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

Josiane Bissonnette, Stephica Pierre, Anh Thu Julia Duong, Anne-Marie Pinard, Pierre Rainville, David Ogez, Josiane Bissonnette, Stephica Pierre, Anh Thu Julia Duong, Anne-Marie Pinard, Pierre Rainville, David Ogez

Abstract

Background: 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.

Objective: 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.

Methods: 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.

Result: 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.

Conclusion: 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).

Keywords: anxiety; complementary intervention; hypnosis; intervention development; music; pain; palliative care; wellbeing.

Conflict of interest statement

This article was completed as part of a Mitacs funded postdoctoral fellowship in partnership with Recherche-Interventions Cétosia, a company founded by JB. Conflict of interest controls are in place at the business incubator that supervises JB. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The handling editor NK-M declared a shared affiliation with the author AD at the time of review.

Copyright © 2022 Bissonnette, Pierre, Duong, Pinard, Rainville and Ogez.

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