the control group. Both groups will be asked to attend the Department of Paediatric Cardiology at the Royal Belfast Hospital For Sick Children (RBHSC) for assessment. This will involve taking measurements such as height, weight and BMI (body mass index). Participants will be given an exercise bike test. They will be asked to complete a diary of their diet and some questionnaires about how they view their heart condition. These tests will be arranged by the research doctor and a specialist in psychology. They will also be available to answer any questions about the study. Participants will be asked to return to the Department of Paediatric Cardiology at RBHSC to collect an activity monitor to wear as part of the assessment. This is like a pedometer and measures the amount of activity done. They will be asked to wear this for one week. Those participants in the intervention group only will then be asked to attend the Department of Paediatric Cardiology at RBHSC for an education session. During this session they will be given advice about healthy diet and lifestyle. They will also be given some information to take home. At this stage the participants will be seen by the research doctor who will suggest some exercises that would be safe and suitable for them to do. These will have been discussed with their heart specialist. The intervention group will then have 4 months to put the new lifestyle changes and exercise programme into practice. During this time the research doctor will keep in close contact to see how things are going and be available to answer any concerns. The control group will have their usual level of care. Both the intervention and control groups will be asked to return to the Department of Paediatric Cardiology at RBHSC at the end of the study for final assessment. This will be similar to the assessment performed at the start.
What are the possible benefits and risks of participating?
This study aims to promote a healthy lifestyle and increase the general activity levels of the participants. This will be done in a safe way, using an exercise programme designed for the participants condition and with advice from their heart specialist. We expect participants to experience benefits in terms of improved exercise tolerance, mood and self esteem.
Where is the study run from?
Department of Paediatric Cardiology, Royal Belfast Hospital For Sick Children (RBHSC), Belfast, Northern Ireland (UK).
When is the study starting and how long is it expected to run for?
It is hoped the study will commence in February 2014 and run for 2 years.
Who is funding the study?
Funding is to be confirmed.
Who is the main contact?
Dr Sinead Callaghan
Biophysical and psychosocial wellbeing in children with congenital heart disease: a structured programme of assessment and intervention
There are two hypotheses forming the basis of the study. Firstly, is that physical and psychosocial health is reduced in children with major congenital heart disease compared to those with a minor diagnosis and secondly that a structured intervention programme could improve physical and psychosocial well-being.
To be submittied to The Office for Research Ethics Committee of Northern Ireland (ORECNI) by October 2013
Single centre randomised controlled trial
Primary study design
Secondary study design
Randomised controlled trial
Quality of life
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Congenital Heart Disease
1. Participants in the intervention group will attend a motivational style activity day to discuss attitudes to exercise. They will be given a structured exercise plan to practise at home over a four month period.
2. The control group received their usual level of care from the tertiary centre.
Primary outcome measures
Increase in physical activity from that measured at baseline using exercise bike testing and during free-living activity using accelerometer technology.
Secondary outcome measures
Improvements in self-esteem, self-efficacy and general mental health functioning as a consequence of increased activity. These were assessed using standardised questionnaires.
Overall trial start date
Overall trial end date
Participant inclusion criteria
The potential participant group included all children aged 5-10 years with a primary diagnosis of congenital heart disease currently attending the Department of Paediatric Cardiology in Belfast for follow-up.
Target number of participants
Participant exclusion criteria
1. Patients with a syndromic diagnosis (such as Down's)
2. Major learning difficulty or other serious co-morbidity that would render it difficult for them to follow the instructions required for participation were excluded from the project
3. Individuals with diagnoses for whom participation in exercise would be considered dangerous, e.g. hypertrophic obstructive cardiomyopathy
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Department of Paediatric Cardiology
To be confirmed
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
29/03/2018: Baseline results presented at Irish Cardiac Society Annual Scientific Meeting & AGM 2016 (http://heart.bmj.com/content/102/Suppl_9/A29.2 )
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting