Implications of a Paediatrician-psychologist Tandem for Sickle Cell Disease Care and Impact on Cognitive Functioning

Study Overview
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Brief Summary
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Sickle cell disease (SCD) necessitates a paediatric treatment plan that considers the influence of psychological, family and intercultural factors. At the Louis-Mourier Hospital (APHP) in Colombes, France, a paediatric-psychological partnership where a clinical psychologist accompanies the paediatrician at programmed consultations was introduced. The psychological repercussions of SCD were assessed among children and their parents treated in Colombes and in two other paediatric units without a paediatric-psychological partnership.

Official Title
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Implications of a Paediatrician-psychologist Tandem for Sickle Cell Disease Care and Impact on Cognitive Functioning

Conditions
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Sickle Cell Disease

Intervention / Treatment
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* Other: Assessment of psychological repercussions of SCD


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children under 18 years old Major form of SCD (SS, SC, Sβ° thal, Sβ+ thal) diagnosed by electrophoresis Exclusion Criteria: Child or parent residing in France less than 6 months Having received SCD treatment in more than one centre

Ages Eligible for Study
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Maximum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients in centre 1: Louis-Mourier Hospital<br>All SCD follow-up consultations were conducted jointly by a paediatrician and a clinical psychologist. | Other: Assessment of psychological repercussions of SCD<br>* Quantitative relevant data culled from medical files and qualitative analysis based on data gathered from child and parent interviews, were collected in the three hospitals.<br>|
| Patients in centre 2: Evry hospital<br>All SCD follow-up consultations were conducted by a paediatrician alone. The unit had close links with the local psycho-medical paediatric care centre when specialized referrals were necessary. | Other: Assessment of psychological repercussions of SCD<br>* Quantitative relevant data culled from medical files and qualitative analysis based on data gathered from child and parent interviews, were collected in the three hospitals.<br>|
| Patients in centre 3: Clamart hospital<br>All SCD follow-up consultations were conducted by a paediatrician alone. | Other: Assessment of psychological repercussions of SCD<br>* Quantitative relevant data culled from medical files and qualitative analysis based on data gathered from child and parent interviews, were collected in the three hospitals.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rey-Osterrieth complex figure test scores (ROCF recall scores) | The Rey-Osterrieth complex figure test (ROCF) is a neuropsychological assessment in which patients are asked to reproduce a complicated line drawing, first by copying it freehand (recognition), and then drawing from memory (recall). Scoring of drawings is based on the widely used 36-point scoring system (0 being the worst score and 36 the best). | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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paediatric-psychological partnership, child, mental health, integrated care, well-being