Qualitative and Quantitative Study Which Aims to Determine the Specifics of the Announcement for the Diagnosis of Patients With Craniosynostosis and Their Parents to Better Support Them in Their Care

Overview

The purposes of this study are: – to better understand the experience of the announcement for the diagnostic of craniosynostosis to patients and their families to improve the understanding of it and it modes of appropriation – to compare the announcement process concerning "simple" and "complex" forms. – to identify the intra-family issues at the announcement of a genetic mutation. – to reconstruct the care course of patients by analyzing the time of the announcement and the post-operative period.

Full Title of Study: “Craniosynostosis: How to Improve the Diagnosis and Assist Patients and Their Families?”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: January 2016

Detailed Description

The supported hypothesis is that the diagnosis of craniosynostosis disturbs the initial family pattern. The different forms of the disease will have different repercussions on intra-family relationships. The quality of the announcement done by the doctor influences the way how the subjects (parents and patients themselves) appropriate and incorporate it at short, medium and long term. This research will contribute to the knowledge of this rare disease by different scientific communities: social sciences, medicine and neuropsychology. The originality of this research lies in interdisciplinary teams involved and the cross looks between professional and associative fields. To better understand the impact of congenital malformations and specifically those related to craniosynostosis, the experiences of children and their families at short, medium and long term, the research will take place in the center of reference "Dysostoses craniofacial", Pediatric Neurosurgery Service at the Necker Hospital in Paris. Prior to fieldwork, a thorough literature search will be conducted on issues related to our subject: the announcement, psychological, identity, family and social impacts, as well as the specifics of the disease and its manifestations. The fieldwork will be included in a longitudinal approach which will be located at the intersection of quantitative and qualitative methods.

Interventions

  • Other: qualitative survey
  • Other: quantitative survey

Arms, Groups and Cohorts

  • quantitative survey 1
    • parents of 300 patients with craniosynostosis diagnostic
  • qualitative survey
    • parents of 12 newly diagnosed patients, they will be seen 3 times (after the diagnosis, 3 months after surgery, 1 year after surgery 12 patients aged over 15 years, operated more than 10 years before
  • quantitative survey 2
    • 100 parents of patients 1 year after surgery 100 parents of patients, 5 years after the operation 100 patients aged over 15 years and operated over 10 years ago

Clinical Trial Outcome Measures

Primary Measures

  • measure by questionnaire the conditions and experiences of the announcement concerning craniosynostosis (simple or complex)
    • Time Frame: 5 months
    • Analysis of the questionnaires will permit us to learn more about the conditions and experiences of the announcement concerning different profiles families whose experience has been received differently depending on the type of craniosynostosis (simple or complex), the medical history or sociodemographic characteristics.

Secondary Measures

  • measure by interview the conditions and experiences of the announcement concerning craniosynostosis (simple or complex) interview
    • Time Frame: 16 months
    • In a longitudinal perspective, we will develop interview guides. For conducting interviews, we will use the life story method. The interest of the life story is that it provides a method to study the modes of appropriation of the announcement and the way in which subjects incorporate it into their life history.
  • measure by an other questionnaire the conditions and experiences of the announcement concerning craniosynostosis (simple or complex)
    • Time Frame: 6 months
    • From the results of all the interviews (from qualitative survey) and the analysis of questionnaires from the quantitative survey 1, we will develop questionnaires for themes and issues that have emerged from those analyses (accompanying the announcement of genetic mutation in the family, aesthetics, education …). It will then develop targeted questionnaires, based on the analysis of interviews and questionnaires from the quantitative survey. The goal will be a deepening of themes.

Participating in This Clinical Trial

Inclusion Criteria : Group 1 : Parents of operated children with a clinical diagnosis of craniosynostosis Group 2 :

  • Parents of newly diagnosed children for a craniosynostosis who will be operated – Children aged 15 who were operated for a craniosynostosis at least 10 years ago Group 3 : – Parents of newly diagnosed children for a craniosynostosis who will be operated – Children aged 15 who were operated for a craniosynostosis at least 10 years ago Exclusion Criteria:

  • nothing to declare

Gender Eligibility: All

Minimum Age: N/A

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Assistance Publique – Hôpitaux de Paris
  • Collaborator
    • Université de Cergy Pontoise
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Séverine Colinet, PhD, Study Chair, Cergy University

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