NCT04132765

Brief Summary

The aim of this study is to investigate the reliability and construct validity of the Turkish version of the Drooling Impact Scale in children with cerebral palsy

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Nov 2019

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 17, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 21, 2019

Completed
1 month until next milestone

Study Start

First participant enrolled

November 25, 2019

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 30, 2020

Completed
Last Updated

November 27, 2019

Status Verified

October 1, 2019

Enrollment Period

9 months

First QC Date

October 17, 2019

Last Update Submit

November 25, 2019

Conditions

Keywords

cerebral palsydrooling impact scalehypersalivationvalidity

Outcome Measures

Primary Outcomes (2)

  • Drooling Impact Scale

    A scale with 10 items which are scored with visual analog scale from1 to 10. Drooling impact increases with increased scores.

    Day 0

  • Drooling Impact Scale

    A scale with 10 items which are scored with visual analog scale from1 to 10. Drooling impact increases with increased scores.

    Day 3

Secondary Outcomes (11)

  • Drooling Frequency and Severity Scale

    Day 0

  • The Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD™)

    Day 0

  • Drooling Quotient (DQ)

    Day 0

  • Patient and caregiver visual analog scale (VAS) for drooling

    Day 0

  • Functional Oral Intake Scale (FOIS)

    Day 0

  • +6 more secondary outcomes

Study Arms (1)

Patients with cerebral palsy

Patients with cerebral palsy at between the ages of 4-16 years and at Gross Motor Function Classification Levels of 3,4,5

Other: Drooling Impact ScaleOther: Drooling Frequency and Severity ScaleOther: The Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD™)Other: Drooling Quotient (DQ)Other: Patient and caregiver visual analog scale (VAS) for droolingOther: Functional Oral Intake Scale (FOIS)Other: number of bibs daily usedOther: number of hospital admissions per year related to respiratory infectionsOther: Gross Motor Function Classification System (GMFCS)Other: Manual Ability Classification System (MACS)Other: Communication Function Classification System (CFCS)Other: Eating and Drinking Ability Classification System (EDACS)

Interventions

A scale with 10 items which are scored with visual analog scale from1 to 10. Drooling impact increases with increased scores.

Patients with cerebral palsy

In this scale, parents or care givers were asked to rate the severity and frequency of drooling, classifying severity of drooling using a 5-level domain ranging from 1 (dry) to 5 (profuse drooling). The frequency of drooling was classified using a 4-level domain ranging from 1(no drooling) to 4 (constant drooling)

Patients with cerebral palsy

A quality of life scale that measure caregivers' perspectives on the health status, comfort, well being, and ease of caregiving of children with severe developmental disabilities. CPCHILD consists of 36 items distributed over six sections representing the following domains: (1) Personal Care (eight items); (2) Positioning, Transfer, and Mobility (eight items); (3) Communication and Social Interaction (seven items); (4) Comfort, Emotions, and Behaviour (nine items); (5) Health (three items); and (6) Overall Quality Of Life (one item). For the sections which involve the performance of skills, the degree of difficulty of accomplishing each task or activity was rated on a 7-point ordinal scale anchored by 0 ('No problem at all') to 6 ('Impossible').

Patients with cerebral palsy

DQ is a semi-quantitative method that assesses the presence of newly formed saliva on the lips every 15 seconds with 40 observations in 10 minutes, expressed as a percentage based on the ratio between the number of observed drooling episodes and the total number of observations.

Patients with cerebral palsy

Patients will be asked to score their children's drooling severity on a visual analog scale (0-100 mm, 0 none to 100 severe)

Patients with cerebral palsy

Functional Oral Intake Scale (FOIS) which is a 7-point ordinal scale document the functional level of oral intake of food and liquid.

Patients with cerebral palsy

Parents will be asked their children's number of bibs daily used.

Patients with cerebral palsy

Parents will be asked their children's number of hospital admissions per year related to respiratory infections.

Patients with cerebral palsy

The GMFCS describes self-initiated movement and use of assistive devices (walkers, crutches, canes, wheelchairs) for mobility during an individual's usual activity.

Patients with cerebral palsy

The MACS is also a simple, five-point ordinal classification system and was designed for use in children ages 4-18 years. The MACS is a validated measure in cerebral palsy that can be used to classify a child's typical use of both hands and upper limbs.

Patients with cerebral palsy

The CFCS is a simple, five-point ordinal classification system that assesses everyday communication (not optimal communication) of children with cerebral palsy.

Patients with cerebral palsy

EDACS is a measure to assess eating and drinking ability for children with CP, ages 3 and older. This classification is a simple five-point ordinal system.

Patients with cerebral palsy

Eligibility Criteria

Age4 Years - 16 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)
Sampling MethodProbability Sample
Study Population

Patients with unilateral or bilateral, spastic, dyskinetic or mixed type cerebral palsy at between the ages of 4-16 and GMFCS level 3,4,5

You may qualify if:

  • Patients with unilateral or bilateral cerebral palsy at between the ages of 4-16
  • Spastic, dyskinetic or mixed type cerebral palsy
  • GMFCS level 3,4,5
  • Stable drooling within at least one month

You may not qualify if:

  • Active infection of salivary glands
  • Upper respiratory tract infection at the time of testing
  • History of anticholinergic drug intake in the past three weeks
  • Occurance of any above between test and re-test assessment that may interfere with the results

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Esra Giray

Istanbul, 34899, Turkey (Türkiye)

RECRUITING

Related Publications (3)

  • Lakraj AA, Moghimi N, Jabbari B. Sialorrhea: anatomy, pathophysiology and treatment with emphasis on the role of botulinum toxins. Toxins (Basel). 2013 May 21;5(5):1010-31. doi: 10.3390/toxins5051010.

  • Erasmus CE, van Hulst K, Rotteveel JJ, Willemsen MA, Jongerius PH. Clinical practice: swallowing problems in cerebral palsy. Eur J Pediatr. 2012 Mar;171(3):409-14. doi: 10.1007/s00431-011-1570-y. Epub 2011 Sep 20.

  • Pesheva P, Kuklinski S, Schmitz B, Probstmeier R. Galectin-3 promotes neural cell adhesion and neurite growth. J Neurosci Res. 1998 Dec 1;54(5):639-54. doi: 10.1002/(SICI)1097-4547(19981201)54:53.0.CO;2-2.

Related Links

MeSH Terms

Conditions

SialorrheaCerebral Palsy

Interventions

Eating

Condition Hierarchy (Ancestors)

Salivary Gland DiseasesMouth DiseasesStomatognathic DiseasesBrain Damage, ChronicBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Intervention Hierarchy (Ancestors)

Nutritional Physiological PhenomenaDiet, Food, and NutritionPhysiological PhenomenaDigestive System Physiological PhenomenaDigestive System and Oral Physiological Phenomena

Study Officials

  • Evrim Karadag Saygi, Prof

    Marmara University

    STUDY CHAIR
  • Nida Yektauşakları, PT

    Marmara University School of Health Sciences

    PRINCIPAL INVESTIGATOR
  • Fatma Özer, Student

    Marmara University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Evrim Karadag-Saygi, Prof

CONTACT

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 17, 2019

First Posted

October 21, 2019

Study Start

November 25, 2019

Primary Completion

August 30, 2020

Study Completion

August 30, 2020

Last Updated

November 27, 2019

Record last verified: 2019-10

Data Sharing

IPD Sharing
Will not share

The data that support the findings of this study will be available on request from the corresponding author (EG). The data will not be publicly available due to their containing information that could compromise the privacy of research participants.

Locations