Validation of a Method of Screening for Sleep Disorders in Children With Cerebral Palsy, Using Connected Tools
- Conditions
- Sleep Disorders
- Interventions
- Procedure: Connected tools
- Registration Number
- NCT03915418
- Lead Sponsor
- University Hospital, Brest
- Brief Summary
Cerebral palsy (CP) is the most common cause of child disability. Nearly 40% of PC children suffer from sleep disorders, which are not routinely screened. The neuro-cognitive, physical and environmental morbidity of sleep disorders should require their diagnosis and management. Limited access to the reference exam (polysomnography or PSG) delays the diagnosis and only allows screening of these disorders for a limited number of PC children. The hypothesis of our study is that connected technologies could optimize screening for sleep disorders in PC children by selecting children requiring PSG exploration and specific management.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 140
- Boy or girl between 6 and 15 years old
- Confirmed diagnosis of cerebral palsy
- GMFCS class> 3
- Parents and child agreement
- Pharmacological treatment of sleep disorders
- Diurnal and / or nocturnal ventilatory support
- Difficulty understanding and / or participation
- Subjects under 6 and over 15
- Refusal to participate
- Not affiliated with and not a beneficiary of a health insurance plan
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Connected tools Connected tools 1 night at home with connected tools only and 1 night at hospital with connected tools and PSG.
- Primary Outcome Measures
Name Time Method Specificity of the diagnosis of sleep disorder 15 days Specificity of sleep disorder diagnosis (positive / negative) obtained using connected tools in reference to that obtained by PSG
Sensitivity of the diagnosis of sleep disorder 15 days Sensitivity of sleep disorder diagnosis (positive / negative) obtained using connected tools in reference to that obtained by PSG
- Secondary Outcome Measures
Name Time Method A cost analysis of the sensor screening strategy will be compared to the PSG and the quality of life 25 months A cost analysis of the sensor screening strategy will be compared to the PSG and the quality of life, measured as quality-adjusted life year QALY, will be simulated for one-year health conditions.
Acceptability assessed by acceptability score for parents, and if possible children 15 days Acceptability assessed by the acceptability score for parents, and if possible children, obtained by the SUS "System Usability Scale" scale. This questionnaire consists of ten questions to collect the subjective point of view of the user on the systems used
Sleep Quality Questionnaire 15 days Sleep quality questionnaire used as a screening tool for sleep disorders: use of the Sleep Disturbance Scale for Children. Sleep Disturbance Scale for Children (SDSC) is a screening tool for sleep disorders in children and adolescents with good psychometric properties. It is one of the most used sleep questionnaires in the clinic but also in clinical research. Since its creation, the SDSC has been translated into several languages and recently validated in French. The ranking is obtained from a 26-item questionnaire completed by the parents. This scale distinguishes 6 major groups of sleep disorders: disorders of the installation or maintenance of sleep, breathing disorders, waking disorders, sleep-wake transition disorders, excessive daytime sleepiness and hypersudation of sleep.
Data quality outcome measures 25 months Data quality will be assessed by establishing for each sensor the ratio (expressed in percent value) between the duration of the data effectively recorded to the total duration the patient weared the sensors. Pauses in recording during recording sessions will be identified in absolute value and duration for each sensor. Specific issues in recording will be reported, especially regarding the contents of RAW files.
Diagnosis 15 days Sensitivity and specificity of sleep disorder diagnosis using tools connected during 1 night at home (in comparaison with sleep disorder diagnosis using PSG)
Trial Locations
- Locations (6)
ESEAN Nantes
🇫🇷Nantes, France
CHRU Brest
🇫🇷Brest, France
AP-HP Hôpital Trousseau
🇫🇷Paris, France
Kerpape
🇫🇷Ploemeur, France
CHU Angers
🇫🇷Angers, France
Fondation Ildys Ty-Yann
🇫🇷Brest, France