Effect of the MIROKI Companion Robot on Anxiety in Pediatric Radiotherapy (KOKORO01)
9 juin 2026 mis à jour par: Institut du Cancer de Montpellier - Val d'Aurelle
Pediatric radiotherapy is an anxiety-provoking situation that can, on one hand, impair the child's cooperation and require sedation, and on the other hand,burden the care pathway by generating significant anxiety in both the child and their parents.
Companion robots represent an innovative avenue for patient support, but they have never been evaluated in the context of radiotherapy.
This study examines the effect of MIROKI, the first social robot capable of communication through a Large Multimodal Model (LMM), on children's state anxiety during radiotherapy.
An experimental single-case design (SCED) will compare phases with and without the robot (withdrawal/reversal), both in the waiting room and in the irradiation bunker.
The primary outcome variable is anxiety, assessed in several ways: through questionnaires at the beginning and end of treatment; through an objective measure of cardiac activity (heart rate in bpm) during the radiotherapy session, with or without the MIROKI robot; and through an observational grid assessing the child's behavior.
The intensive repeated measure (bpm) constitutes the preferred variable in this SCED design, while behavioral observation and anxiety questionnaires will support interpretation.
The results could pave the way for reducing sedation and improving the overall care pathway in pediatric radiotherapy.
Aperçu de l'étude
Statut
Pas encore de recrutement
Les conditions
Type d'étude
Observationnel
Inscription (Estimé)
6
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Coordonnées de l'étude
- Nom: Aurore MOUSSION
- Numéro de téléphone: +33 0467613102
- E-mail: DRCI-icm105@icm.unicancer.fr
Lieux d'étude
-
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Herault
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Montpellier, Herault, France, 34298
- Julien Welmant
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-
Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Oui
Méthode d'échantillonnage
Échantillon de probabilité
Population étudiée
Participants will be recruited from the pediatric radiotherapy unit at Montpellier Cancer Institute (ICM).During the initial consultation to initiate radiotherapy treatment at ICM, the investigator physician will present the KOKORO-01 study.
They will answer all questions regarding its procedures and will provide the parents or legal representative with the information sheet and consent form.
Parents or the legal representative will have at least one week to consider participation, during which they may ask any questions they wish.
La description
Inclusion Criteria:
- Children aged 4 to 18 years, distributed across the following age groups: 4-7 years, 8-12 years, and 13-18 years.
- Child with an indication for radiotherapy treatment at ICM.
- Child who speaks French.
- Child accompanied by a parent or legal guardian who agrees to participate in the study and provide consent.
- Child covered by the French national health insurance system.
Exclusion Criteria:
6. Child with a diagnosed neurodevelopmental disorder as a comorbidity. 7. Child with postoperative cognitive sequelae that make interaction during care difficult (e.g., language impairment). 8. Total body irradiation. 9. Child under legal protection, unable to express assent, or presenting major difficulties in understanding the study information. Parent Inclusion Criteria
- Parent of a child enrolled in the study.
- Able to speak French.
- Willing to participate in the study. Parent Exclusion Criteria
1. Parents or legal representatives under legal protection, or presenting an inability to consent or to understand the study information, making it impossible to provide free and informed consent for the minor's participation.
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
To evaluate the immediate intra-individual effect of MIROKI on a physiological marker of anxiety in children undergoing radiotherapy.
Délai: During the treatment, across the 6 radiotherapy sessions
|
The child's anxiety level measured through an objective assessment of heart rate (bpm sensor).
|
During the treatment, across the 6 radiotherapy sessions
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Evaluate the immediate intra-individual effect of MIROKI in children on: Psychological distress level
Délai: administered before the start of treatment and after completion of treatment
|
Distress questionnaire (PedsQL 3.0 Cancer Module score, Varni et al.)
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administered before the start of treatment and after completion of treatment
|
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Evaluate the immediate intra-individual effect of MIROKI in children on development of attachment and reassurance
Délai: Before, during, and after treatment
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Daily distress VAS (Peds-DTRS score, Patel et al., 2011, 2021) and standardized real-time observation using an observational grid.
|
Before, during, and after treatment
|
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Evaluate the satisfaction with care (radiotherapy at ICM) at the end of treatment
Délai: At the end of treatment
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Post-treatment interview (thematic and lexico-metric analysis).
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At the end of treatment
|
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Evaluate the impact of MIROKI on the radiotherapy process: Setup time during sessions in the radiotherapy room
Délai: From the beginning to the end of the treatment course
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From the beginning to the end of the treatment course
|
|
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Evaluate the impact of MIROKI on parents: - Anxiety level - Satisfaction with care at the end of treatment - Experience of the radiotherapy process at the end of treatment
Délai: Before the start , during and after the treatment,
|
During treatment: - Daily anxiety VAS (daily DT score, Leclair et al., 2016; NCCN, 2025) After treatment: - Assessment of the radiotherapy experience and satisfaction with care with the robot, using the parent interview grid |
Before the start , during and after the treatment,
|
Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Les enquêteurs
- Chercheur principal: Julien, Welmant, ICM Co. Ltd.
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Liens utiles
- Bamberger, K. T. (2016). The Application of Intensive Longitudinal Methods to Investigate Change: Stimulating the Field of Applied Family Research. Clinical Child and Family Psychology 1040 Review
- Dominique Interactif pour Adolescents-Révisé, dépression, comorbidité et suicidalité
- Prediction of compliance with MRI procedures among children of ages 3 years to 12 years
- Examining the perceived social support and psychological symptoms among adolescents with leukemia
- Pediatric radiotherapy preparation: a scoping review
- Consultation with children in hospital: children, parents' and nurses' perspectives
- The Family of Single-Case Experimental Designs
- Children's experiences and responses towards an intervention for psychological preparation for radiotherapy
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude (Estimé)
1 juillet 2026
Achèvement primaire (Estimé)
1 juillet 2027
Achèvement de l'étude (Estimé)
1 juillet 2027
Dates d'inscription aux études
Première soumission
9 juin 2026
Première soumission répondant aux critères de contrôle qualité
9 juin 2026
Première publication (Réel)
12 juin 2026
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
12 juin 2026
Dernière mise à jour soumise répondant aux critères de contrôle qualité
9 juin 2026
Dernière vérification
1 juin 2026
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- PROICM 2026-01 KOK
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
OUI
Description du régime IPD
All data will be available after publication of the results in peer-reviewed revues, and in national and international meetings.
It includes all de-identified participants' data, the study protocol, the statistical analysis plan and the clinical study report.
The corresponding author will provide data and datasets generated and/or analyzed during the study upon reasonable request.
Délai de partage IPD
Access to study data upon written detailed request sent to ICM, from 6 months until 5 years after publication of summary data.
Critères d'accès au partage IPD
The data shared will be limit to that required for independent mandated verification of the published results, the applicant will need authorization from ICM for personal access, and data will only be transferred after signing of a data access agreement.
Type d'informations de prise en charge du partage d'IPD
- PROTOCOLE D'ÉTUDE
- SÈVE
- CIF
- RSE
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Non
Étudie un produit d'appareil réglementé par la FDA américaine
Non
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .