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)
NCT Number: NCT06475950
Acronym: READ'APP'T
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Children With Chronic Illnesses Affecting Physical Health
Interventions: OTHER: Kid'EM app" experimental group|OTHER: Kid'EM app control group
Sponsor: University Hospital, Brest
Sex: ALL
Age: CHILD, ADULT
Enrollment: 252
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: SUPPORTIVE_CARE
Start Date: 2024-10-01
Completion Date: 2027-01-01
Locations: Ildys Ty Yann, Angers, 49100, France|Les Capucins Angers, Angers, 49100, France|IEM Galaxie, Argeles Sur Mer, 66700, France|SESSAD 93 - Aulnay, Aulnay-sous-Bois, 93600, France|SESSAD APF Basse Goulaine, Basse-Goulaine, 44115, France|SMR Concarneau, Concarneau, 29900, France|Dispositif sensoriel et moteur Clos Chauveau - DIJON, Dijon, 21000, France|Sessad APF France Handicap du Finistère, Gouesnou, 29850, France|CAMSP APF Grenoble, Grenoble, 38000, France|Cabinet de Kinésithérapie - Elodie CREACH, Landerneau, 29800, France|SESSAD 93-Raincy, Le Raincy, 93340, France|Cabinet d'Ergothérapie - Maison des Korrigans, Lesneven, 29260, France|SESSAD A Denn Askell - KERPAPE, Lorient, 56100, France|CAMSP Nelson Mandela, Lyon, 65009, France|CAPEDIA, Lyon, 69007, France|CMCR Les Massues, Lyon, 69322, France|CMRP Romans Ferrari - Service Brulologie, Miribel, 01700, France|CMRP Romans Ferrari - Service Neurologie, Miribel, 01700, France|IEM La Marrière, Nantes, 44300, France|CHU Carémeau, Nîmes, 30029, France|Cabinet Jaures Kiné, Nîmes, 30900, France|Cabinet Sophie CHAPELLIER, Nîmes, 30900, France|IEM La Cigale, Nîmes, 30900, France|SESSAD La Cigale, Nîmes, 30900, France|IEM Ar Menn, Ploemeur, 56270, France|Centre Paul DOTTIN, Ramonville-Saint-Agne, 31520, France|SESSAD Henri Matisse, Rennes, 35200, France|SESSAD Romans, Romans-sur-Isère, 26100, France|SMR pédiatrique ILDYS, Roscoff, 29680, France|CHU Saint Etienne - MPR Pédiatrique, Saint Etienne, 42100, France|CMPR Côte d'Amour, Saint-Nazaire, 44616, France|Centre de l'Arche, Saint-Saturnin, 72650, France|SESSAD Saint Etienne, Saint-Étienne, 42000, France|UGECAM Strasbourg, Strasbourg, 67000, France|SMR Vannes - Centre hospitalier bretagne atlantique, Vannes, 56500, France|Sessad Apf Voiron, Voiron, 38500, France

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.

Primary Outcome Measures: Quality of the first two objectives set for each child during the 12-week 'Kid'EM app' or 'app control' period, Quality, adequate or not (binary criterion, measured with the SMART goal evaluation method: SMART GEM), of the first two goals set for each child during the 12-week period of use of the "Kid'EM app" or "control app"., Up to 3 weeks|Quality of the first two objectives set for each child during the 12-week 'Kid'EM app' or 'app control' period, Quality, adequate or not (binary criterion, measured with the SMART goal evaluation method: SMART GEM), of the first two goals set for each child during the 12-week period of use of the "Kid'EM app" or "control app"., From week 14 to week 16
Secondary Outcome Measures: Evaluate the evolution of the child's satisfaction with rehabilitation care, - Evaluation of changes in satisfaction with the care offered to the child using an EVA scale completed by the children at V1., Baseline|Evaluate the evolution of the child's satisfaction with rehabilitation care, - Evaluation of changes in satisfaction with the care offered to the child using an EVA scale completed by the children at V4, Week 14|Evaluation of the improvement in the child's family's satisfaction with rehabilitation care, Assessment of changes in satisfaction with the care offered to the child and his/her family using the CSQ8 scale completed by parents at V1., Baseline|Evaluation of the improvement in the child's family's satisfaction with rehabilitation care, Assessment of changes in satisfaction with the care offered to the child and his/her family using the CSQ8 scale completed by parents at V1., Week 14|Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health, - Evaluation of the evolution of the PEDI-CAT scale, Baseline|Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health, - Evaluation of the evolution of the PEDI-CAT scale, Week 14|Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health, - Evaluation of Disability Inventory-Computer Adaptative Test) completed by parents at V1., Baseline|Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health, - Evaluation of Disability Inventory-Computer Adaptative Test) completed by parents at V1., Week 14|Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health, - Evaluation of the evolution of performance and satisfaction levels in achieving the first two rehabilitation goals determined by the rehabilitation professional, by parents at V2 (1st goal), using the CORM (Canadian Measure of Occupational Performance) evaluation methodology., Up to 3 weeks|Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health, - Evaluation of the evolution of performance and satisfaction levels in achieving the first two rehabilitation goals determined by the rehabilitation professional, by parents at V3 (2d goal), using the CORM (Canadian Measure of Occupational Performance) evaluation methodology., Up to 3 weeks|Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health, - Evaluation of the evolution of performance and satisfaction levels in achieving the first two rehabilitation goals determined by the rehabilitation professional, by parents at V4 (both 1st goals), using the CORM (Canadian Measure of Occupational Performance) evaluation methodology., Week 14|Assessing how to improve the quality of care by promoting child- and family-centered care;, - Evaluation of the evolution of the MPOC (Measure of Processes Of Care) questionnaire completed by parents at V1., Baseline|Assessing how to improve the quality of care by promoting child- and family-centered care;, - Evaluation of the evolution of the MPOC (Measure of Processes Of Care) questionnaire completed by parents at V4., Baseline|Assessing how to improve the quality of care by promoting child- and family-centered care;, - Evaluation of the evolution of the MPOC SP (Measure of Processes Of Care Service Providers) questionnaire completed by rehabilitation professionals at V1, Baseline|Assessing how to improve the quality of care by promoting child- and family-centered care;, - Evaluation of the evolution of the MPOC SP (Measure of Processes Of Care Service Providers) questionnaire completed by rehabilitation professionals at V4, Week 14|Evaluation of parents' empowerment during child rehabilitation follow-up, - Assessment of changes in the Psychological Empowerment Scale (PES) completed by parents at V1, Baseline|Evaluation of parents' empowerment during child rehabilitation follow-up, - Assessment of changes in the Psychological Empowerment Scale (PES) completed by parents at V4, Week 14|Evaluation of the acceptability, usability and quality of the "Kid'EM app", - Usability of the "Kid'EM app" application with the System Usability Scale (SUS) questionnaire by parents at V4 in the "Kid'EM app" group., Week 14|Evaluation of the acceptability, usability and quality of the "Kid'EM app", - Quality of the "Kid'EM app" with the Mobile Application Rating Scale (MARS) by parents at V4 in the "Kid'EM app" group., Week 14|Evaluation of quality improvement in goal setting, - Evaluation of the average SMART GEM score for the first two objectives established for each child during the 12-week period of use of the "Kid'EM app" or "control app"., From week 14 to week 16