ParaparesisEval-PLHNCT02400528
Prospective Cohort Follow-up of French Patients With Profound and Multiple Disabilities: Healthcare Pathways and Quality of Life Among Patients and Their Families
A study testing quality of life questionnaires in people with Paraparesis and Tetraparesis, run by Assistance Publique Hopitaux De Marseille at 1 site in France.
Trial 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… Read more about this study
- Who is it for?
- Ages 3 years and older
- Conditions the study is for
- Paraparesis, Tetraparesis, Hemiparesis
- What is being tested?
- quality of life questionnaires
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,200 participants
- Where
- 1 siteFrance
- Study dates
- Feb 2015to Feb 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 3 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- Subject declaring benefit "psychotropic treatment which" significantly alter the reasoning, discernment or judgment.
Trial locations and contacts
1 site in 1 country.
France1 site, 1 recruiting
- Recruiting
Assistance Publique Hôpitaux de Marseille
Marseille, 13354
Urielle DESALBRES, Director, 04.91.38.27.47, drci@ap-hm.fr
Pascal AUQUIER, Professor
About this study
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.
- Conditions
- Paraparesis, Tetraparesis, Hemiparesis, Ataxia, Neuromuscular Disorders, Extrapyramidal Motor Disorders
- Being tested
- quality of life questionnaires
- Medical subject headings
- Paraparesis, Quadriplegia, Paresis, Ataxia, Neuromuscular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
quality of life questionnairesBehavioural
| Study group | Role | What they receive |
|---|---|---|
| Patients With Profound and Multiple Disabilities | Other | Not described Receives: Behavioral: quality of life questionnaires |
What is being measured
The primary outcome is the main question the study is designed to answer.
Caregivers quality of life
Assessment of quality of life from questionnaires,WHOQOL-Bref, Brief-COPE
- Brief-COPE
Measured: 36 months
Secondary outcomes (2)
emotional distress and subjective burden of natural caregivers,
Assessment of quality of life from questionnaires,WHOQOL-Bref
- Brief-COPE
- CRA
Measured: 36 months
burnout of institutional caregivers
Assessment of quality of life from questionnaires,WHOQOL-Bref
- Brief-COPE
- MBI
Measured: 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Mar 2015 (estimated)
- Study startFeb 2015
- Primary completionFeb 2018 (estimated)
- Study completionFeb 2019 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for ParaparesisStudies of the same condition, open and under way.
- More trials run by Assistance Publique Hopitaux De MarseilleThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Assistance Publique Hopitaux De Marseille
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02400528
- Sponsor's protocol ID
- 2014-21
- Other IDs
- RCAPHM14_0082, 2014-A00953-44
- Acronym
- Eval-PLH
- Status last verified
- Feb 2015
- First submitted
- 4 Feb 2015
- Last updated
- 27 Mar 2015
- Results posted
- No
- Data monitoring committee
- No
Publications
Rousseau MC, Anzola AB, El Ouazzani H, Hamouda I, Del Duca S, Fouladvand M, Loukkal S, de Villemeur TB, Auquier P, Baumstarck K; EVAL-PLH Group. Health and Care Characteristics of Ageing Adults With Profound Intellectual and Multiple Disabilities Living in French Facilities. J Appl Res Intellect Disabil. 2026 Nov;39(6):e70324. doi: 10.1111/jar.70324.
PubMed 42947490El 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.
PubMed 42865935Baumstarck 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.
PubMed 42491094Rousseau 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.
PubMed 42191771Baumstarck 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.
PubMed 41053826Baumstarck 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.
PubMed 39934966Rousseau 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.
PubMed 39494083Baumstarck 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.
PubMed 38238747Hamouda 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.
PubMed 35869128Rousseau 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.
PubMed 32014871Rousseau 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.
PubMed 29979745
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Cohort Follow-up of French Patients With Profound and Multiple Disabilities: Healthcare Pathways and Quality of Life Among Patients and Their Families
- ClinicalTrials.gov ID
- NCT02400528
- Acronym / sponsor ID
- Eval-PLH / 2014-21
- Conditions
- Paraparesis, Tetraparesis, Hemiparesis, Ataxia, Neuromuscular Disorders, Extrapyramidal Motor Disorders
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 1,200 participants (estimated)
- Lead sponsor
- Assistance Publique Hopitaux De MarseilleUniversity, hospital or other
- Study start
- Feb 2015
- Primary completion
- Feb 2018 (estimated)
- Study completion
- Feb 2019 (estimated)
- First posted
- 27 Mar 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Patients With Profound and Multiple Disabilities | Other | Behavioral: quality of life questionnaires |
Who may qualify
- Ages
- 3 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (7 listed)
- 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,
Key exclusion criteria (1 listed)
- Subject declaring benefit "psychotropic treatment which" significantly alter the reasoning, discernment or judgment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| quality of life questionnaires | Behavioural | Patients With Profound and Multiple Disabilities |
Primary outcome
Caregivers quality of life
Time frame: 36 months
Assessment of quality of life from questionnaires,WHOQOL-Bref, Brief-COPE - Brief-COPE
2 secondary outcomes
emotional distress and subjective burden of natural caregivers,
Time frame: 36 months
burnout of institutional caregivers
Time frame: 36 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Mar 2015.
- Derived from this study: PubMed 42947490Rousseau MC, Anzola AB, El Ouazzani H, Hamouda I, Del Duca S, Fouladvand M, Loukkal S, de Villemeur TB, Auquier P, Baumstarck K; EVAL-PLH Group. Health and Care Characteristics of Ageing Adults With Profound Intellectual and Multiple Disabilities Living in French Facilities. J Appl Res Intellect Disabil. 2026 Nov;39(6):e70324. doi: 10.1111/jar.70324.
- Derived from this study: PubMed 42865935El 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.
- Derived from this study: PubMed 42491094Baumstarck 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.
- Derived from this study: PubMed 42191771Rousseau 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.
- Derived from this study: PubMed 41053826Baumstarck 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.
- Derived from this study: PubMed 39934966Baumstarck 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.
- Derived from this study: PubMed 39494083Rousseau 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.
- Derived from this study: PubMed 38238747Baumstarck 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.
- Derived from this study: PubMed 35869128Hamouda 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.
- Derived from this study: PubMed 32014871Rousseau 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.
- Derived from this study: PubMed 29979745Rousseau 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing quality of life questionnaires in people with Paraparesis and Tetraparesis, run by Assistance Publique Hopitaux De Marseille at 1 site in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 27 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Caregivers quality of life (time frame: 36 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02400528, which also lists 11 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Mar 2015.