Study of the Effects of Hypnosis Before Undergoing Surgery, on Anxiety in Children Aged 10 to 18 Years (HYPOPANX)
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Purpose
This study aims to find how hypnosis performed just before a painful surgery can change anxiety level, in children aged 10 to 18 years.
| Condition | Intervention |
|---|---|
|
Osteotomy and Spinal Column Surgery |
Behavioral: Pre operative nurse consultation and Hypnosis Other: Pre operative nurse consultation |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Supportive Care |
| Official Title: | Impact of Pre Operative Hypnosis on Anxiety in Children Aged 10 to 18 Years |
- Level of anxiety at day 1 (24 hours after surgery) [ Time Frame: 24 hours ] [ Designated as safety issue: No ]Level anxiety will be measured 24 hours after exit of operating room, using A-VAS (Anxiety visual analog scale) by a single blind assessor.
- Anxiety level [ Time Frame: 24 hours ] [ Designated as safety issue: No ]difference in anxiety level between D-1 (the day before surgery) and D1 (24 hours after surgery)
- Pain after surgery [ Time Frame: 24 hours ] [ Designated as safety issue: No ]need for analgesics (morphine)
| Estimated Enrollment: | 120 |
| Study Start Date: | March 2011 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Hypnosis
Pre operative nurse consultation and Hypnosis: will have hypnosis |
Behavioral: Pre operative nurse consultation and Hypnosis
Pre operative nurse consultation with pain management nurse, the day before surgery and 5 to 10 minutes of hypnosis, just before anesthesia, with trained nurse.
Other Name: Hypnosis, HYPNOANALGESIA
|
|
Active Comparator: Control
Pre operative nurse consultation: usual nurse consultation without hypnosis |
Other: Pre operative nurse consultation
Pre operative nurse consultation with pain management nurse. Usual care and anesthesia
Other Name: Control
|
Detailed Description:
Undergoing surgery can cause anxiety among children. Thus, peri operative anxiety can increase levels of pain, need for painkillers, and even length of stay in hospital.
Caring for children must take in account their anxiety. This anxiety can be treated through drugs or others means such as hypnosis. Thus, the use hypnosis in surgery has been very poorly assessed.
Parents will be given a consent form as well as an information note. This study aims to compare the level of post operative anxiety (D1)of children having hypnosis before receiving anaesthetics to the level of anxiety of children getting the usual care.
All the children included in this study will have a pre operative consultation with the Pain Management Nurse.
The study applies to inpatients, aged 10 to 18 years, who must go through orthopaedics surgery such as osteotomy (bone section) and spinal column surgery. 120 patients will be included in this study (60 in each arm) The primary outcome measure is the level of anxiety at day 1 (24 hours after surgery) Other outcome measure are
- the difference in anxiety level between D-1 (the day before surgery) and D1 (24 hours after surgery)
- the use of morphine during the first 24 hours This study is a prospective randomized trial, comparing a usual analgesics procedure to an experimental analgesics procedure including hypnosis before anaesthesia.
Expected impact of this study :change in procedures, decrease of anxiety levels in patients by the use of hypnosis before anaesthesia.
Eligibility| Ages Eligible for Study: | 10 Years to 215 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age 10-18 years
- Orthopaedics surgery (spinal column, osteotomy)
- ASA 1 & 2
Exclusion Criteria:
- casualty surgery
- patient or family unable to understand the study (language, disability ...)
- patient or family refusing the study
Contacts and Locations| Contact: Nathalie DUPARC, Ph | 01 40 03 53 43 ext +33 | nathalie.duparc@rdb.aphp.fr |
| Contact: Karine TIBERGHEIN, ph | 01 40 03 22 68 ext +33 | karioliv@free.fr |
| France | |
| Hôpital Robert Debré | Recruiting |
| Paris, France, 75019 | |
| Contact: Chantal WOOD, MD 01 4003 4027 ext +33 chantal.wood@rdb.aphp.fr | |
| Contact: Karine TIBERGHEIN, PH 01 4003 2268 ext +33 karioliv@free.fr | |
| Principal Investigator: | Chantal WOOD, MD | Assistance Publique - Hôpitaux de Paris |
More Information
No publications provided
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT01320956 History of Changes |
| Other Study ID Numbers: | P100112, 2010-A01165-34 |
| Study First Received: | March 21, 2011 |
| Last Updated: | July 26, 2012 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
hypnosis HYPNOANALGESIA surgery children anxiety morphine pain |
A-VAS orthopaedics osteotomy tenotomy arthrodesis spinal column surgery |
Additional relevant MeSH terms:
|
Anxiety Disorders Mental Disorders |
ClinicalTrials.gov processed this record on June 18, 2013