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Heart Defect, CongenitalE-Fit HeartNCT07692958

Executive Function Intervention for Children With Complex Congenital Heart Disease

A study testing E-Fit Intervention in people with Heart Defect, Congenital and Executive Dysfunction, run by Bea Latal at 1 site in Switzerland.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Children with complex congenital heart disease (cCHD) nowadays survive thanks to medical advances into their teenage years and adulthood. However, many of them have difficulties with so-called executive functions. Read more about this study

Who is it for?
Ages 9 to 13 yearsHealthy volunteers can take part
What is being tested?
E-Fit Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
160 participants
Where
1 siteSwitzerland
Study dates
1 Sep 2026to Dec 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 9 to 13 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Children with CHD: Born with CHD; Underwent cardiopulmonary bypass surgery before the age of one; Children with a genetic disorder or syndromal disorder will be included, if standardized IQ testing with WISC-V can be conducted, and self-rated questionnaires can be filled in; Aged 9 years 0 months to 13 years 11 months (at time of recruitment); Oral informed consent by potential participants (all ages) and parents, as well as written informed consent of parents; EF deficits showing in screening (BRIEF-score ≥ 60)
  • Healthy Controls: Aged 9 years 0 months to 13 years 11 months (at time of recruitment); Oral informed consent by potential participants (all ages) and parents, as well as written informed consent of parents

Who cannot join

  • Children with CHD: Heart surgery without cardiopulmonary bypass; Children with known large cerebral lesions or injuries, including stroke and severe hypoxic-ischemic encephalopathy with significant neurological sequelae; Insufficient German language skills of the child and parent(s); Attending a separative special educational school (Separative Sonderschulung)
  • Healthy Controls: preterm birth (<36 weeks of gestation); diagnosed with a neurological or substantial developmental disorder (e.g., learning disorder, attention deficit hyperactivity disorder or autism spectrum disorder); Insufficient German language skills of the child and parent(s); Attending a separative special educational school (Separative Sonderschulung)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Prof. Dr. med. Bea Latal contact

+41 44 249 63 95

bea.latal@kispi.uzh.ch

Prof. Dr. Ruth O'Gorman Tuura contact

ruth.tuura@kispi.uzh.ch

Switzerland1 site, 1 recruiting
  • University Children's Hosptial Zurich

    Zurich, Canton of Zurich, 8008

    Prof. Dr. med Bea Latal, +41 44 249 63 95, bea.latal@kispi.uzh.ch

    Prof. Dr. Ruth O'Gorman Tuura, ruth.tuura@kispi.uzh.ch

    Recruiting

Other trials in Switzerland

About this study

Official title: Executive Function Intervention for Children With Complex Congenital Heart Disease: A Randomised Control Study

Children with complex congenital heart disease (cCHD) nowadays survive thanks to medical advances into their teenage years and adulthood. However, many of them have difficulties with so-called executive functions. These include skills such as paying attention, planning, self-control, and flexible thinking, which are very important for school, daily life, and becoming independent. These difficulties are linked to changes in the brain and to a higher level of stress. Previous computer-based training programs on their own have either not been very effective, or the effects were lost soon after.

In this study, the researchers are testing a newly developed, personalized training program called E-Fit. It combines digital cognitive training, individualized online strategy coaching and analog games. The goal is to find out whether this program can improve executive functions in everyday life for 9-to 13-year-old children with complex congenital heart disease.

Read more

The study is planed as a randomized controlled trial at the University Children's Hospital Zurich. Children will be assigned either to the training group or to a control group. In addition, the results will be compared with those of a group of healthy children of the same age. The children will visit the University Children's Hospital Zurich three times throughout the whole duration of the study. The first visit will take place before the children start the intervention, the second visit right after the children finished the intervention and the last visit will be 3 months after finishing the intervention. During all these visits neuropsychological assessments, questionnaires, brains scans (MRI) and stress measurements will be collected.

The results are intended to help develop effective support programs for these children, improve their well-being, and better prepare them for transition into adulthood.

Being tested
E-Fit Intervention
Medical subject headings
Heart Defects, Congenital

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • E-Fit InterventionOther

    The E-Fit Intervention lasts a total of 12 weeks and consists of three parts: strategy coaching, computerized training, and a analog games.

    For the strategy coaching, the children meet once a week with a member of the study team. During these sessions, they discuss challenges from their everyday lives and work together to find solutions and develop helpful strategies.

    In the computerized training, the children train three times per week for 20 minutes each time. The games are designed to improve executive functions including working memory, cognitive flexibility, planning and inhibition.

    In addition, families receive card or board games. They can decide for themselves whether and how often they play these games at home.

    There are also three coaching sessions with parents, addressing the discussed strategies, as well as challenges faced by children with cCHD. Optionally, teachers will receive an eLearning course.

Study groups in NCT07692958
Study groupRoleWhat they receive
Congenital Heart Disease Children Intervention GroupExperimentalThe children in the intervention group will participate in the 12-week long E-Fit intervention to enhance their executive functions.
Receives: Other: E-Fit Intervention
Congenital Heart Disease Children Control GroupNo interventionChildren in this group will fill in daily activity logs during the 12 week period. After data collection they will get access to a delayed E-Fit Intervention.
Healthy Control GroupNo interventionChildren in this group will fill in daily activity logs during the 12 week period.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in executive functions in everyday life from pre-intervention to post-intervention

    The primary outcome measure will be assessed at the pre-intervention and post-intervention visit with the Behavior Rating Inventory for Executive Function (BRIEF)

    Measured: Screening, 3 months

Secondary outcomes (44)
  1. Persisting effects of the E-Fit intervention on executive functions in everyday life, 3 months after the post-intervention visit.

    The outcome measure will be assessed at each timepoint throughout the study with the Behavior Rating Inventory for Executive Function (BRIEF)

    Measured: Screening, 3 months, 6 months

  2. Resting-state functional connectivity

    Functional connectivity measures using resting state fMRI

    Measured: Baseline, 3 months, 6 months

  3. Task-based fMRI activation during executive function tasks

    Brain activity during executive function tasks assessing working memory, inhibition, and cognitive flexibility. Group differences between children with cCHD and healthy controls will be assessed.

    Measured: Baseline

  4. Training-related changes in task-based fMRI activation

    Change in task-related brain activity from baseline (T0) to post-intervention (T1) and follow-up (T2) following the E-Fit intervention.

    Measured: Baseline, 3 months, 6 months

  5. Multi-shell diffusion-tensor imaging

    White matter microstructural integrity, neurite orientation dispersion and density imaging assessed using multi-shell diffusion MRI metrics

    Measured: 3 months

  6. Myelin Mapping with multiparametric MRI

    Quantitative MRI-derived measures of brain myelination and tissue composition using a relaxometry MRI sequence

    Measured: 6 months

  7. Color Word Interference Test (D-KEFS)

    The Color-Word Interference Test from the Delis-Kaplan Executive Function System (D-KEFS) assesses executive functions including processing speed, inhibitory control, and cognitive flexibility. Participants complete color naming, word reading, inhibition, and inhibition/switching tasks. Outcome measures include completion times and errors across conditions.

    Measured: Baseline, 3 months, and 6 months

  8. Alertness (TAP)

    The Alertness subtest of the Test Battery for Attention Performance (TAP) assesses basic attention and alertness. Participants respond as quickly as possible to visual stimuli. Outcome measures include reaction times and reaction time variability.

    Measured: Baseline, 3 months, and 6 months

  9. Go/No-Go (TAP)

    The TAP Go/No-Go subtest assesses inhibitory control and selective attention. Participants respond to target stimuli while withholding responses to predefined non-target stimuli. Outcome measures include reaction times, omission errors, and commission errors.

    Measured: Baseline, 3 months, and 6 months

  10. Tower Test (D-KEFS)

    The D-KEFS Tower Test assesses planning, problem solving, rule learning, and goal-directed behavior. Participants move discs across pegs to reproduce predefined tower configurations while following specific rules. Outcome measures include achievement scores, completion time, and rule violations.

    Measured: Baseline, 3 months, and 6 months

  11. Trail Making Test (D-KEFS)

    The Trail Making Test from the D-KEFS assesses cognitive flexibility, visual scanning, sequencing, and set-shifting abilities. Participants connect numbers and letters according to task-specific rules. Outcome measures include completion time and errors.

    Measured: Baseline, 3 months, and 6 months

  12. Regensburger Word Fluency Test (RWT)

    The Regensburger Word Fluency Test (RWT) assesses verbal fluency and cognitive flexibility. The test includes phonemic fluency, semantic fluency, and category-switching conditions. Participants generate words according to phonemic or semantic criteria and alternate between semantic categories under time constraints. Outcome measures include the number of correct responses and switching performance.

    Measured: Baseline, 3 months, and 6 months

  13. Digit Span Backward (WISC-V)

    The Digit Span Backward subtest of the Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V) assesses verbal working memory. Participants repeat sequences of numbers in reverse order. Outcome measures are based on the number of correctly recalled sequences.

    Measured: Baseline, 3 months, and 6 months

  14. Number-Letter Sequencing (WISC-V)

    The WISC-V Number-Letter Sequencing subtest assesses working memory and mental manipulation of information. Participants reorder mixed sequences of numbers and letters according to predefined rules. Outcome measures are based on the number of correctly recalled sequences.

    Measured: Baseline, 3 months, and 6 months

  15. Balloon Analogue Risk Task (BART)

    The Balloon Analogue Risk Task (BART) assesses risk-taking behavior and decision-making under uncertainty. Participants inflate a virtual balloon to earn points while balancing potential rewards against the risk of losing accumulated points if the balloon explodes. Outcome measures include average adjusted pumps and total points earned.

    Measured: Baseline, 3 months, and 6 months

  16. Design Fluency Test (D-KEFS)

    The Design Fluency Test from the D-KEFS assesses nonverbal fluency, cognitive flexibility, and visual creativity. Participants generate as many unique designs as possible while following specific task rules. Outcome measures include the number of correct designs and errors.

    Measured: Baseline, 3 months, and 6 months

  17. Coding (WISC-V)

    The WISC-V Coding subtest assesses processing speed. Participants rapidly match symbols to numbers according to a predefined key within a limited time period. Outcome measures are based on the number of correctly completed items.

    Measured: Baseline, 3 months, and 6 months

  18. Symbol Search (WISC-V)

    The WISC-V Symbol Search subtest assesses processing speed and visual discrimination. Participants determine whether target symbols are present among a set of search symbols within a limited time period. Outcome measures are based on the number of correct responses.

    Measured: Baseline, 3 months, and 6 months

  19. Digit Span Forward (WISC-V)

    The WISC-V Digit Span Forward subtest assesses auditory attention and immediate verbal recall. Participants repeat sequences of numbers in the same order as presented. Outcome measures are based on the number of correctly recalled sequences.

    Measured: Baseline, 3 months, and 6 months

  20. Pegboard & Beads Task (Zürcher Neuromotorik II)

    The Pegboard \& Beads Task from Zürcher Neuromotorik II assesses fine motor skills. Participants complete tasks requiring precise hand and finger movements. Outcome measures are based on task performance and completion time.

    Measured: Baseline, 3 months, and 6 months

  21. Stress assess by hair cortisol concentrations

    Physiological stress assessed by cortisol concentration measured in 3 cm hair samples

    Measured: Baseline, 6 months

  22. Stress measures using heart rate variability during MRI acquisition

    Stress assessed by heart rate variability derived from pulse oximetry recordings acquired during MRI data collection

    Measured: Baseline, 3 months, 6 months

  23. Behavior Rating Inventory for Executive Function (BRIEF)

    Assesses executive functions in the home environment. This questionnaire assesses 8 dimensions of behaviour: Inhibitory control, shift, emotional control, initiate, working memory (WM), planning, organization of materials and monitor.

    Measured: 3 months, 6 months (follow-up)

  24. Family Relationship Index (FRI)

    The FRI is a self-report measure for parents that provides an overall index of the quality of the family environment, as well as subscores that reflect family cohesion, expressiveness, and conflict.

    Measured: Baseline, 3 months, 6 months

  25. Short Form-12 (SF-12)

    The SF-12 is a self-report measure for parents that assesses quality of life (QoL) and provides two summary scores, with higher scores indicating higher QoL.

    Measured: Baseline, 3 months, 6 months

  26. Kidscreen-27

    Assesses the subjective health and well-being of the child from the perspective of a parent.

    Measured: Baseline, 3 months, 6 months

  27. Kidscreen-10

    Assesses the subjective health and well-being of the child from his/her own perspective.

    Measured: Baseline, 3 months, 6 months

  28. Brief Symptom Inventory (BSI-18)

    A self-report measure for adults to assess mental health.

    Measured: Baseline, 3 months, 6 months

  29. Parenting Stress Index (PSI-4)

    The German version of the Parenting Stress Index (PSI-4). A self-report measure for adults to assess stress.

    Measured: Baseline, 3 months, 6 months

  30. Questionnaire for assessing stress and stress coping abilities of children and adolescents (SSKJ 3-8R)

    A self-report questionnaire that assesses stress and stress coping abilities of children and adolescents. Assessment of subscales stress vulnerability and the stress symptoms and well-being will be done, with higher scores indicating higher stress vulnerability and stress symptoms and well-being.

    Measured: Baseline, 3 months, 6 months

  31. Resilience Scale (RS-13)

    A self-report for adults that measures a global score for resilience, with a higher score indicating higher resilience.

    Measured: Baseline, 3 months, 6 months

  32. Resilience scale for children aged 7-10 years (RS-GS)

    A self-report questionnaire that assesses resilience of children aged 7-10 years. Higher scores indicate higher resilience.

    Measured: Baseline, 3 months, 6 months

  33. Resilience scale for adolescents (RS-J)

    A self-report questionnaire that assesses resilience of adolescents aged 10-18 years. Higher scores indicate higher resilience.

    Measured: Baseline, 3 months, 6 months

  34. Questionnaire assessing personal and social resources of children and adolescents (FRKJ 8-16)

    A self-report questionnaire that assesses personal and social resources of children and adolescents. Subscales assessed being self-efficacy and self-esteem. Higher scores indicate better resources.

    Measured: Baseline, 3 months, 6 months

  35. Conners-3 Parent Short form (Conners 3-P(S))

    A proxy-questionnaire for children, filled in by their parents that assesses their child's behavior.

    Measured: Baseline, 3 months, 6 months

  36. State Trait Anxiety Inventory (STAI)

    A self-report questionnaire for adults to assess anxiety and depression, mainly anxiety.

    Measured: Baseline, 3 months, 6 months

  37. Child Behavior Checklist (CBCL 6-18R)

    A proxy-questionnaire completed by the parents for their child. The anxious/depressed subscale (CBCL-A/D) will be used to assess symptoms of anxiety and depression. Higher scores indicate higher anxiety and depression

    Measured: Baseline, 3 months, 6 months

  38. Youth Self Report (YSR 11-18R)

    A self-report questionnaire completed by the child to assess symptoms of anxiety and depression with the anxious/depressed subscale (YSR-A/D). Higher scores indicate higher anxiety and depression.

    Measured: Baseline, 3 months, 6 months

  39. Patient Health Questionnaire (PHQ-9)

    A self-report questionnaire for adults that assesses depression.

    Measured: Baseline, 3 months, 6 months

  40. Social Responsiveness Scale (SRS)

    A proxy-questionnaire filled in by parents for their child. The SRS assesses social impairment in children.

    Measured: Baseline, 3 months, 6 months

  41. Children's Sleep Habits Questionnaire (CSHQ)

    A proxy-questionnaire completed by the parents for their child. The CSHQ assesses sleep quality with 8 subscales regarding sleep habits, sleep problems and fatigue.

    Measured: Baseline, 3 months, 6 months

  42. Pediatric Daytime Sleepiness Scale (PDSS)

    A self-report questionnaire for children and assesses sleepiness and fatigue. Higher scores indicate more acute daytime sleepiness.

    Measured: Baseline, 3 months, 6 months

  43. International Trauma Questionnaire for children and adolescents (ITQ-CA)

    Available as a self-report questionnaire for children and adolescents and a proxy-report questionnaire for caregivers. Caregivers will be completing the questionnaire for their children. The ITQ-CA assesses trauma and trauma related problems. A higher total score indicates higher trauma related load.

    Measured: Baseline, 3 months, 6 months

  44. Pubertal Development Scale (PDS)

    A self-report questionnaire for children to assess puberty status. Calculation of an overall gender specific pubertal development score will be done.

    Measured: Baseline, 3 months, 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jul 2026
  2. Study start1 Sep 2026
  3. Primary completionDec 2030 (estimated)
  4. Study completionDec 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
160 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07692958
Sponsor's protocol ID
2026-INV-001
Other IDs
10003319
Acronym
E-Fit Heart
Status last verified
Sep 2026
First submitted
11 Jun 2026
Last updated
5 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing E-Fit Intervention in people with Heart Defect, Congenital and Executive Dysfunction, run by Bea Latal at 1 site in Switzerland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 5 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Prof. Dr. med. Bea Latal (+41 44 249 63 95, bea.latal@kispi.uzh.ch), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in executive functions in everyday life from pre-intervention to post-intervention (time frame: Screening, 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Oct 2026.

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