Evolution of Family Alliance in Families With a Designated Adolescent Patient (12-18 Years) During a Family Therapy Process

Family Relations Clinical Trial

— LTP  

Official title:

Evolution of Family Alliance in Families With a Designated Adolescent Patient (12-18 Years) During a Family Therapy Process: Prospective Pilot Study

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT04370964
• Other study ID #: 10477M-LTP
• Status: Active, not recruiting
• Phase: N/A
• Start date: March 5, 2019
• Est. completion date: September 5, 2021

Study information

• Verified date: April 2020
• Source: Centre hospitalier de Ville-Evrard, France
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The proposed study focuses on the relational characteristics of the family and their evolution in the course of family therapy, through the evolution of the family alliance (degree of coordination achieved by its members to perform a task) and co-parenting (support that the mother and father give each other in their roles as parents), assuming that the family therapy allows the improvement of these two aspects. The family alliance is evaluated via a standardized observation situation (Lausanne Family Play LFP adapted from the Lausanne Trilogy Play LTP) whose sessions are filmed. The alliance assessment is carried out by the coding and scales of the FASS (Family Alliance Assessment Scales,) tool during viewing.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 26
• Est. completion date: September 5, 2021
• Est. primary completion date: March 5, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 12 Years to 18 Years

Eligibility

Inclusion Criteria:

• Families attended in family therapy by the G02 sector teams and the Bondy family therapy team attached to G14 and I05, with a designated adolescent patient (aged 12-18).

• Family whose parents or co-parents live under the same roof. Co-parents designate adults to be responsible for the care and education of one or more children (Talbot &Mchale, 2004)

• Blended families

Exclusion Criteria:

• Single parent family without co-parents (in-laws, grandparents...) living under the same roof

• Insufficient mastery of French

• Separated parents (lack of daily life is unsuitable for scales chosen)

• patient without social security scheme

• Persons in emergency situations.

• Persons unable to give their personal consent, of whom adults under guardianship

Related Conditions & MeSH terms

• Family Relations

Intervention

Other:
• Lausanne Trilogy Play
Trilogical game of Lausanne ("Lausanne Trilogue Play" in English abbreviated LTP), which allows an evaluation of the family alliance. This systematic observation provides a "snapshot" of the family structure and its adaptive abilities. It is based on the assumption that the ability to solve "small" tasks is representative of the ability to solve more important tasks.The LTP consists of modelling the different possibilities of interaction in a triad according to a four-part scenario: 1) one parent plays with the child, the other parent is simply present; 2) the parents switch roles; 3) both parents play together with the child; and 4) both parents have to talk together.
• Lausanne Family Play
Lausanne Family Play (LFP) is a game situation adapted to families with more than one child. Thus, like the LTP, the LFP takes place in four phases:1) one parent plays with siblings while the other is in a third-observer position; 2) the parents reverse their roles;3) children play while parents are talking and 4) family members play together.

Locations

Country	Name	City	State
France	EPS Ville Evrard	Aubervilliers

Sponsors (1)

Lead Sponsor	Collaborator
Centre hospitalier de Ville-Evrard, France

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Mchale Co-parenting Scale	The French version of this parent self-assessment is validated and includes 16 questions plus a preliminary question (Frascarolo F, 2009) Depending on the questions they are asked, parents are sometimes asked to think about when they are with their spouse and child and sometimes when they are alone with their child. They must estimate the frequency of certain behaviours.	at baseline
Other	Mchale Co-parenting Scale	The French version of this parent self-assessment is validated and includes 16 questions plus a preliminary question (Frascarolo F, 2009) Depending on the questions they are asked, parents are sometimes asked to think about when they are with their spouse and child and sometimes when they are alone with their child. They must estimate the frequency of certain behaviours.	at month 9
Other	Dyadic Adjustment Scale (DAS)	This is a scale widely used in research, validated in French (Antoine et al, 2008).; It is composed of 16 items that explore two dimensions of the conjugal relationship: -the first dimension concerns the "degree of agreement in the couple", it is composed of 10 items relating to areas of divergence (divorce, annoyance) or convergence (common goals, joint attitude in relations with the environment). There are also items of affective expression, consensus and satisfaction. -The second dimension consists of six items and corresponds to the "quality of the dyadic interactions": the domains and the behaviors of exchange and partnership in the couple.	at baseline
Other	Dyadic Adjustment Scale (DAS)	This is a scale widely used in research, validated in French (Antoine et al, 2008).; It is composed of 16 items that explore two dimensions of the conjugal relationship: -the first dimension concerns the "degree of agreement in the couple", it is composed of 10 items relating to areas of divergence (divorce, annoyance) or convergence (common goals, joint attitude in relations with the environment). There are also items of affective expression, consensus and satisfaction. -The second dimension consists of six items and corresponds to the "quality of the dyadic interactions": the domains and the behaviors of exchange and partnership in the couple.	at month 9
Other	The questionnaire on the developmental stages of families	This is a questionnaire developed by Marie France Bradley and Robert Pauzé.It was conceived according to the developmental hypothesis of the family, which must, throughout its life cycle, go through a number of stages, namely: the departure from the house of the young single adult, the formation of the couple, the arrival of the children, the entry of children into adolescence, the departure of children from the family, the retirement of parents. For each of these steps, the family needs to reorganize. This instrument seeks to assess whether the developmental tasks they face have been carried out with more or less difficulty.	at baseline
Other	The questionnaire on the developmental stages of families	We decided to pass only the part about the family with teenagers. This part contains 43 items, corresponding to developmental tasks divided into 7 categories (support for the autonomy and responsibility of the adolescent, redefining the power of the parents vis-à-vis the adolescent, support for socialisation, support for the identity and personal development of the adolescent, impact of adolescence on the parental couple, multiple demands in adolescence and new issues in adolescence).	at month 9
Primary	Family Alliance Assessment Sales (FASS)	Scale validated in French evaluating the family alliance when viewing Lausanne Trilogy Play	Between "month 1" and "month 3"
Primary	Family Adaptability and Cohesion Evaluation Scales for adolescents(FACES III)	It consists of 40 items: a questionnaire for adolescents (40 items) . It was designed to make it possible to "make a relational diagnosis" on the family and to bridge the gap between theory, research and practice in family psychology, based on the three dimensions that make up the "circomplexe" model.	At baseline
Primary	Family Adaptability and Cohesion Evaluation Scales for adolescents (FACES III)	It consists of 40 items: a questionnaire for adolescents (40 items) . It was designed to make it possible to "make a relational diagnosis" on the family and to bridge the gap between theory, research and practice in family psychology, based on the three dimensions that make up the "circomplexe" model.	at month "9"
Primary	Family Adaptability and Cohesion Evaluation Scales for parents (FACES III)	It consists of 40 items: a questionnaire for parents (40 items). It was designed to make it possible to "make a relational diagnosis" on the family and to bridge the gap between theory, research and practice in family psychology, based on the three dimensions that make up the "circomplexe" model.	At Baseline
Primary	Family Adaptability and Cohesion Evaluation Scales for parents (FACES III)	It consists of 40 items: a questionnaire for parents (40 items). It was designed to make it possible to "make a relational diagnosis" on the family and to bridge the gap between theory, research and practice in family psychology, based on the three dimensions that make up the "circomplexe" model.	at month "9"
Primary	The Coparenting Inventory for Parents and Adolescents (CI-PA)	Validated in English, this scale was translated into French by the Favez team and is used by the Lausanne team for their LTP protocol with adolescents. This is a Self Questionnaire of 38 items for the teenager and 25 items for the parents.	At Baseline
Primary	The Coparenting Inventory for Parents and Adolescents (CI-PA)	Validated in English, this scale was translated into French by the Favez team and is used by the Lausanne team for their LTP protocol with adolescents. This is a Self Questionnaire of 38 items for the teenager and 25 items for the parents.	At month "9"
Primary	Family Attitude Scale, l'e´chelle d'attitude familiale (FAS-30)	This questionnaire concerns thoughts and emotions that family members may have towards each other and is intended to assess the degree of hostility of the parent towards the patient. Each item is rated according to its frequency, ranging from 4 (daily) to 0 (never). There are 20 "negative" items (they refer to the parent's criticism of the patient and the burden they feel because of the patient) and 10 "positive" items (the patient's affection and positive feelings).	At baseline
Primary	Family Attitude Scale, l'e´chelle d'attitude familiale (FAS-30)	This questionnaire concerns thoughts and emotions that family members may have towards each other and is intended to assess the degree of hostility of the parent towards the patient. Each item is rated according to its frequency, ranging from 4 (daily) to 0 (never). There are 20 "negative" items (they refer to the parent's criticism of the patient and the burden they feel because of the patient) and 10 "positive" items (the patient's affection and positive feelings).	At month 9
Primary	Child Behavior Check List (CBCL)	The CBCL is the most widely used questionnaire by researchers in the field of children's development and behaviour. The CBCL has been translated and validated in several languages and intercultural studies have shown its relevance and richness. It is validated and translated into French. There is an adaptation for the school age group 6-18 years.	at baseline
Primary	Child Behavior Check List (CBCL)	The CBCL is the most widely used questionnaire by researchers in the field of children's development and behaviour. The CBCL has been translated and validated in several languages and intercultural studies have shown its relevance and richness. It is validated and translated into French. There is an adaptation for the school age group 6-18 years.	at month 9
Secondary	Security in the inter parental subsystem: le questionnaire de se´curite´ dans le sous- syste`me parental (SIS).	Validated in English and reproduced and translated into French by Francesco Lopez and Favez Nicolas, this is a self-assessment for the teenager (43 Items) to evaluate the "emotional security system".	At baseline
Secondary	Security in the inter parental subsystem: le questionnaire de se´curite´ dans le sous- syste`me parental (SIS).	Validated in English and reproduced and translated into French by Francesco Lopez and Favez Nicolas, this is a self-assessment for the teenager (43 Items) to evaluate the "emotional security system".	At month 9