Brain training for tiny hearts: can a Game-Like program sharpen young minds after heart surgery?
NCT ID NCT06267430
First seen Jul 23, 2026 · Last updated Jul 24, 2026 · Updated 1 time
Summary
This trial tests whether a personalized training program called 'Kleuter Extra' can improve executive functioning—skills like attention, self-control, and planning—in preschoolers aged 4 to 6 who have severe congenital heart disease. Many children with this condition face thinking and attention challenges that can affect their development. The study compares the training to usual care and also looks at how the parent-child relationship may influence progress.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a personalized behavioral training program called 'Kleuter Extra'
- What this could lead to
- If effective, this program could improve attention, self-control, and problem-solving skills in young children with severe heart disease, boosting their developmental outcomes.
- What could go wrong
- This is a relatively small, early-stage trial. The training may not work for all children, and benefits might not last long-term. Parent-child dynamics could also influence results.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 108 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2024
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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4 to 7 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
In order to be eligible to participate in this study, a child must meet all of the following criteria: * Aged 4.0 - 6.0 years upon inclusion OR aged 6.0-7.0 years who are still in kindergarten (group 1 \& 2 of the Dutch school system) * Required CHD surgery in the first six months of life (with or without ECMO) or a cyanotic CHD that required surgery in the first 12 months of life * IQ estimated \> 55 (no moderate to severe intellectual disability) * Diminished EF based on a below average score on any of the subtests of the 'KleuterExtra' test battery (≤ 21 percentile) at t = 0 * Sufficient comprehension of the Dutch language by the child to be able to participate in the EF test battery and the EF training program. In order to be eligible to participate in this study, the parent(s) must meet the following criteria: * Sufficient comprehension of the Dutch language to understand the study information and to be able to fill out the Dutch questionnaires. Exclusion Criteria: * Children receiving targeted EF support at school upon inclusion. * Children with severe brain damage (estimated IQ \< 55) * Genetic syndromes known to directly affect cognitive performance (e.g. Down syndrome) * Children with severe psychiatric disorders upon inclusion that require treatment first, such as a posttraumatic stress disorder, separation anxiety disorder, or reactive attachment disorder.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Erasmus Medical Center Sophia Children's Hospital
Rotterdam, Rotterdam, 3015CN, Netherlands
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University Medical Center - Beatrix children's hospital Groningen
Groningen, Provincie Groningen, 9713GZ, Netherlands
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University Medical Center - Wilhelmina children's hospital Utrecht
Utrecht, Utrecht, 3584EA, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A new roadmap to transplant: could standardizing care save more congenital heart patients?
- Virtual counseling may help mothers facing a fetal heart defect
- A tiny plug in the lung arteries may offer a gentler path for children with heart defects
- Can a blood filter tame the inflammatory storm after pediatric heart surgery?
- Heart surgery in childhood: a hidden impact on speech and memory?