Bissonnette Josiane, Pierre Stephica, Duong Anh Thu Julia, Pinard Anne-Marie, Rainville Pierre, Ogez David
Département d'anesthésiologie et de Médecine de la douleur, Université de Montréal, Montréal, QC, Canada.
Faculté de Musique, Université Laval, Laval, QC, Canada.
Front Pain Res (Lausanne). 2022 Jul 6;3:926584. doi: 10.3389/fpain.2022.926584. eCollection 2022.
The palliative care people present needs that can be partially met by complementary intervention. Approaches based on the use of hypnosis and music are increasingly being studied and have shown potential benefits on pain, anxiety, and wellbeing for many populations including those in palliative care.
This study aims to present the initial process of creating and refining a hypnosis and music intervention program intended for persons in palliative care, with a panel of experts of diverse relevant backgrounds. It also aims to evaluate its feasibility, preliminary acceptability, and content.
To achieve the objectives, we followed ORBIT recommendations for the development and redesign of behavioral interventions (phase I a-b). Based on a meta-analysis, reference interventions were identified and then adapted to the target population. Twenty-two experts from different backgrounds were consulted to obtain their evaluation on the acceptability, feasibility, and content of the interventions.
The various components of the program were deemed appropriate or very appropriate by over 80% of the experts. However, possible risks were raised related to some uncertainty about the reactions of individuals to the intervention. Several experts (32%) indicated potential adverse effects consisting of negative emotional experiences during the sessions. Modifications were proposed specifically to reduce or mitigate this risk. Over 90% of the experts considered that the revised program provides a safer and more appropriate intervention for palliative care persons.
A mixed intervention program with hypnosis and music has been developed and attained a high level of consensus by the experts. The proposed intervention is ready to be assessed for clinical efficacy in a pilot study (ORBIT Phase II).
姑息治疗患者存在一些需求，可通过辅助干预部分满足。基于催眠和音乐运用的方法正得到越来越多的研究，并且已显示出对包括姑息治疗患者在内的许多人群的疼痛、焦虑和幸福感有潜在益处。
本研究旨在介绍为姑息治疗患者创建和完善催眠与音乐干预项目的初始过程，该项目由具有不同相关背景的专家小组参与。研究还旨在评估其可行性、初步可接受性和内容。
为实现这些目标，我们遵循行为干预开发与重新设计的ORBIT建议（第一阶段a - b）。基于一项荟萃分析确定了参考干预措施，然后将其适用于目标人群。咨询了22位来自不同背景的专家，以获取他们对干预措施的可接受性、可行性和内容的评估。
超过80%的专家认为该项目的各个组成部分合适或非常合适。然而，也提出了一些可能的风险，涉及个体对干预反应的某些不确定性。几位专家（32%）指出了潜在的不良影响，包括在疗程中出现负面情绪体验。为此专门提出了修改建议以降低或减轻这种风险。超过90%的专家认为修订后的项目为姑息治疗患者提供了更安全、更合适的干预措施。
已开发出一种催眠与音乐的混合干预项目，并获得了专家的高度共识。所提议的干预措施准备好在一项试点研究中评估其临床疗效（ORBIT第二阶段）。
