Evolution of Family Alliance in Families With a Designated Adolescent Patient (12-18 Years) During a Family Therapy Process

Study Overview
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Brief Summary
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The proposed study focuses on the relational characteristics of the family and their evolution in the course of family therapy, through the evolution of the family alliance (degree of coordination achieved by its members to perform a task) and co-parenting (support that the mother and father give each other in their roles as parents), assuming that the family therapy allows the improvement of these two aspects. The family alliance is evaluated via a standardized observation situation (Lausanne Family Play LFP adapted from the Lausanne Trilogy Play LTP) whose sessions are filmed. The alliance assessment is carried out by the coding and scales of the FASS (Family Alliance Assessment Scales,) tool during viewing.

Official Title
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Evolution of Family Alliance in Families With a Designated Adolescent Patient (12-18 Years) During a Family Therapy Process: Prospective Pilot Study

Conditions
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Family Relations

Intervention / Treatment
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* Other: Lausanne Trilogy Play
* Other: Lausanne Family Play


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Families attended in family therapy by the G02 sector teams and the Bondy family therapy team attached to G14 and I05, with a designated adolescent patient (aged 12-18). Family whose parents or co-parents live under the same roof. Co-parents designate adults to be responsible for the care and education of one or more children (Talbot &Mchale, 2004) Blended families Exclusion Criteria: Single parent family without co-parents (in-laws, grandparents...) living under the same roof Insufficient mastery of French Separated parents (lack of daily life is unsuitable for scales chosen) patient without social security scheme Persons in emergency situations. Persons unable to give their personal consent, of whom adults under guardianship

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Interventional Model Description: The family will be evaluated in two stages via the standardized situations LTP (parents and patient) and LFP (family) as well as self-assessments, before the start of the therapy then after 9 months of therapy, each family being its own control.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Family with young aged people<br>The family will be evaluated in two stages via the standardized situations LTP (parents and patient) and LFP (family) as well as self-assessments | Other: Lausanne Trilogy Play<br>* Trilogical game of Lausanne (Lausanne Trilogue Play in English abbreviated LTP), which allows an evaluation of the family alliance. This systematic observation provides a snapshot of the family structure and its adaptive abilities. It is based on the assumption that the ability to solve small tasks is representative of the ability to solve more important tasks.The LTP consists of modelling the different possibilities of interaction in a triad according to a four-part scenario: 1) one parent plays with the child, the other parent is simply present; 2) the parents switch roles; 3) both parents play together with the child; and 4) both parents have to talk together.<br>* Other names: LTP;Other: Lausanne Family Play<br>* Lausanne Family Play (LFP) is a game situation adapted to families with more than one child. Thus, like the LTP, the LFP takes place in four phases:1) one parent plays with siblings while the other is in a third-observer position; 2) the parents reverse their roles;3) children play while parents are talking and 4) family members play together.<br>* Other names: LFP;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Family Alliance Assessment Sales (FASS) | Scale validated in French evaluating the family alliance when viewing Lausanne Trilogy Play | Between month 1 and month 3 | 
| Family Adaptability and Cohesion Evaluation Scales for adolescents(FACES III) | It consists of 40 items: a questionnaire for adolescents (40 items) . It was designed to make it possible to make a relational diagnosis on the family and to bridge the gap between theory, research and practice in family psychology, based on the three dimensions that make up the circomplexe model. | At baseline | 
| Family Adaptability and Cohesion Evaluation Scales for adolescents (FACES III) | It consists of 40 items: a questionnaire for adolescents (40 items) . It was designed to make it possible to make a relational diagnosis on the family and to bridge the gap between theory, research and practice in family psychology, based on the three dimensions that make up the circomplexe model. | at month 9 | 
| Family Adaptability and Cohesion Evaluation Scales for parents (FACES III) | It consists of 40 items: a questionnaire for parents (40 items). It was designed to make it possible to make a relational diagnosis on the family and to bridge the gap between theory, research and practice in family psychology, based on the three dimensions that make up the circomplexe model. | At Baseline | 
| Family Adaptability and Cohesion Evaluation Scales for parents (FACES III) | It consists of 40 items: a questionnaire for parents (40 items). It was designed to make it possible to make a relational diagnosis on the family and to bridge the gap between theory, research and practice in family psychology, based on the three dimensions that make up the circomplexe model. | at month 9 | 
| The Coparenting Inventory for Parents and Adolescents (CI-PA) | Validated in English, this scale was translated into French by the Favez team and is used by the Lausanne team for their LTP protocol with adolescents. This is a Self Questionnaire of 38 items for the teenager and 25 items for the parents. | At Baseline | 
| The Coparenting Inventory for Parents and Adolescents (CI-PA) | Validated in English, this scale was translated into French by the Favez team and is used by the Lausanne team for their LTP protocol with adolescents. This is a Self Questionnaire of 38 items for the teenager and 25 items for the parents. | At month 9 | 
| Family Attitude Scale, l'échelle d'attitude familiale (FAS-30) | This questionnaire concerns thoughts and emotions that family members may have towards each other and is intended to assess the degree of hostility of the parent towards the patient. Each item is rated according to its frequency, ranging from 4 (daily) to 0 (never). There are 20 negative items (they refer to the parent's criticism of the patient and the burden they feel because of the patient) and 10 positive items (the patient's affection and positive feelings). | At baseline | 
| Family Attitude Scale, l'échelle d'attitude familiale (FAS-30) | This questionnaire concerns thoughts and emotions that family members may have towards each other and is intended to assess the degree of hostility of the parent towards the patient. Each item is rated according to its frequency, ranging from 4 (daily) to 0 (never). There are 20 negative items (they refer to the parent's criticism of the patient and the burden they feel because of the patient) and 10 positive items (the patient's affection and positive feelings). | At month 9 | 
| Child Behavior Check List (CBCL) | The CBCL is the most widely used questionnaire by researchers in the field of children's development and behaviour. The CBCL has been translated and validated in several languages and intercultural studies have shown its relevance and richness. It is validated and translated into French. There is an adaptation for the school age group 6-18 years. | at baseline | 
| Child Behavior Check List (CBCL) | The CBCL is the most widely used questionnaire by researchers in the field of children's development and behaviour. The CBCL has been translated and validated in several languages and intercultural studies have shown its relevance and richness. It is validated and translated into French. There is an adaptation for the school age group 6-18 years. | at month 9 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Security in the inter parental subsystem: le questionnaire de sécurité dans le sous- système parental (SIS). | Validated in English and reproduced and translated into French by Francesco Lopez and Favez Nicolas, this is a self-assessment for the teenager (43 Items) to evaluate the emotional security system. | At baseline | 
| Security in the inter parental subsystem: le questionnaire de sécurité dans le sous- système parental (SIS). | Validated in English and reproduced and translated into French by Francesco Lopez and Favez Nicolas, this is a self-assessment for the teenager (43 Items) to evaluate the emotional security system. | At month 9 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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family alliance-family relionship-co-parenting-Lausanne Trilogy Play LTP