Prematurity tends to increase in France in recent years and more children born extremely premature infants survive. If severe impairments have stabilized, the majority of former extremely premature children have neuropsychological disorders and moderate appearance behavior disorder, but with a significant impact both family, school and social persisting into adulthood. Executive functions (EF), in general, and working memory (MT), in particular, are frequently altered in older children preterm infants compared to controls born at term. The identification process of loss in certain diseases, as well as improving knowledge of brain functioning, and development with the possibility of neuronal plasticity has led research teams to develop intervention programs focused on process cognitive qualified of "remediation" cognitive (RC). Schematically, the RC is defined as a rehabilitation or altered cognitive functions. MT can be improved by encouraging the operation of the spots mental stimulant. These programs are effective on MT but do not have the expected impact on other FE, language or nonverbal functions (visuospatial). The functional benefit of cognitive remediation remains controversial. Improving mental functions untrained as nonverbal MT, attention and secondarily learning is possible but still unproven on wide population. Similarly, randomized trials are needed to test this type of cognitive remediation among preschoolers old very premature.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
166
a computer program online re-educating the working memory is completed by the parents and the child. The child made a series of interactive exercises accompanied by parents or a practitioner. The exercises are adapted automatically and individually to the performance at each session.
A speech therapy and / or academic support is realized.
University Hospital of Lyon
Bron, France
University Hospital of Caen Normandie
Caen, France
University Hospital of Clermont-Ferrand
Clermont-Ferrand, France
Sud Francilien Hospital
Corbeil-Essonnes, France
University Hospital of Grenoble
Grenoble, France
Assistance Publique Hôpitaux de Marseille
Marseille, France
University Hospital of Montpellier
Montpellier, France
Regional University Hospital of Nancy
Nancy, France
University Hospital of Nantes
Nantes, France
University Hospital of Nice
Nice, France
...and 8 more locations
Increase of the measuring index visuospatial
This index consists of two subtests : block design and object assembly. The average score is 100 with a standard deviation of 15.
Time frame: 18 months (more or less 2 months) post inclusion
Assessment of intellectual functioning
award of global IQ
Time frame: 8 months (more or less 2 months) post inclusion
Evaluation of the working memory
administering the questionnaire Wechsler Preschool and Primary Scale of Intelligence (WPPSI IV)
Time frame: 18 months (more or less 2 months) post inclusion
evaluation of neuropsychological development of children
award of Neuropsychological Assessment test (NEPSY)
Time frame: 8 months (more or less 2 months) post inclusion
Evaluation of language and skills
passing the test Communicate, Learn to Read and Write (KEY)
Time frame: 8 months (more or less 2 months) post inclusion
Rating behavior
award of Goodman questionnaire (Strengths and Difficulties Questionnaire (SDQ))
Time frame: 8 months (more or less 2 months) post inclusion
Evaluation of parental anxiety
award of Spielberger Trait Anxiety Inventory questionnaire
Time frame: 8 months (more or less 2 months) post inclusion
Assessing the quality of a child's life
Quality of Life Questionnaire
Time frame: 8 months (more or less 2 months) post inclusion
Evaluation of Education
Evaluation of Education is evaluated by the global adaptation school score (GSA) survey
Time frame: 8 months (more or less 2 months) post inclusion
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