Adolescents with congenital heart defects (CHD) often face limitations in their engagement in leisure activities, which can impact their physical and mental well-being. A recent research study by Majnemer et al. (2020) aimed to provide insights into the factors associated with the intensity of participation in leisure activities among adolescents with CHD. The study also explored the impact of cognitive ability, motor function, and social engagement on leisure participation in this population.
Understanding Factors Associated with Leisure Participation:
The researchers recruited 80 adolescents with CHD, with an equal distribution between males and females. The participants’ ages ranged from 11 years and 5 months to 19 years and 11 months. The study utilized the Children’s Assessment of Participation and Enjoyment (CAPE), which measures five subscales of leisure participation: recreational, active-physical, social, skill-based, and self-improvement.
Key Findings of the Study:
1. Impaired Development: The study revealed that adolescents with CHD experience various developmental impairments, including motor (43.5%), behavioral (23.7%), and cognitive (29.9%) difficulties.
2. Types of Leisure Participation: The most intense participation among adolescents with CHD was observed in social and recreational activities. This suggests that they are more likely to engage in activities that involve socializing and enjoyment.
3. Gender and Age Differences: The study found that males and younger individuals were more likely to engage in physical activities. In contrast, females and older individuals tended to have less involvement in leisure activities.
4. Impact of Cognitive Ability: Better cognitive ability was associated with increased participation in social activities. This indicates that adolescents with CHD who have better cognitive skills are more likely to engage in social interactions during leisure activities.
5. Influence of Motor Function: The research showed that higher motor function was positively correlated with engagement in social activities. Adolescents with CHD who exhibited better motor skills were more likely to participate in social interactions during leisure time.
6. Behavioral Difficulties: The study revealed that fewer behavioral difficulties were associated with increased engagement in social activities. Adolescents with CHD who had fewer behavioral issues were more likely to participate in social interactions during leisure activities.
Implications and
The findings of this study highlight the importance of addressing developmental impairments among adolescents with CHD to promote active participation in leisure activities. By understanding the factors that influence leisure engagement, healthcare professionals can develop targeted interventions to enhance the physical and mental well-being of these individuals.
Health promotion strategies should consider the unique challenges faced by adolescents with CHD, such as decreased physical and social engagement. By implementing interventions that support cognitive development, motor function, and social skills, healthcare providers can help adolescents with CHD overcome barriers to participation in leisure activities.
In conclusion, this research emphasizes the significance of creating inclusive and supportive environments that enable adolescents with CHD to fully engage in leisure activities. By focusing on the factors associated with participation and addressing developmental impairments, healthcare professionals can enhance the overall quality of life for individuals with CHD.
Source: [Participation in leisure activities in adolescents with congenital heart defects – Majnemer et al. (2020)](https://onlinelibrary.wiley.com/doi/abs/10.1111/dmcn.14422)
Disclaimer: While I have a passion for health, I am not a medical doctor and this is not medical advice.
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