Teleconsultations Hypnosis Sessions for Patients With Peripheral Chronic Neuropathic Pain

Study Overview
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Brief Summary
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The aim of this study is to assess the feasibility of hypnosis sessions performed in teleconsultations and led by a nurse, for patients with peripheral chronic neuropathic pain. Acceptability, satisfaction and effects (on pain and psychological distress) are also evaluated, comparing patients who have benefited from teleconsultations and those who did not.

Detailed Description
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Factors explaining peripheral chronic neuropathic pains are complex ; they require a personalized therapeutic strategy and multidisciplinary management. Among the recommended management, psychocorporal approaches such as hypnosis, are subject of recent interest. At the CHU de Bordeaux, the management of patients suffering from such chronic pains, consists of 5 hypnosis sessions, conducted face-to-face, each performed one month apart : the first session is carried out by a doctor and a hypnotherapist nurse and the 4 following sessions by the hypnotherapist nurse alone. However, it seems that this usual management is not easily accessible for patients who are geographically distant and/or who are unable to move due to excessive pain. In such situations, teleconsultations would avoid travel for these patients with low mobility and then would an interesting alternative to face-to-face consultations. Few studies have been done on hypnosis sessions led by teleconsultations. So, the whole purpose of this study is to compare the management of 15 patients by teleconsultations (experimental arm) with 15 other patients seen in face-to-face (control arm) to evaluate feasibility of teleconsultation in hypnosis.

Official Title
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Monocentric Pilot Study of the Feasibility of Teleconsultations Hypnosis Sessions Led by a Nurse for Patients With Peripheral Chronic Neuropathic Pain - HYPTEC

Conditions
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Peripheral Neuropathy, Pain

Intervention / Treatment
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* Other: Clinical examination
* Other: Anxiety and Depression Scale (HAD)
* Procedure: pain scale
* Procedure: hypnosis consultation
* Procedure: Maintenance
* Other: Data collection


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient aged over 18 years old, Patient suffering of from peripheral neuropathic pain for more than 1 year, Patient referred for hypnosis management as part of a coordinated care support, Patient who accepts teleconsultation, having the appropriate equipment to attend teleconsultations (computer, microphone, camera and stable internet connection with sufficient internet speed) and the ability to use it independently, Patient having signed a free, informed and written consent, Patient affiliated or beneficiary of the social security system. Exclusion Criteria: Patient with severe and unstable neurocognitive or psychiatric conditions (depression, psychoses, major cognitive impairments), Patient with uncorrected deafness, Patient with poor understanding of French Patient placed under judicial safeguard, guardianship or curatorship.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: combination of face-to-face and teleconsultation hypnosis consultation<br>The first and the last hypnosis sessions in face-to-face, and the other 3 intermediate sessions being conducted by teleconsultation. | Other: Clinical examination<br>* Current medications (only those prescribed to treat pain, anxiety and depression), non-drug treatment(s) prior to treatment in hypnosis as well as any ongoing treatment(s).<br>Other: Anxiety and Depression Scale (HAD)<br>* To screen for anxious and depressive symptoms<br>Procedure: pain scale<br>* Measurement of pain intensity<br>Procedure: hypnosis consultation<br>* 5 hypnosis consultation<br>Procedure: Maintenance<br>* Qualitative assessment<br>Other: Data collection<br>* Age, sex, socio-professional category, level of education, comorbidities, date of diagnosis of chronic peripheral neuropathic pain, distance between home and hospital.<br>|
| Active Comparator: face-to-face hypnosis consultation<br>5 face-to-face hypnosis sessions | Other: Clinical examination<br>* Current medications (only those prescribed to treat pain, anxiety and depression), non-drug treatment(s) prior to treatment in hypnosis as well as any ongoing treatment(s).<br>Other: Anxiety and Depression Scale (HAD)<br>* To screen for anxious and depressive symptoms<br>Procedure: pain scale<br>* Measurement of pain intensity<br>Procedure: hypnosis consultation<br>* 5 hypnosis consultation<br>Procedure: Maintenance<br>* Qualitative assessment<br>Other: Data collection<br>* Age, sex, socio-professional category, level of education, comorbidities, date of diagnosis of chronic peripheral neuropathic pain, distance between home and hospital.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 5 hypnosis consultations (in face-to-face and by teleconsultation). | The rate (%) of included patients who have completed the 5 hypnosis consultations (in face-to-face and by teleconsultation). | Month 8 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Achievement/Acceptability | Acceptance rate (%) of the proposal to participate in the study in the two study arms: face-to-face hypnosis care (control arm) and care including hypnosis teleconsultations (experimental arm). | Month 8 | 
| Numerical Pain Assessme | Mean difference in pain score, minimum value is 0 and maximum value is 10 | Day 0, month 1, month 2, month 3 month 4 and montth 7 | 
| Hospital Anxiety and Depression scale (HAD) | Mean difference in the anxiety and depression score, minimum value is 0 and maximum value is 42 | Day 0, month 4 and month 7 | 
| Learning self-hypnosis | Evaluate the frequency of the use of self-hypnosis throughout the treatment. | Day 0, month 1, month 2, month 3 month 4 and montth 7 | 
| Ssatisfaction scale | Evaluate the level of satisfaction and the feeling of the patients with regard to the nursing care in hypnosis at the end of the care in the two study arms (face-to-face control arm and experimental arm with teleconsultations). | Month 7 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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peripheral chronic neuropathic pain, hypnosis, teleconsultations, feasability