A Standardized Meditation Technique "Body-scan", in the Management of Anxiety in Hospitalized Parkinsonian Patients

University Hospital, Bordeaux33 enrolled

Overview

The aim of the study is to constitute a proof of concept study for a larger study investigating the effect of mindfulness on anxiety and agitation in Parkinson's disease (PD) based on the results of a preliminary feasibility.

Neuropsychiatric and behavioral non motor symptoms are common in PD often requiring hospitalization and/or specific drug management. Mindfulness-based stress reduction (MBSR) programs have proved to be efficacious in PD both for the management of motor and non-motor symptoms. This is however the case only in out-patients and by using standardized 8 weeks programs. The team has experienced in the hospitalization unit that methods derived from the MBSR program such as the "body scan", administered by the paramedical personnel, is of great help for the non-pharmacological management of anxiety and agitation in PD, avoiding physical contention in many cases. Based on this experience the study aims at evaluating the feasibility and preliminary efficacy of a simple and standardized administration of the "body scan" meditation in the management of anxiety and agitation in PD admitted in the unit since less than 48h.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Parkinson's Disease

Interventions

body-scan meditationOTHER

15 minutes audio-guided body-scan meditation

Psychological evaluationDIAGNOSTIC_TEST

NPI (Neuropsychiatric symptoms Inventory) - PAS (Parkinson's disease Anxiety Screening Questionnaire) - VAS measuring pain, anxiety and discomfort Before and after "body-scan" meditation

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Parkinson's disease * Age over 18 * Admitted in the unit since less than 3 days * Presenting at least 3 symptoms with a severity rated \> 2 at the Hamilton anxiety scale (HAM-A) * Patients with social security insurance * Informed consent signed Exclusion Criteria: * Dementia, delusions or hallucination not permitting an informed consent or necessitating immediate and urgent sedation * Patient under law protection * Pregnant or breastfeeding women

Locations (1)

Service de neurologie motricité,Hôpital Pellegrin

Bordeaux, France

Outcomes

Primary Outcomes

Percentage of patients that received a first experience of standardized "body scan" meditation within 48H after admission

Time frame: 48 hours after admission

Secondary Outcomes

Rate of patient's eligibility and causes of non-eligibility

Time frame: At inclusion (day 0)

Rate of study drop-out

Time frame: through study completion, an average of 1 year

Causes of study drop-outs

by oral questionnaire

Time frame: through study completion, an average of 1 year

Mean delay between admission and first meditation

Time frame: After "body scan" meditation, an average of 48 hours after admission

Cause of failure of meditation administration within 48h

Failure factors: related to staffing (insufficient, untrained...), related to the organization of the service (double room / individual), related to the patient (visits, temporary refusal), related to the equipment (unavailable, non-functional)

Time frame: 48 hours after admission (day 0)

Percentage of improvement pain, anxiety and discomfort

by visual analog scales (VAS)

Time frame: before and after "body scan" meditation, an average of 48 hours after admission

Percentage of improvement at the Parkinson's disease

by Anxiety Screening Questionnaire (PAS)

Time frame: before and after "body scan" meditation, an average of 48 hours after admission

Data from ClinicalTrials.gov

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