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)
- Conditions
- Children with Chronic Illnesses Affecting Physical Health
- Interventions
- Other: Kid'EM app" experimental groupOther: Kid'EM app control group
- Registration Number
- NCT06475950
- Lead Sponsor
- University Hospital, Brest
- 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 252
- 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
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Kid'EM app" experimental group Kid'EM app" experimental group This group uses the Kid'EM app, which guides rehabilitation professionals in setting goals for each child. The app offers a variety of features, including the creation of patient accounts and records, identification of the child's likes and needs, definition of SMART goals, and spaces for exchanges with parents and other professionals. Parents also have access to the application. Kidem app control group Kid'EM app control group This group uses a control app that offers no guidance or space for exchange with parents. Professionals use their usual strategy to set goals. The functionalities of the control app are more limited, focusing on creating the professional's account, filling in the first letter of the child's first and last name, selecting the child's pathology, identifying the child's tastes, and filling in the objectives without guidance.
- Primary Outcome Measures
Name Time Method Quality of the first two objectives set for each child during the 12-week 'Kid'EM app' or 'app control' period From week 14 to week 16 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".
- Secondary Outcome Measures
Name Time Method Evaluate the evolution of the child's satisfaction with rehabilitation care Week 14 - Evaluation of changes in satisfaction with the care offered to the child using an EVA scale completed by the children at V4
Evaluation of the improvement in the effectiveness of care offered to children with chronic illnesses impacting physical health Week 14 - 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.
Assessing how to improve the quality of care by promoting child- and family-centered care; Week 14 - Evaluation of the evolution of the MPOC SP (Measure of Processes Of Care Service Providers) questionnaire completed by rehabilitation professionals at V4
Evaluation of parents' empowerment during child rehabilitation follow-up Week 14 - Assessment of changes in the Psychological Empowerment Scale (PES) completed by parents at V4
Evaluation of the improvement in the child's family's satisfaction with rehabilitation care Week 14 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.
Evaluation of the acceptability, usability and quality of the "Kid'EM app" Week 14 - Quality of the "Kid'EM app" with the Mobile Application Rating Scale (MARS) by parents at V4 in the "Kid'EM app" group.
Evaluation of quality improvement in goal setting From week 14 to week 16 - 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".
Trial Locations
- Locations (36)
Cabinet Sophie CHAPELLIER
🇫🇷Nîmes, France
SESSAD La Cigale
🇫🇷Nîmes, France
SMR pédiatrique ILDYS
🇫🇷Roscoff, France
SESSAD 93 - Aulnay
🇫🇷Aulnay-sous-Bois, France
IEM Galaxie
🇫🇷Argeles Sur Mer, France
Ildys Ty Yann
🇫🇷Angers, France
Les Capucins Angers
🇫🇷Angers, France
SESSAD APF Basse Goulaine
🇫🇷Basse-Goulaine, France
Dispositif sensoriel et moteur Clos Chauveau - DIJON
🇫🇷Dijon, France
SMR Concarneau
🇫🇷Concarneau, France
CAMSP Nelson Mandela
🇫🇷Lyon, France
Sessad APF France Handicap du Finistère
🇫🇷Gouesnou, France
CAMSP APF Grenoble
🇫🇷Grenoble, France
Cabinet de Kinésithérapie - Elodie CREACH
🇫🇷Landerneau, France
SESSAD 93-Raincy
🇫🇷Le Raincy, France
Cabinet d'Ergothérapie - Maison des Korrigans
🇫🇷Lesneven, France
SESSAD A Denn Askell - KERPAPE
🇫🇷Lorient, France
CAPEDIA
🇫🇷Lyon, France
CMCR Les Massues
🇫🇷Lyon, France
CMRP Romans Ferrari - Service Brulologie
🇫🇷Miribel, France
IEM La Marrière
🇫🇷Nantes, France
CMRP Romans Ferrari - Service Neurologie
🇫🇷Miribel, France
CHU Carémeau
🇫🇷Nîmes, France
Cabinet Jaures Kiné
🇫🇷Nîmes, France
IEM La Cigale
🇫🇷Nîmes, France
IEM Ar Menn
🇫🇷Ploemeur, France
SESSAD Henri Matisse
🇫🇷Rennes, France
Centre Paul DOTTIN
🇫🇷Ramonville-Saint-Agne, France
SESSAD Romans
🇫🇷Romans-sur-Isère, France
CMPR Côte d'Amour
🇫🇷Saint-Nazaire, France
CHU Saint Etienne - MPR Pédiatrique
🇫🇷Saint Etienne, France
SESSAD Saint Etienne
🇫🇷Saint-Étienne, France
Centre de l'Arche
🇫🇷Saint-Saturnin, France
SMR Vannes - Centre hospitalier bretagne atlantique
🇫🇷Vannes, France
UGECAM Strasbourg
🇫🇷Strasbourg, France
Sessad Apf Voiron
🇫🇷Voiron, France