Hypnosis and music interventions for anxiety, pain, sleep and well-being in palliative care: systematic review and meta-analysis

Bissonnette, Josiane; Dumont, Émilie; Pinard, Anne-Marie; Landry, Mathieu; Rainville, Pierre; Ogez, David

doi:10.1136/bmjspcare-2022-003551

Cited by 3 publications

(7 citation statements)

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“…Other evaluators, however, consider that too much negative emotion can lead to unwarranted distress. Considering that no negative effects have been found in studies of music or hypnosis in palliative care ( 25 ), we put some measures in place, while trusting the choices of palliative care people regarding the pleasant place and the musical pieces they wish to experience. As a preventive measure, during a preliminary meeting, we will ask the patients to identify a pleasant place and choose musical pieces that generate in them pleasant, positive emotions in addition to bringing them wellbeing.…”

Section: Discussionmentioning

confidence: 99%

“…Peng's music intervention consisted, first, of identifying the patient's musical preferences and, second, of playing the selected preferences. The acceptability and effect sizes of this intervention on pain ( d = −3.81, p < 0.001) and anxiety ( d = −3.31, p < 0.001) were very large ( 25 ).…”

Section: Methodsmentioning

confidence: 99%

“…To establish the milestones of the intervention, we conducted a meta-analysis ( 25 ), we consulted papers on the effect of specific musical components and clinical reference literature on hypnosis.…”

Section: Methodsmentioning

confidence: 99%

“…Based on the results of a meta-analysis (25), based on a clinical script (28) 1 , and on studies on musical components (11)(12)(13)(14)(15), we developed the first version of a mixed intervention program that integrates hypnosis and music. In keeping with the principles of pragmatic studies and to foster respect for the individuality of patients according to the principles of person-centered care (29,30) During the intervention setup, a health care provider is responsible for preparing the patient to receive the intervention in the best environmental and physical conditions possible.…”

Section: Intervention Development and Descriptionmentioning

confidence: 99%

“…A meta-analysis on hypnosis and music in a palliative care context observed a significant decrease in pain with an effect size of d = −0.42, p = 0.003 for randomized controlled trial studies ( k = 4) ( 25 ). Analyses of the results of pre-post changes in hypnosis ( k = 3), preferred music ( k = 3), and music/hypnosis ( k = 2) report an improvement in pain, anxiety, and wellbeing.…”

Section: Introductionmentioning

confidence: 99%

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Development of a Mixed Hypnosis and Music Intervention Program for the Management of Pain, Anxiety, and Wellbeing in End-of-Life Palliative Care

Bissonnette¹,

Pierre²,

Duong³

et al. 2022

Front. Pain Res.

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BackgroundThe 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.ObjectiveThis 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.MethodsTo 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.ResultThe 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.ConclusionA 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).

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Intervention Development and Descriptionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development of a Mixed Hypnosis and Music Intervention Program for the Management of Pain, Anxiety, and Wellbeing in End-of-Life Palliative Care

Bissonnette¹,

Pierre²,

Duong³

et al. 2022

Front. Pain Res.

Self Cite

View full text Add to dashboard Cite

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End‐of‐life care: A retrospective cohort study of older people who died within 48 hours of presentation to the emergency department

Sweeny,

Alsaba,

Grealish

et al. 2023

Emerg Medicine Australasia

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ObjectivesTo describe the characteristics of, and care provided to, older people who died within 48 h of ED presentation.MethodsA descriptive retrospective cohort study of people 65 years and older presenting to two EDs in Queensland, Australia, between April 2018 and March 2019. Data from electronic medical records were collected and analysed.ResultsTwo hundred and ninety‐five older people who died within 48 h of ED presentation were included. Nearly all arrived by ambulance (92%, n = 272) and 36% (n = 106) were from aged care facilities. Three‐quarters (75%, n = 222) were triaged into the most urgent triage categories (i.e. Australasian Triage Scale; ATS 1/2). Fewer than half were previously independent with mobility (38%, n = 111) and activities of daily living (43%, n = 128). Sixty‐one per cent (n = 181) had a pre‐existing healthcare directive. Twenty‐two per cent (n = 66) died in ED, most commonly due to pneumonia, intracerebral haemorrhage, cardiac arrest and/or sepsis. Over half had one or more ED visits (52%, n = 154) and/or hospital admissions (52%, n = 152) 6 months prior.ConclusionsIdentification of patients at end‐of‐life (EoL) is not always straightforward; consider recent reduction in independence and recent ED visits/hospital admissions. System‐based strategies that span pre‐hospital, ED and in‐patient care are recommended to facilitate EoL pathway implementation and care continuity.

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Stress and sleep quality in palliative care

Zengin,

Soyaslan

2024

BMJ Support Palliat Care

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ObjectivesPalliative care patients experience problems in sleep quality due to stress, chronic diseases, and physical and psychosocial problems. Our aim is to determine the perceived stress and sleep quality levels of our palliative care patients and their related factors.MethodsThis cross-sectional, descriptive research was conducted between November 2023 and February 2024 at a palliative clinic located in Ankara, Turkey, that is affiliated with a training and research hospital. In the research, a data form, the Perceived Stress Scale and the Pittsburgh Sleep Quality Index were used as data collection instruments. Kolmogorov–Smirnov and Shapiro–Wilk tests, and Mann–Whitney U and Kruskal–Wallis H tests were used for the analysis.ResultsThe total score on the Perceived Stress Scale was determined to be 35.81±7.45. The total score for Pittsburgh Sleep Quality Index was 13.20±3.20. Significant relationships were found between insufficient self-efficacy scores and habitual sleep efficiency, daytime dysfunction and total Pittsburgh Sleep Quality Index scores. Significant relationships were found between insufficient self-efficacy scores and sleep latency, habitual sleep efficiency, daytime dysfunction and total Pittsburgh Sleep Quality Index scores.ConclusionsThis study determined that certain descriptive characteristics of palliative care patients affect their sleep quality and perceived stress level, as well as that some components of sleep quality and perceived stress level are related. Palliative care is holistic in nature, encompassing symptom management; therefore, the importance of patients’ psychosocial integrity should not be overlooked. Consequently, identifying components that may hinder symptom management and addressing the patient comprehensively will be crucial.

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Hypnosis and music interventions for anxiety, pain, sleep and well-being in palliative care: systematic review and meta-analysis

Cited by 3 publications

References 67 publications

Development of a Mixed Hypnosis and Music Intervention Program for the Management of Pain, Anxiety, and Wellbeing in End-of-Life Palliative Care

Development of a Mixed Hypnosis and Music Intervention Program for the Management of Pain, Anxiety, and Wellbeing in End-of-Life Palliative Care

End‐of‐life care: A retrospective cohort study of older people who died within 48 hours of presentation to the emergency department

Stress and sleep quality in palliative care

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