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Early Intervention AND NURSING Support for an " Involuntary Commitment Procedure " for a Close Relative

NCT ID: NCT03510039

Last Updated: 2020-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-15

Study Completion Date

2020-09-13

Brief Summary

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In a context of first hospitalization under the constraint of a relative in psychiatric emergencies:

* effect of an early intervention and a 6-month nursing follow-up on the anxious experience of third party persons
* effect of nursing support on family dynamics, on the durability of outpatient care and adherence

Detailed Description

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The patient that is meeting during time travel at Psychiatric Emergency come with their families wich live (or have been lived) the crisis at home, in the street, with their family doctor. With a psychic incoming sufferance, when the patient refuses his medicines, doctors ask to someone close to the patient to become his Third party, his first guarantor of the without consent care commitment. These without consent hospitalizations at Toulouse University Hospital, and all over France hospitals, rise continuously. Our daily nursing exercise is to support those helping people. The sentiment felt by our nursing team during the exchange, underlines ambivalence and several emotional problems and difficulties, which are even harder for a first time occurence.

Patient's close relatives that become a " resource " during non-consensual hospitalization could be affected indirectly by the burden of this referent role. Between culpability, isolation and exhaustion, the studies show that their ability to " resist " is a real help for patient progression. This statement is showed by nursing team (even belonging to others structures) listened during our exploratory investigation.In our professional practice, our specific emergency environment is firstly focused about patient in crisis situation and about his security. In this environment, there is no formerly dedicated time for relatives needing, once actors and public in this acute disease. Relatives hard experiences in a very central moment that we could consider as care beginnings, should impact therapy and patient health care plan. An early, well defined nursing act, built on close relatives needs and expectations could enhance this particular moment that should facilitate the following of the patient disease. A lot of data cited in literature specify the central role of relatives for a psychic patient, but there is no study about an early nursing intervention for Relatives during a psychiatric emergency.

Conditions

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Anxiety

Keywords

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Involuntary commitment hospitalization close relative

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Mono-centric pilot comparative study like " Before /After ". It will be necessary to recruit at first 35 thirds benefiting from the in current load, "Before" phase, then to set up our intervention, and recruit another 35 different thirds for the "After".
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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"Before" Group

35 Thirds benefiting from the usual care

Group Type ACTIVE_COMPARATOR

Usual care

Intervention Type OTHER

Group "Before" : usual care by nurses

"After" Group

Recruit 35 Thirds for the phase phase "After" : Early device / Follow up by nurses

Group Type EXPERIMENTAL

Early device / Follow up

Intervention Type BEHAVIORAL

Early device:

Standardized Nursing Interview (30 minutes) with the Third Party Person Measure and follow the anxiety of the Third Party by rating the AMDP-AT scale, on D0 and D7

Telephone follow-up by nurses:

Interviews built and standardized, to M2, M4 and M6 Quantification of the AMDP-AT anxiety scale on each call

Interventions

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Early device / Follow up

Early device:

Standardized Nursing Interview (30 minutes) with the Third Party Person Measure and follow the anxiety of the Third Party by rating the AMDP-AT scale, on D0 and D7

Telephone follow-up by nurses:

Interviews built and standardized, to M2, M4 and M6 Quantification of the AMDP-AT anxiety scale on each call

Intervention Type BEHAVIORAL

Usual care

Group "Before" : usual care by nurses

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being the "Third Party" adult, during the first involuntary commitment procedure of a close relative, in an ASPDT(u) form.
* Being physically present during the admission, within 24 hours after the arrival of the patient.
* Accept to be recontacted by phone to J7, M2, M4 and M6
* Affiliated person or beneficiary of a social security scheme.
* Free and informed consent, signed by the participant and the investigator (at the latest on the day of inclusion and before any examination required by the research).

Exclusion Criteria

* To be the guardian or any person in charge of legal representation with the patient.
* Pregnant or lactating woman (the duration of the study may affect the subject's compliance and availability).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Toulouse

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alexandre CASTANET, nurse

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Toulouse

Locations

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University Hospital Toulouse

Toulouse, , France

Site Status

Countries

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France

Other Identifiers

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2017-A03043-50

Identifier Type: OTHER

Identifier Source: secondary_id

RC31/17/0322

Identifier Type: -

Identifier Source: org_study_id