Using a New Calibrated Tool in Specific Language and Learning Disorders : the BMTi
- Conditions
- Developmental DisabilityLearning Disorders, Specific
- Interventions
- Behavioral: BMT-i
- Registration Number
- NCT03919357
- Lead Sponsor
- Centre Hospitalier Intercommunal Creteil
- Brief Summary
The group of experts at HAS has defined the places of first and second-line workers in specific disorders of development and learning, as defined in the international diagnostic classifications International Classification of Diseases (CIM) CIM 11 and Diagnostic and Statistical Manual of Mental Disorders (DSM) DSM 5. The referral to a second-level structure, a multidisciplinary structure in charge of carrying out the different cognitive assessments, requires a preliminary evaluation.
This orientation is based on a medical consultation, carried out by a doctor specialized in the field, with an exploration tool adapted to the different fields concerned.
The BMTi, a battery of third-generation tests (after the Rapid battery of evaluation of the cognitive functions (BREV) and then the Evaluation of cognitive functions and learning of the child (EDA)) will enable the doctor, from 2018, to carry out this orientation in a relevant way in response to children with a complaint about neurodevelopment and learning. .
The research project aims to validate this hypothesis, by comparing the diagnoses posed in a conventional way with the various multidisciplinary assessments, with the results of the transfer of all or part of the subtests of the BMTi by a doctor of second resort.
- Detailed Description
The group of experts at High Authority of Health (HAS) has defined the places of first and second-line workers in specific disorders of development and learning, as defined in the international diagnostic classifications CIM 11 and DSM 5. The referral to a second-level structure, a multidisciplinary structure in charge of carrying out the different cognitive assessments, requires a preliminary evaluation.
This orientation is based on a medical consultation, carried out by a doctor specialized in the field, with an exploration tool adapted to the different fields concerned.
The BMTi, a battery of third-generation tests (after the BREV and then the EDA) will enable the doctor, from 2018, to carry out this orientation in a relevant way in response to children with a complaint about neurodevelopment and learning. .
The research project aims to validate this hypothesis, by comparing the diagnoses posed in a conventional way with the various multidisciplinary assessments, with the results of the transfer of all or part of the subtests of the BMTi by a doctor of second resort.
This research project finds its place in a more global approach for a complete application of the recommendations of the group of experts of the High Authority of Health with:
* the systematic evaluation of educational prevention strategies by intensive training in small groups of children with similar needs, in schools,
* the evaluation of the role of the primary care physician in the prescription of the initial investigation report in the face of a simple reading, writing or numeracy disorder (research project with letter of intent filed in the framework of the call for tenders 38/5000 general direction of the offer of care (DGOS) PREPS 2018),
* the current project to validate referral tools to second-level appraisals,
* an evaluation project of the financing modalities filed under the regional health agency "Occitanie" in the framework of the call for tenders of article 51,
* the introduction of training courses for the first and second-line tools for ambulatory doctors.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 229
- Child aged 5 to 13
- Complex complaint affecting one of the different areas of development and learning
- Affiliation to a social security scheme
- Diagnosis of intellectual development disorder of autism spectrum disorder and suspect or confirm
- Refusal to participate
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Attention BMT-i Passing of a specialized questionnaire on attention disorders Verbal BMT-i Passing of a specialized questionnaire on verbal disorders Non-verbal BMT-i Passing of a specialized questionnaire on non verbal disorders Complaint about learning BMT-i Passing of a specialized questionnaire on learning disorders
- Primary Outcome Measures
Name Time Method Sensitivity of BMT-i (modular computerized test battery) 3 months Calculation of the sensitivity of the BMT-i compared to the reference balance sheets
Specificity of BMT-i 3 months Calculation of the specificity of the BMT-i compared to the reference balance sheets
- Secondary Outcome Measures
Name Time Method Kappa de Cohen test between BMTi assessments and the reference assessments 3 months Assessment of the concordance between the BMTi assessments and the baseline assessments
Sensitivity and specificity of the BMT-i by type of complaint 3 months Calculation of the sensitivity and specificity of the BMT-i compared to the reference balance in each type of complaint (oral language, learning, graphics and attention)
Concordance between investigators evaluations and reviewers evaluations 3 months Evaluation of the concordance between the BMTi evaluations rated by the investigators and the reviewers
Curves ROC (Receiver operating characteristic) 3 months Receiver operating characteristic (ROC) curves to validate selected BMT-i diagnostic thresholds
Trial Locations
- Locations (16)
Cabinet du Dr Vurpillat-Almanza
🇫🇷Besançon, France
Cabinet du Dr Piollet
🇫🇷Chamalieres, France
Cabinet du Dr Gelbert
🇫🇷Chambéry, France
CH Versailles - André Mignot
🇫🇷Le Chesnay, France
Centre Médical Pédiatrique Flammarion
🇫🇷Marseille, France
Hôpital Saint Eloi - Montpellier
🇫🇷Montpellier, France
Centre Paris Santé Réussite
🇫🇷Paris, France
Cabinet du Dr Kochert
🇫🇷Orléans, France
Cabinet du Dr Cahn-Sellem
🇫🇷Puteaux, France
CHU de Rouen
🇫🇷Rouen, France
Cabinet du Dr Willig
🇫🇷Toulouse, France
Cabinet du Dr Reynaud
🇫🇷Saint-Denis, France
Cabinet du Dr Dulorme
🇲🇶Le Lamentin, Martinique
Cabinet du Dr Lubelski
🇫🇷Verrières-le-Buisson, France
Cabinet du Dr Werner
🇫🇷Villeneuve les Avignon, France
Cabinet du Dr Pineau
🇫🇷Trélazé, France