Comparative Impact of Protocolized Management, Intensive Rehabilitation Versus Long-term Classic Rehabilitation of Dyslexic Children.

Study Overview
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Brief Summary
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Dyslexia is characterized by difficulties with accurate and/or fluent word recognition and by poor spelling and decoding abilities. In France, dyslexia is a public health disorder. Dyslexia is a real public health problem in France, affecting 6% of the general population. However, no clinical trial of a standardized rehabilitation has shown an impact on reading fluency. In the era of intensive rehabilitation, a new protocol based on the current data from the medical literature has been designed.

Official Title
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Comparative Impact of Protocolized Management, Intensive Rehabilitation Versus Long-term Classic Rehabilitation of Dyslexic Children.

Conditions
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Dyslexia, Speech Therapy, Children, Only

Intervention / Treatment
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* Other: Speech Therapy INTENS-DYS


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children from 8 to 12 years old, Living in and around 50 kilometers from Besançon. Diagnosis of dyslexia according to the DSM-V or CIM-10 requirements. Consent form signed by the parental authority and the child, Affiliation to a social security system. Exclusion Criteria: Mother's medical history of pregnancy or delivery complications, Patients's medical history of neurological infectious, vascular or tumoral events, Patient's medical history of intellectual deficiency, Patients's medical history of visual or hearing disorders, Patient's medical history of psychiatric disorders (especially diagnosis of Attention Deficit / Hyperactivity Disorders (AD/HD)), legal incapacity, limited cooperation suspected by the investigator.

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intensive arm<br>The children included in this arm will receive two weeks of daily care during which two daily speech therapy sessions of one hour each will be performed. This will be done between M2 and M4 of inclusion in order to avoid potential measurement bias. These sessions will be carried out by a state-qualified speech therapist employed at the CRRF of Bregille. They will guide the intensive rehabilitation of dyslexic children by focusing the exercises on their main difficulties. | Other: Speech Therapy INTENS-DYS<br>* During the six research month, children included in the intensive arm will benefit of two daily hours speech therapy during two weeks. Those one will be carried out between the second and the fourth month.<br>|
| Active Comparator: classic arm or gold standard<br>The speech therapy session will be provided only by private practitioners, with a weekly consultation of 30 minutes. The private speech therapist who initially referred the patient for inclusion in the research protocol will be responsible for his or her classic rehabilitation. The therapy will continue during the 6 months of research. | Other: Speech Therapy INTENS-DYS<br>* During the six research month, children included in the intensive arm will benefit of two daily hours speech therapy during two weeks. Those one will be carried out between the second and the fourth month.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reading fluency to the Alouette test. | Difference in the number of words read correctly in three minutes in the intensive and the conventional arm. | Six month. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Phonological processing tests. | Difference in the number of errors in logatom repetition, which means phonological rules of a language corresponding of meaningless words, in the intensive and the conventional arm. | Six month. | 
| Visual pattern. | Difference in the number of errors to five visual pattern from the BALE and the EVALEO, in the intensive and the conventional arm. | Six month. | 
| Life Quality. | Difference on the AUQUEI self questionnary, in the intensive and the conventional arm. | 6 month. | 
| Rehabilitation adhesion. | Number of speech therapy session performed by patient in each arms. | 6 month | 
| Speech langage rehabilitation cost. | Differential cost/progress relation of intensive and classical rehabilitation. | 6 month. | 
| Family and school evaluation. | Difference to Visual Analog Scale (VAS) regarding the benefit of speech therapy rehabilitation, assessed by the family and the school teachers, in each arms. | 6 month. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dyslexia, Speech Therapy, Children, Intensive rehabilitation