Clinical trial NCT06475950: Impact of the "Kid'EM App" Digital Guidance Tool for Setting Rehabilitation Goals by the Rehabilitation Professional for Children with Chronic Conditions Impacting Physical Health (READ'APP'T)
Official title: Impact of the "Kid'EM App" Digital Guidance Tool for Setting Rehabilitation Goals by the Rehabilitation Professional for Children with Chronic Conditions Impacting Physical Health (READ'APP'T)
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Children with Chronic Illnesses Affecting Physical Health
Keywords: Chronic disease
Children
Lead sponsor: University Hospital, Brest
Sponsor class: OTHER
First posted: 2024-06-26
Enrollment: 252
Sex: ALL
Minimum age (years): 1
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: "Kid'EM app" experimental group

Rehabilitation professionals have access to the Kid'EM app tool, which guides them in setting goals.

The app offers functionalities, including the selection of avatars by children, the identification of children's tastes and needs, the definition of SMART objectives, and the setting up of exchange spaces with parents and other professionals.

The application enables the identification of environmental elements that may impact on the child's progress, and provides a note-taking space for the professional.

Kidem app control group

Rehabilitation professionals have access to a control application which has the same design, but does not offer guidance or a space for exchange with parents.

The functionalities of the control application include the creation of the professional's account, selecting the child's pathology, identifying the child's tastes, and entering objectives without guidance.

Professionals use their usual strategy to set goals."
Primary purpose: SUPPORTIVE_CARE

Brief summary: On an individual level, the first expected benefit for the child using the "Kid'EM app" would be an improvement in the quality of his or her rehabilitation goals, which would be more Specific, Measurable, Activity-related, Realistic and Time-defined (SMART). A second expected benefit for the child, thanks to the work carried out in rehabilitation sessions on objectives adapted to his or her needs and day-to-day life, encouraging commitment and motivation, would be to improve the effectiveness of the care offered to him or her, thereby enhancing autonomy and physical health. For parents, taking part in goal-setting, by contributing their knowledge of their child and his or her daily life, would increase their involvement in their child's care and improve their satisfaction with the care offered. By setting SMART functional goals and facilitating communication between therapist, child and family, we expect to see a more child- and family-centred approach to care.

On a collective level, the "Kid'EM app" proposal would, as recommended by the WHO, improve professional rehabilitation practices and facilitate convergence towards good clinical practices for professionals (physiotherapists, occupational therapists, PRMs, etc.), thereby increasing the efficiency of the child rehabilitation care system.

If its value is demonstrated, the Kid'EM app could be adapted for children with other chronic illnesses requiring non-motor rehabilitation follow-up. The digitization of this goal-setting tool means that this low-cost practice could be widely disseminated.


Eligibility criteria: Inclusion Criteria:

* Children with chronic illnesses affecting their physical health (e.g. Cerebral Palsy, Neuromuscular Disease, Brachial Plexus Paralysis, etc.).
* Children receiving rehabilitation care to promote autonomy and physical health.
* Child with at least one rehabilitation session/week with the same professional for a period of 3 months
* Children aged 5 to 17 wishing to participate in the study
* Parental consent for study participation and signature of consent form

Exclusion Criteria:

* Children without chronic illnesses that do not affect their physical health
* Children unable to express their views and priorities
* Children unable to collaborate with the rehabilitation professional when using the Kid'EM app
* Children already familiar with the "Kid'EM app" product
* Children whose parents are minors or unable to give informed consent

Primary outcomes:
measure: Quality of the first two objectives set for each child during the 12-week 'Kid'EM app' or 'app control' period
timeFrame: Up to 3 weeks
measure: Quality of the first two objectives set for each child during the 12-week 'Kid'EM app' or 'app control' period
timeFrame: From week 14 to week 16
Secondary outcomes:
measure: Evaluate the evolution of the child's satisfaction with rehabilitation care
timeFrame: Baseline
measure: Evaluate the evolution of the child's satisfaction with rehabilitation care
timeFrame: Week 14
measure: Evaluation of the improvement in the child's family's satisfaction with rehabilitation care
timeFrame: Baseline
measure: Evaluation of the improvement in the child's family's satisfaction with rehabilitation care
timeFrame: Week 14
measure: Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health
timeFrame: Baseline
measure: Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health
timeFrame: Week 14
measure: Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health
timeFrame: Baseline
measure: Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health
timeFrame: Week 14
measure: Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health
timeFrame: Up to 3 weeks
measure: Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health
timeFrame: Up to 3 weeks
measure: Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health
timeFrame: Week 14
measure: Assessing how to improve the quality of care by promoting child- and family-centered care;
timeFrame: Baseline
measure: Assessing how to improve the quality of care by promoting child- and family-centered care;
timeFrame: Baseline
measure: Assessing how to improve the quality of care by promoting child- and family-centered care;
timeFrame: Baseline
measure: Assessing how to improve the quality of care by promoting child- and family-centered care;
timeFrame: Week 14
measure: Evaluation of parents' empowerment during child rehabilitation follow-up
timeFrame: Baseline
measure: Evaluation of parents' empowerment during child rehabilitation follow-up
timeFrame: Week 14
measure: Evaluation of the acceptability, usability and quality of the "Kid'EM app"
timeFrame: Week 14
measure: Evaluation of the acceptability, usability and quality of the "Kid'EM app"
timeFrame: Week 14
measure: Evaluation of quality improvement in goal setting
timeFrame: From week 14 to week 16
Other outcomes:
Locations:
city: Angers
country: France
facility: Ildys Ty Yann
city: Angers
country: France
facility: Les Capucins Angers
city: Argeles Sur Mer
country: France
facility: IEM Galaxie
city: Aulnay-sous-Bois
country: France
facility: SESSAD 93 - Aulnay
city: Basse-Goulaine
country: France
facility: SESSAD APF Basse Goulaine
city: Concarneau
country: France
facility: SMR Concarneau
city: Dijon
country: France
facility: Dispositif sensoriel et moteur Clos Chauveau - DIJON
city: Gouesnou
country: France
facility: Sessad APF France Handicap du Finistère
city: Grenoble
country: France
facility: CAMSP APF Grenoble
city: Landerneau
country: France
facility: Cabinet de Kinésithérapie - Elodie CREACH
city: Le Raincy
country: France
facility: SESSAD 93-Raincy
city: Lesneven
country: France
facility: Cabinet d'Ergothérapie - Maison des Korrigans
city: Lorient
country: France
facility: SESSAD A Denn Askell - KERPAPE
city: Lyon
country: France
facility: CAMSP Nelson Mandela
city: Lyon
country: France
facility: CAPEDIA
city: Lyon
country: France
facility: CMCR Les Massues
city: Miribel
country: France
facility: CMRP Romans Ferrari - Service Brulologie
city: Miribel
country: France
facility: CMRP Romans Ferrari - Service Neurologie
city: Nantes
country: France
facility: IEM La Marrière
city: Nîmes
country: France
facility: CHU Carémeau
city: Nîmes
country: France
facility: Cabinet Jaures Kiné
city: Nîmes
country: France
facility: Cabinet Sophie CHAPELLIER
city: Nîmes
country: France
facility: IEM La Cigale
city: Nîmes
country: France
facility: SESSAD La Cigale
city: Ploemeur
country: France
facility: IEM Ar Menn
city: Ramonville-Saint-Agne
country: France
facility: Centre Paul DOTTIN
city: Rennes
country: France
facility: SESSAD Henri Matisse
city: Romans-sur-Isère
country: France
facility: SESSAD Romans
city: Roscoff
country: France
facility: SMR pédiatrique ILDYS
city: Saint Etienne
country: France
facility: CHU Saint Etienne - MPR Pédiatrique
city: Saint-Nazaire
country: France
facility: CMPR Côte d'Amour
city: Saint-Saturnin
country: France
facility: Centre de l'Arche
city: Saint-Étienne
country: France
facility: SESSAD Saint Etienne
city: Strasbourg
country: France
facility: UGECAM Strasbourg
city: Vannes
country: France
facility: SMR Vannes - Centre hospitalier bretagne atlantique
city: Voiron
country: France
facility: Sessad Apf Voiron
Study officials:
References: