About this trial
In this study, a selective and multi-stages screening for neurodevelopmental disorders (NDD) in siblings of children with a confirmed ASD is done. The main aims are to estimate the prevalence of NDD among siblings and to evaluate the feasibility and acceptability of a standardized screening procedure.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Step 1: Brothers or sisters (including stepsisters and brothers); aged between 2 and 16 years; living in Occitanie; informed and express consent of parents ; affiliated to social security.
Step 2: step 1 positive screening or parental concerns for child's development ; parental signed informed consent.
Disqualifiers
Parents (or child) refusal to participate; adopted brother or sister. Do not speak French
Trial population
The expected number of children is 384 children (142 with NDD and 242 without NDD).
Trial design
Cohort
Prospective
Treatments tested in this trial
Step 1 - Screening ; Step 2 - Clinical interview
Diagnostic testStep 1: screening is performed by online parental questionnaires (SRS-2, Identidys scale, DCDQ, parental concerns questionnaire ) via a web platform. Parents and registered doctors will be informed by mail in case of negative screening; In case of positive screening, they will be called by phone in order to give them the results and to invite them for a clinical and semi-structured interview. Step 2: The semi-structured interview will be performed by a psychologist specialized in NDD in order to clinically confirm the results of the screening and refer the child to care and interventions, by mail to the registered doctor. Around 12 months after this interview, parents will be called by phone to collect a description of the referral and their satisfaction about the screening process.
Treatment groups
Trial outcomes
Primary outcomes
Percentage of family participation
Families' participation rate and, among participants, number of children with a NDD diagnosis at the end of the screening study.
Secondary outcomes
Sensibility, specificity, positive predictive values (PPV) and negative predictive values (NPV) of the screening procedure
Percentage of satisfied parents
Estimate the level of satisfaction of parents who participated in the screening with the parental satisfaction score via the Visual Analog Scale (VAS). VAS is a scale from 0 (not at all satisfied) to 100 (very satisfied)
Sponsors and contacts
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University Hospital, Montpellier
Lead sponsor
Direction Générale de l'Offre de Soins
Collaborator