Viewing Study NCT00001448



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Last Modification Date: 2024-10-26 @ 9:02 AM
Study NCT ID: NCT00001448
Status: COMPLETED
Last Update Posted: 2008-03-04
First Post: 1999-11-03

Brief Title: The Effect of Oral Candidiasis on the Speech Production Feeding Skills and Self-Concept of Children and Adolescents With Symptomatic HIV Infection
Sponsor: National Cancer Institute NCI
Organization: National Institutes of Health Clinical Center CC

Study Overview

Official Title: The Effect of Oral Candidiasis on the Speech Production Feeding Skills and Self-Concept of Children and Adolescents With Symptomatic HIV Infection
Status: COMPLETED
Status Verified Date: 1999-07
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The main objectives of this study are 1 to determine whether various levels of severity of oral candidiasis thrush in the child are associated with different levels of speech production feeding skills and self-concept and 2 to assess the effect of the reduction of oral thrush over time on the speech function feeding skills and self-concept in HIV-infected patients who already are receiving various antifungal medications for treatment of their thrush Note Decisions regarding antifungal therapy are made completely independent from this study

Children with HIV disease ages 6-21 years who have oral thrush are eligible to paricipate in the study The child and hisher parent will be asked to complete a variety of measures at specific time intervals over approximately one month during visits to the National Institutes of Health for treatment on other protocols First a nurse will rate the location and severity of thrush in the childs mouth Then the parent will complete questionnaires assessing the effect of oral thrush on the childs feeding and speech skills and everyday functioning Finally the child will be administered a brief speech and oral-motor evaluation and will complete some questionnaires about how the thrush affects hisher day-to-day activities and self-concept

The results of this study may help to better understand the cause of expressive language deficits observed in some children with HIV infection More specifically it will determine if any speech and feeding problems of HIV-infected children are associated with oral thrush Learning more about the impact of oral thrush on the speech feeding and the self-concept of children with HIV disease may be used for parent and patient education and to develop rehabilitative recommendations to benefit HIV-infected patients with oral thrush
Detailed Description: Language impairments in children with symptomatic HIV infection are associated with the direct effects of HIV on the central nervous system CNS Furthermore expressive language is more vulnerable to the effects of HIV compared to receptive language Wolters et al 1995 Several factors however are likely to be involved in producing the expressive language impairments observed in the HIV-infected pediatric population Oral candidiasis thrush a fungal infection in the oral cavity that frequently appears in HIV-infected children Walsh 1994 also may contribute to speech and language deficits depending on the severity of the thrush Feeding skills and self-concept may be negatively affected by oral thrush as well

The effect of oral candidiasis on the speech production feeding skills and self-concept of children and adolescents with HIV infection will be examined in this pilot study Several disciplines Neuropsychology Speech Nursing and Infectious Disease will be involved to investigate the severity of oral candidiasis on various aspects of everyday behavior

Interdisciplinary assessment of the ramifications of oral thrush on speech production and feeding skills have not been conducted to date in children or adolescents infected with HIV Most studies have assessed only single dimensions or functions such as language or they have yielded only descriptive data for example regarding the severity of oral thrush This pilot study however will investigate the association between oral thrush and speech and feeding dysfunction using some newly-developed measures The study will also examine whether oral candidiasis may influence the self-concept of children and adolescents with HIV infection

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
95-C-0185 None None None