Parental knowledge regarding lifelong congenital cardiac care

Pediatrics. 2011 Dec;128(6):e1489-95. doi: 10.1542/peds.2010-3068. Epub 2011 Nov 28.

Abstract

Objective: To assess parental knowledge regarding lifelong congenital cardiac care (LLCCC).

Background: National guidelines recommend that nearly 50% of adult survivors with congenital heart disease (CHD) receive LLCCC; the number of adults who receive such care seems far less. Inadequate parental knowledge of LLCCC might contribute to care interruption.

Methods: In this multicenter study, we administered a questionnaire to parents of children with moderate and complex CHD to assess knowledge of LLCCC.

Results: A total of 500 parents participated; the median age of their children was 10 years (range: 2-18 years). Most parents (81%) understood that their child would need LLCCC, but only 44% recognized that their child's cardiology care should be guided by an adult congenital heart specialist in adulthood. More than half (59%) of the parents stated that their current cardiology team had never spoken to them about LLCCC, but 96% wished to learn more. Variables associated with parental LLCCC knowledge included previous discussions regarding LLCCC, underlying cardiac surgical diagnosis, and level of parental education.

Conclusions: A substantial number of parents of children with moderate and complex CHD lack knowledge about LLCCC, but almost all of them have a desire to learn more about the care their child will need as an adult.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Health Knowledge, Attitudes, Practice*
  • Heart Defects, Congenital / therapy*
  • Humans
  • Long-Term Care*
  • Parents / education*
  • Surveys and Questionnaires