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This study proposes a horse-assisted therapy (HAT) approach to accompany children and young adults undergoing irradiation in the ICANS Radiotherapy Department.
The aim of this new approach is to improve quality of life and reduce anxiety in children and adolescents treated with radiotherapy. The impact of equine-assisted therapy on quality of life and anxiety disorders will be described prospectively between the start and end of irradiation in children and parents who agree to inclusion.
Electro-radiology medical technician (ERMT) are privileged contacts with children. They accompany them every day during radiotherapy sessions. An animal-mediated approach would provide a new out-of-hospital environment. The equine sessions, precious moments when the child can forget about his illness, would enable him to escape from his condition as a patient. Indeed, the sick child adopts a posture to withstand treatment and take on responsibilities such as "not crying" and "being brave". These moments, away from the hospital, are essential to the smooth running of care, since they limit the weariness induced by daily radiotherapy sessions and help preserve the quality of caregiver/child cooperation during treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| entire study population | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Participation in 10 horse-assisted therapy sessions | Other | supporting children and teenagers undergoing radiotherapy with a horse-assisted therapy approach |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of quality of life between the beginning and the end of horse-assisted therapy (HAT) in children (self-questionnaire) treated with radiotherapy | The questionnaire used to assess quality of life will be completed by the child. Two versions of the VSP-A questionnaire exist, depending on the child's age (versions < 10 years and 10-17 years). Results can be compared with reference values for the general population. | before radiotherapy, halfway through the HAT sessions (at 5 weeks), at the end of the HAT sessions (at 10 weeks) and one month after the end of the HAT sessions |
| Measure | Description | Time Frame |
|---|---|---|
| Improving children's quality of life between the start and end of irradiation (hetero-questionnaire) by HAT | Parents (or carers) will complete a questionnaire to assess their child's quality of life. | before radiotherapy, halfway through the HAT sessions (at 5 weeks), at the end of the HAT sessions (at 10 weeks) and one month after the end of the HAT sessions |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Valérie SARTORI | Contact | 368767223 | 33 | v.sartori@icans.eu |
| Manon VOEGELIN | Contact | 368767360 | 33 | promotion-rc@icans.eu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Paul Strauss | Recruiting | Strasbourg | 67033 | France |
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| Decrease anxiety disorders between the beginning - child version and end of irradiation in children (self-questionnaire) with HAT | The questionnaire used to assess anxiety will be completed by the child (SCARED child version) | before radiotherapy, halfway through HAT sessions (at 5 weeks), at the end of HAT sessions (at 10 weeks) and one month after the end of HAT sessions |
| Decrease anxiety disorders between the beginning - parents' version and end of irradiation in children (self-questionnaire) with HAT | Parents (or carers) will also complete a questionnaire to assess their child's anxiety (SCARED parents' version) | before radiotherapy, halfway through HAT sessions (at 5 weeks), at the end of HAT sessions (at 10 weeks) and one month after the end of HAT sessions |
| Assessing the acute side effects of radiotherapy at the start and end of irradiation | Evaluation of acute toxicities induced by radiotherapy CTCAE version 5 scale | at the start and end of radiotherapy sessions (from 3 to 7 weeks) |
| Study the relevance of the various equestrian activities proposed as a strategy for improving care through the horse | Study the link between the various equestrian activities and the quality of life reported by children. Dashboard to track the duration of each activity carried out per child and per session, completed by the equestrian. | At every HAT sessions (up to 10 weeks) |
| Evaluate participant's expectations and satisfaction with their care | questionnaire | at the beginning and end of HAT sessions (up to 10 weeks) |
| Assess the medical electroradiology technician's (MERT's) impression of the child's well-being during irradiation | MERT's assessment of the impact of HAT on the child's well-being, based on a retrospective questionnaire for the previous week. | every week during radiotherapy (from 3 to 7 weeks) |
| Assessing the impact of HAT on the child during irradiation according to the MERT | at each radiotherapy session (from 3 to 7 weeks) |
| Evaluate the rider's impression of the child's well-being of the child during HAT sessions | Equestrian appreciation of the impact of HAT on the child's well-being during HAT sessions using questionnaires | at the end of the first session and at the end of the last session of HAT (up to 10 weeks) |
| Assessing the impact of an alternative activity on parents' satisfaction with care | Open questionnaire at the end of HAT to be completed by parents | at the end of the HAT sessions (at 10 weeks) |