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Validation of the French Version of the Drooling Impact Scale in a Pediatric Cerebral Palsy Population

Completed
Conditions
Cerebral Palsy
Drooling
Registration Number
NCT03986333
Lead Sponsor
Centre Médico-Chirurgical de Réadaptation des Massues Croix Rouge Française
Brief Summary

The aim of this study is to present the French translation of the Drooling Impact Scale (DIS-F) and to explore its validity, reliability and responsiveness to change in a group of children with Cerebral Palsy (CP)

Detailed Description

Drooling in children with CP is likely underestimated and under treated. It is an over-handicap for these children, because it causes many complications and may lead to a decline in self-esteem and to social isolation, altering the quality of life for patients and families. The therapeutic arsenal for the management of drooling includes rehabilitation techniques, oral drug treatments, local treatments or surgical treatments whose effectiveness is variable. In order to evaluate the efficacy of these therapies, standardized and valid assessment tools must be used. The Drooling Impact Scale (DIS) developed by Dr. Sue Reid's team in Melbourne in 2008, shows good validity and sensitivity to change, especially after botulinum toxin injection. It is commonly used in English-speaking studies, but no validation in French is available yet.

The aim of this study is to present the French translation of the Drooling Impact Scale (DIS-F) and to explore its validity, reliability and responsiveness to change in a group of children with CP.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
55
Inclusion Criteria
  • Cerebral palsy
  • Hypersialorrhea
  • No change in content and frequency of speech therapy for three months following baseline
  • At least 1 out of 2 parents must have a clear understanding of french language
  • Oral consent
Exclusion Criteria
  • No clear understanding of french language

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in Drooling Impact ScaleControl group : baseline and 1 month later. Intervention group : baseline and 1 month after treatment

The severity of drooling is assessed from the parents perception, by the Drooling Impact Scale. This scale consists of a set of ten items exploring the impact of drooling on daily life activities and relationships, each measured on a scale of 1 to 10 (1 representing the lowest impact of drooling, 10 the highest).

Secondary Outcome Measures
NameTimeMethod
Internal consistencyAll groups : at inclusion

Internal consistency was assessed by calculating the Cronbach's alpha coefficient from scores obtained at inclusion. A correlation coefficient of at least 0.7 was defined as indicative of adequate inter-relatedness of items. The Pearson correlation matrix was used to define the linear relationships between items.

Test-retest reliabilityControl group : baseline and 1 month later

The Lin concordance correlation coefficient was used to compute the level of agreement between the two assessments. In addition, the Bland-Altman limits-of-agreement method for assessing test-retest reliability was used as a complementary approach.

Responsiveness to changeIntervention group : baseline and 1 month after treatment.

An estimate of the responsiveness or sensitivity to change of the measure was obtained using four statistical methods : effect size, standardized response mean,Guyatt responsiveness statistics, unpaired t-test (Wilcoxon test).

Trial Locations

Locations (6)

Centre d'Education Motrice Henry Gormand

🇫🇷

Ecully, France

Centre Hospitalier Universitaire Hôpital Nord

🇫🇷

La Tronche, France

Centre d'Education Motrice Jean-Marie Arnion - Odynéo

🇫🇷

Dommartin, France

Croix rouge française Centre Médico-Chirurgical de Réadaptation des Massues

🇫🇷

Lyon, France

Centre Hospitalier Universitaire de Nîmes

🇫🇷

Nîmes, France

AP-HM Hôpital de la Timone

🇫🇷

Marseille, France

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