Prospective Cohort Follow-up of French Patients With Profound and Multiple Disabilities: Healthcare Pathways and Quality of Life Among Patients and Their Families

NCT02400528 — Not applicable, Unknown, 1200 participants, Assistance Publique Hopitaux De Marseille

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RegistryNCT02400528, acronym Eval-PLH
StatusUnknown
PhaseNot applicable
Study typeInterventional; non randomized, single group, masking: none, supportive care
Enrollment1200 (Estimated)
SponsorAssistance Publique Hopitaux De Marseille (Other)
ConditionsParaparesis, Tetraparesis, Hemiparesis, Ataxia, Neuromuscular Disorders, Extrapyramidal Motor Disorders
Interventionsquality of life questionnaires (Behavioral)
Datesstart 2015-02-01, primary completion 2018-02-01 (estimated), completion 2019-02-01 (estimated), first posted 2015-03-27, last updated 2015-03-27
Locations1 site in France

Related Papers Related Patents Related Grants Related Experts
All trials for Paraparesis All trials for Tetraparesis All trials of quality of life questionnaires

-Summary

The studies conducted so far concerning the medical and paramedical cares provided to patients with profound and multiple disabilities (PMD) often show important limitations: samples are too small or very heterogeneous, generally constituted of children only; studies are mainly cross-sectional and retrospective, focusing on very specific issues instead of assessing health and quality of life from a more global perspective… So far, the investigators found no published data from a prospective cohort study involving a representative sample of patients with PMD. The present project aims to set up such a cohort so as to describe for the first time the natural history of French patients with PMD as well as the cares they receive at home or within the different dedicated structures in France. This cohort will also make it possible to identify the factors responsible for differences in the cares patients are provided, the consequences of these differences on their health and their quality of life (and those of their relatives) as well as the evolutions of these data over time. It will then allow for assessing the effectiveness of the French healthcare system to care for patients with PMD as well as building a frame of reference regarding the best cares to provide to these patients.

The primary goal of this study is to identify the determinants of health among patients with PMD.

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+Arms and interventions

ArmTypeInterventionsDescription
Patients With Profound and Multiple DisabilitiesOtherBehavioral: quality of life questionnaires
  • quality of life questionnaires (Behavioral)

+Outcome measures

Primary outcomes

  • Caregivers quality of life [36 months]: Assessment of quality of life from questionnaires,WHOQOL-Bref, Brief-COPE \- Brief-COPE

Secondary outcomes

  • emotional distress and subjective burden of natural caregivers, [36 months]: Assessment of quality of life from questionnaires,WHOQOL-Bref * Brief-COPE * CRA
  • burnout of institutional caregivers [36 months]: Assessment of quality of life from questionnaires,WHOQOL-Bref * Brief-COPE * MBI

+Eligibility

Sex: All, ages: 3 Years to any

Inclusion Criteria:

* age > 3 years old,
* patient with health insurance,
* causal brain injury before the age of 3,
* Intellectual Quotient < 40 or not assessable,
* motor disability: paraparesis, tetraparesis, hemiparesis, ataxia, neuromuscular disorders, or extrapyramidal motor disorders,
* score at the Gross Motor Function Classification System > 3,
* score at the Functional Independence Measure < 55.

Exclusion Criteria:

Subject declaring benefit "psychotropic treatment which" significantly alter the reasoning, discernment or judgment.

+Locations (1)

FacilityCityCountryStatus
Assistance Publique Hôpitaux de MarseilleMarseilleFranceRecruiting

+Publications

  • Results publication: El Ouazzani H, Rousseau MC, Beltran-Anzola A, Del Duca S, Hamouda I, Billette de Villemeur T, Auquier P, Baumstarck K. Burnout among French healthcare workers caring for individuals with profound intellectual and multiple disabilities/polyhandicap: a complementary cross-sectional and longitudinal study. Front Public Health. 2026 Sep 28;14:1906622. doi: 10.3389/fpubh.2026.1906622. eCollection 2026. PMID 42865935
  • Results publication: Baumstarck K, Loukkal S, El Ouazzani H, Del Duca S, Beltran A, Hamouda I, Rousseau MC. Care trajectories in children with profound intellectual and multiple disabilities/polyhandicap: a cross-sectional study of the French National Cohort. Front Public Health. 2026 Jul 3;14:1873749. doi: 10.3389/fpubh.2026.1873749. eCollection 2026. PMID 42491094
  • Results publication: Rousseau MC, Del-Duca S, Beltran A, Ouazzani HE, Hamouda I, de Villemeur TB, Auquier P; Eval-PLH Group; Baumstarck K. Young adults with PIMD Polyhandicap in pediatric settings a situation more complex than problematic. Sci Rep. 2026 May 26;16(1):23990. doi: 10.1038/s41598-026-51457-3. PMID 42191771
  • Results publication: Baumstarck K, Hamouda I, Iline N, El Ouazzani H, Fouladvand M, Loukkal S, Beltran Anzola A, Del Duca S, Rousseau MC; EVAL-PLH Group. Quality of life among individuals with profound intellectual and multiple disabilities: crossed perspectives of institutional caregivers and parents. Health Qual Life Outcomes. 2025 Oct 6;23(1):96. doi: 10.1186/s12955-025-02434-3. PMID 41053826
  • Results publication: Baumstarck K, Del Duca S, El Ouazzani H, Hamouda I, Beltran Anzola A, Aim MA, Rousseau MC. Increased Life Expectancy of People With Profound Intellectual and Multiple Disabilities: What Does It Change for Parents? J Appl Res Intellect Disabil. 2025 Jan;38(1):e70018. doi: 10.1111/jar.70018. PMID 39934966
  • Results publication: Rousseau MC, Beltran A, Hamouda I, Aim MA, Felce A, Lind K, Khaldi N, El Ouazzani H, Auquier P, de Villemeur TB, Baumstarck K. Impact of caring for patients with polyhandicap on institutional health care workers' quality of life: a cross-sectional and longitudinal evaluation. Front Public Health. 2024 Oct 18;12:1427289. doi: 10.3389/fpubh.2024.1427289. eCollection 2024. PMID 39494083
  • Results publication: Baumstarck K, Hamouda I, Aim MA, Anzola AB, Khaldi-Cherif S, Felce A, Maincent K, Lind K, Auquier P, Billette de Villemeur T, Rousseau MC; and the EVAL-P. L. H. Group. Health care management adequacy among French persons with severe profound intellectual and multiple disabilities: a longitudinal study. BMC Health Serv Res. 2024 Jan 18;24(1):99. doi: 10.1186/s12913-024-10552-9. PMID 38238747
  • Results publication: Hamouda I, Rousseau MC, Beltran Anzola A, Aim MA, de Villemeur TB, Auquier P, Baumstarck K; EVAL-PLH group. The French EVAL-PLH cohort of persons with polyhandicap. Sci Rep. 2022 Jul 22;12(1):12512. doi: 10.1038/s41598-022-16596-3. PMID 35869128
  • Results publication: Rousseau MC, Baumstarck K, Valkov M, Felce A, Brisse C, Khaldi-Cherif S, Loundou A, Auquier P, Billette de Villemeur T; French Polyhandicap Group. Impact of severe polyhandicap cared for at home on French informal caregivers' burden: a cross-sectional study. BMJ Open. 2020 Feb 2;10(1):e032257. doi: 10.1136/bmjopen-2019-032257. PMID 32014871
  • Results publication: Rousseau MC, Billette de Villemeur T, Khaldi-Cherif S, Brisse C, Felce A, Baumstarck K, Auquier P; French Polyhandicap Group. Adequacy of care management of patients with polyhandicap in the French health system: A study of 782 patients. PLoS One. 2018 Jul 6;13(7):e0199986. doi: 10.1371/journal.pone.0199986. eCollection 2018. PMID 29979745