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)

Regional University Hospital Center (CHRU)

Status: Not yet enrolling

Conditions: Children with Chronic Illnesses Affecting Physical Health

Treatments: Other: Kid'EM app" experimental group; Other: Kid'EM app control group

Study type: Interventional

Funder types: Other

Identifiers

NCT06475950

29BRC22.0257

Details and patient eligibility

About

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.

Enrollment: 252 estimated patients

Sex: All

Ages: 1 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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252 participants in 2 patient groups

Kid'EM app" experimental group

Active Comparator group

Description:

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.

Treatment:

Other: Kid'EM app" experimental group

Kidem app control group

Sham Comparator group

Description:

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.

Treatment:

Other: Kid'EM app control group