In France, stress particularly affects family caregivers because of the intensive help they provide on a permanent basis to people losing their autonomy at home. This care work is often considered as a "burden" and has all the characteristics of a chronic daily stress factor. The prevalence of stress among caregivers is high and the level of stress varies according to the type of care provided to seniors at home. This chronic stress has harmful effects on the health of family caregivers (depression, fatigue, insomnia, onset of chronic diseases, early mortality). It can be detrimental to their well-being and quality of life. However, ageing well at home for older people is based on this essential pillar: the caregivers. They must remain in good physical and psychological health. Reducing their daily stress is becoming a public health challenge and a national priority. Currently, the management of caregiver stress is based on several measures and devices. Non-conventional care practices such as Mindfulness-Based Stress Reduction, meditation, relaxation and yoga are offered to family caregivers. Initial results of studies on the effect of these complementary medicines show an improvement in psychological stress. However, research in this field is relatively recent. The conclusions must therefore be approached with caution. Moreover, no medium or long-term evaluation has been found in the scientific literature. Self-hypnosis is becoming a common practice in healthcare. It has demonstrated its effectiveness in reducing pain and anxiety in both adults and children. In addition, other recent scientific evidence supports the effectiveness of hypnosis in stress management. In France, no study on caregiver stress and its management by self-hypnosis has been identified in the literature. The hypothesis is that the stress level of caregivers of elderly people at home could be reduced through daily self-hypnosis practice at home.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
60
Self-hypnosis training during 8 weeks and one daily self-hypnosis session during 8 weeks
Usual practice during the first 16 weeks. At the end of study, the participant will practice Self-hypnosis training during 8 weeks and one daily self-hypnosis session during 8 weeks
CHU de La Réunion
Saint-Pierre, Reunion
RECRUITINGAssessment of the feasibility of a practice of self-hypnosis on reducing the stress of carers caring for the elderly at home compared to a control group with waiting list.
Membership of program participants : number of session of self-hypnosis realized compared to proposed session. It will be considered sufficient if 80% of the participants carry out 2 individual sessions and 1 collective hypnosis session during the training and practice 80% of the self-hypnosis sessions at home.
Time frame: week 16 after enrollment
Assessment of the feasibility of a practice of self-hypnosis on reducing the stress of carers caring for the elderly at home compared to a control group with waiting list.
number of patients recruited over 6 months Recruitment will be deemed acceptable if 60 participants are recruited over 6 months.
Time frame: 6 months after the first enrollment
Comparison of the variation in caregiver burden between inclusion and the end of self-hypnosis practice between the 2 groups of participant
The burden will be evaluated by the Zarit scale min score = 0 and max score =88 score\>60 = serious burden
Time frame: week 16 after enrollment
Comparison of the variation in caregiver sleep quality between inclusion and the end of selfhypnosis practice between the 2 groups of participant
The quality of sleep will be evaluated by the Pittsburgh Sleep Quality Index (PSQI) min score = 0 and max score = 32 score = 32 : extreme fatigue
Time frame: week 16 after enrollment
Comparison of the variation in caregiver fatigue level between inclusion and the end of self-hypnosis practice between the 2 groups of participant
The level of fatigue will be evaluated by the Pichot scale
Time frame: week 16 after enrollment
Comparison of the variation in caregiver quality of life between inclusion and the end of self-hypnosis practice between the 2 groups of participant
Quality of life will be evaluated by the SF-12 scale Score calculated with a software
Time frame: week 16 after enrollment
Comparison between the 2 groups the care consumption between inclusion and the end of self-hypnosis practice
The care consumption will collected on a patient diary.
Time frame: week 16 after enrollment
Observance of self-hypnosis sessions at home
Duration and localization of the session will be collected on a patient diary.
Time frame: week 8 after enrollment
Observance of self-hypnosis sessions at home
Duration and localization of the session will be collected on a patient diary.
Time frame: week 16 after enrollment
Observance of self-hypnosis sessions at home
Duration of the session will be collected on a patient diary.
Time frame: week 32 after enrollment
Observance of self-hypnosis sessions at home
Localization of the session will be collected on a patient diary.
Time frame: week 32 after enrollment
Comparison of the variation of perceived stress between inclusion and the end of self-hypnosis practice between the 2 groups of participant
Stress will be evaluated by the Perceived Stress Scale (PSS) min score = 10 and max score = 50 score \< 27 : stress management by the person
Time frame: week 16 after enrollment
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