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Main objective:
To assess the impact of a structured program of preoperative cognitive remediation on postoperative social adaptation in patients suffering from Parkinson's disease profiting from bilateral subthalamic nucleus stimulation.
Secondary objectives:
To assess in the same patients the impact of structured program of preoperative cognitive remediation on quality of life, mood, anxiety, apathy and psychologic, social and professional functioning depending on psychiatric symptomatology after intervention.
Prospective, longitudinal, controlled, multicentric, randomised, open study.
Subjects: 3 groups of 40 patients (n=120): one group of patients profiting from a structured program of preoperative cognitive remediation (SICRPPD group: Specific Individual Cognitive Remediation Program in Parkinson's Disease), one group of patients profiting from a preoperative non structured accompaniment (ICM group: Intensive Care Management), one control group (CG group: Control Group).
Required sample size: The sample size of 40 patients/group will allow to demonstrate with a significance threshold of 5% and a power of 80% a difference of evolution of the global SAS SR score of 0.75 SD between 2 of the 3 groups. For an intended SD of 0.2 units, the threshold corresponds to a difference of 0.15 units, minimal significant change.
Intervention: The structured program of preoperative cognitive remediation is divided in 3 parts: one interview with the patient to do a building of the subjective theories (difficulties due to the disease, hope relative to the intervention), a study meeting of the cognitive remediation possibilities and a cognitive remediation meeting with the patient. The spouse will be included in the program.
Evaluation tools: Patients will be met before and after the intervention for clinical evaluations and scales making: For the psychiatric evaluation: Mini International Neuropsychiatric Inventory (M.I.N.I.), Starkstein Apathy Scale, Montgomery and Asberg depression scale (MADRS), global functioning evaluation scale (EGF) and Hamilton anxiety scale (HAMA)/ For the social adaptation evaluation: Social Adjustment scale Self Report (SAS SR)/ For quality of life evaluation: 39-item Parkinson's Disease Questionnaire (PDQ-39)/ For the daily life activities, 'motor' symptomatology and treatment complications evaluation: Unified Parkinson's Disease Rating Scale (UPDRS, parties II, III, et IV).
Main criteria: change in the global score of the SAS SR scale.
Secondary Criteria: change in scores of the PDQ-39 (quality of life), HAMA (anxiety), Starkstein (apathy), MADRS (mood), EGF (psychologic, social, professional functioning, and depending on the psychiatric symptomatology) questionnaires.
Statistics: parametric and non parametric tests will be done for p < 0.05.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SICRPPD group | Other | (Specific Individual Cognitive Remediation Program in Parkinson's Disease). Group of patients profiting from a structured program of preoperative cognitive remediation |
|
| ICM group: Intensive Care Management | Other | Group of patients profiting from a preoperative non structured support |
|
| CG group: Control Group | Other | No supplementary support |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Social adaptation | Behavioral | Questionnaire to fill-in. The structured program of preoperative cognitive remediation is divided in 3 parts: one interview with the patient to do a building of the subjective theories (difficulties due to the disease, hope relative to the intervention), a study meeting of the cognitive remediation possibilities and a cognitive remediation meeting with the patient. The spouse will be included in the program. |
| Measure | Description | Time Frame |
|---|---|---|
| Global score of the SAS SR (social adjustment scale self report) scale | 3 months (after surgery) | |
| Global score of the SAS SR (social adjustment scale self report) scale | 6 months (after surgery) |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life | evaluated with PDQ-39 (39-item Parkinson's Disease Questionnaire) | 3 months |
| Quality of life | evaluated with WHOQOL-bref (World Health Organization Quality of Life) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Raymund Schwan, Prof. | Nancy's Hospital | Principal Investigator |
| Gérard Barroche, Prof. | CHU of Nancy - Central Hospital - Bd Marechal de Lattre de Tassigny - 54000 Nancy | Principal Investigator |
| Marie-Christine Tranchant, Prof. | CHU of Strasbourg - 67000 Strasbourg | Principal Investigator |
| Franck Durif, Prof | CHU Clermont-Ferrand - 63000 Clermont Ferrand | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Clermont Ferrand | Clermont-Ferrand | 63003 | France | |||
| CHU de Nancy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37022502 | Derived | Meyer M, Colnat-Coulbois S, Frismand S, Vidailhet P, Llorca PM, Schwan R, Spitz E. Illness perceptions in pre-operative Parkinson's disease patients. J Neural Transm (Vienna). 2023 May;130(5):647-654. doi: 10.1007/s00702-023-02629-2. Epub 2023 Apr 6. |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D012917 | Social Adjustment |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D046690 | Deep Brain Stimulation |
| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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|
| Intensive care management | Behavioral | In this group, the structured program of the SICRPPD group will be replaced by 3 unstructured psychiatric interviews during which patients will be assessed for their perception of the disease and the upcoming surgery. This group will allow to control for the intrinsic effect of the preoperative management independently of the remediation itself. |
|
| Deep brain stimulation | Procedure |
|
| 3 months |
| Quality of life | evaluated with PDQ-39 (39-item Parkinson's Disease Questionnaire) | 6 months |
| Quality of life | evaluated with WHOQOL-bref (World Health Organization Quality of Life) | 6 months |
| Anxiety | evaluated with HAMA (Hamilton Anxiety Rating Scale) | 3 months |
| Anxiety | evaluated with HAMA (Hamilton Anxiety Rating Scale) | 6 months |
| Apathy | evaluated with Starkstein scale | 3 months |
| Apathy | evaluated with Starkstein scale | 6 months |
| Mood | evaluated with Montgomery-Åsberg depression rating scale | 3 months |
| Mood | evaluated with Montgomery-Åsberg depression rating scale | 6 months |
| Global Assessment of Functioning | to rate the social, occupational, and psychological functioning according to psychiatric symptomatology | 3 months |
| Global Assessment of Functioning | to rate the social, occupational, and psychological functioning according to psychiatric symptomatology | 6 months |
| Disease perception | Illness Perception Questionnaire Revised | 3 months |
| Disease perception | Illness Perception Questionnaire Revised | 6 months |
| Perception of deep brain stimulation | with Perception of deep brain stimulation scale | 3 months |
| Perception of deep brain stimulation | with Perception of deep brain stimulation scale | 6 months |
| Coping with disease | with CHIP scale | 3 months |
| Coping with disease | with Brief COPE scale | 3 months |
| Coping with disease | with CHIP scale | 6 months |
| Coping with disease | with Brief COPE scale | 6 months |
| Nancy |
| 54035 |
| France |
| CHRU Strasbourg | Strasbourg | 67426 | France |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D012919 | Social Behavior |
| D001519 | Behavior |