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- Ensaio Clínico NCT07762079
A Study of Engagement in the "Résonance(s)" Musical and Experiential Immersion Program Among Patients With Mental Disorders - IRIS (IRIS)
An Exploratory Study of Engagement in the "Résonance(s)" Musical and Experiential Immersion Program Among Patients With Mental Disorders
The objective of this exploratory, interventional, single-center study without a control group is to examine participation in the "Résonance(s)" musical and experiential immersion program among patients aged 18 to 60 with a chronic, stabilized mental health condition who are receiving outpatient care. The main research question it aims to answer is as follows:
Do participants with a mental health disorder actively engage in the Résonance(s) program-that is, do they attend at least 70% of the 11 sessions scheduled in the program (rehearsals with the Orchestre national du Capitole de Toulouse, music listening sessions, and the final concert)
Participants will take part in the Résonance(s) program for 4 months (rehearsals, discussions with musicians and caregivers, listening sessions, and a public concert), in addition to their usual standard care. They will be assessed three times-before the start of the program, at the end of the 4-month intervention, and 3 months after the program ends-using clinical interviews and self-administered questionnaires focusing in particular on their emotional well-being, recovery, self-stigmatization, self-esteem, attentional abilities, social cognition, and anxiety. The total duration of participation for each patient is 8 months, with the overall study lasting 11 months (including the 3-month enrollment period), and a recruitment goal of 25 patients.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
The IRIS protocol is part of an evaluation of the program, with the primary objective of measuring participants' engagement in the Résonance(s) program.
The investigator hypothesize that combining musical immersion, discussions with participants (musicians, healthcare providers, and patients), and listening to recordings will foster participants' engagement in the program.
Tipo de estudo
Inscrição (Estimado)
Estágio
- Não aplicável
Contactos e Locais
Contato de estudo
- Nome: Nathalie NB Bouhnoure, PHD
- Número de telefone: 05 61 43 45 63
- E-mail: n.bounhoure@chu-toulouse.fr
Locais de estudo
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Toulouse, França, 31100
- Centre Support de Réhabilitation psychosociale de Toulouse
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Contato:
- Nathalie NB Bounhoure, PHD
- Número de telefone: 05 61 43 45 63
- E-mail: n.bounhoure@chu-toulouse.fr
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
Aceita Voluntários Saudáveis
Descrição
Inclusion Criteria:
- Patients with a chronic mental disorder (Global Assessment of Functioning [GAF] score > 50).
- Male or female participants aged over 18 years and under 60 years.
- Receiving regular psychiatric follow-up.
- Clinically stable (no full-time psychiatric hospitalization within the previous 6 months).
- No changes to maintenance antipsychotic treatment (medication and/or dosage) during the previous 3 months.
- Able and willing to provide written informed consent to participate in the study.
- Affiliated with or entitled to a national health insurance scheme Patients under legal guardianship, curatorship, or judicial protection measures are eligible for inclusion.
Exclusion Criteria:
- Patients with a neurodegenerative disorder.
- Patients currently participating in a music-based cognitive remediation program.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Outro
- Alocação: N / D
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Outro: Scales and questionnaires
Administration of hetero- and self-administered questionnaires and neuropsychological tests
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Administration of hetero- and self-administered questionnaires and neuropsychological tests
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Measuring Participant Engagement in the "Résonance(s)" Program
Prazo: through study completion, an average of 11 months
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The primary evaluation criterion is the active participation of participants in the "Résonance(s)" program, defined as attendance at at least 70% of the scheduled sessions-that is, at least 8 of the 11 sessions included in the program.
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through study completion, an average of 11 months
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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To measure the impact of the "Résonance(s)" program on the emotional well-being of participants at the end of the program (Month 5) and three months after the end of the program (Month 8)
Prazo: Baseline, Month 5 and Month 8
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Changes in participants' emotional difficulties, as assessed by the difference in the total score and the six dimension scores of the Difficulties in Emotion Regulation Scale (DERS) at the end of the Résonance(s) program (Month 5) and 3 months after the end of the program (Month 8), compared with baseline (inclusion visit).
The DERS is a self-report questionnaire comprising 36 items distributed across six dimensions of emotion regulation difficulties.
It provides a total score, calculated from the sum of all items, as well as a score for each of the six dimensions.
Higher scores indicate greater difficulties in emotion regulation.
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Baseline, Month 5 and Month 8
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To measure the impact of the "Résonance(s)" program on participants' recovery, immediately after the end of the program (Month 5) and three months after the end of the program (Month 8).
Prazo: Baseline, Month 5 and Month 8
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Changes in participants' recovery, as assessed by the difference in the total score on the Questionnaire about the Process of Recovery (QPR) at the end of the Résonance(s) program (Month 5) and 3 months after the end of the program (Month 8), compared with baseline (inclusion visit).
The QPR is a 15-item self-report questionnaire designed to assess the recovery process in people with mental health conditions.
Recovery is evaluated using the total score, obtained by summing the responses to all 15 items.
Higher total scores indicate greater progress in the recovery process.
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Baseline, Month 5 and Month 8
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To assess the impact of the Résonance(s) program on participants' engagement in their recovery-oriented care pathway at the end of the intervention (M5).
Prazo: Month 5
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Engagement in the care pathway will be assessed by the proportion of participants answering "yes" to Question 22 of the end-of-program questionnaire administered at Month 5.
The proportion of "yes" responses across all participants will provide an overall indicator of engagement in the Résonance(s) program.
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Month 5
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To assess the impact of the Résonance(s) program on participants' self-stigma immediately after completion of the intervention (Month 5) and three months after the end of the intervention (Month 8).
Prazo: Baseline, Month 5 and Month 8
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Changes in self-stigma will be assessed by the difference in the total score on the Internalized Stigma of Mental Illness (ISMI) scale at the end of the Résonance(s) program (Month 5) and three months after program completion (Month 8), compared with baseline (inclusion visit).
The ISMI is a 29-item self-report questionnaire, with each item rated on a 5-point Likert scale (0-4).
It provides a total score as well as five subscale scores, corresponding to the different dimensions of internalized stigma.
Higher scores indicate greater levels of self-stigma.
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Baseline, Month 5 and Month 8
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To assess the impact of the Résonance(s) program on participants' self-esteem immediately after completion of the intervention (Month 5) and three months after the end of the intervention (Month 8).
Prazo: Baseline, Month 5 and Month 8
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Changes in self-esteem will be assessed by the difference in the Self-Esteem Rating Scale (SERS) scores at the end of the Résonance(s) program (Month 5) and three months after program completion (Month 8), compared with baseline (inclusion visit).
The SERS is a 20-item self-report questionnaire comprising 10 positively worded items and 10 negatively worded items.
Self-esteem is assessed using the overall score, calculated according to the scoring guidelines for the scale.
Higher overall scores indicate better global self-esteem.
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Baseline, Month 5 and Month 8
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To assess the impact of the Résonance(s) program on participants' attentional functions immediately after completion of the intervention (Month 5) and three months after the end of the intervention (Month 8).
Prazo: Baseline, Month 5 and Month 8
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Changes in attentional functioning will be assessed using the Crossmodal Comparison subtest of the Test of Attentional Performance (TAP).
This subtest explores intermodal comparison abilities, processing speed, selective attention, and inhibitory control mechanisms involved in sensory information processing.
The mean, median, standard deviation, and the number of errors and omissions will be compared between the end of the Résonance(s) program (Month 5), three months after program completion (Month 8), and baseline (inclusion visit).
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Baseline, Month 5 and Month 8
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To assess the impact of the Résonance(s) program on participants' social cognition immediately after completion of the intervention (Month 5) and three months after the end of the intervention (Month 8).
Prazo: Baseline, Month 5 and Month 8
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Changes in social cognition will be assessed using the total score obtained on the Emotional Fluency Test from the Bordeaux Social Cognition Assessment Protocol (PECS-B) at the end of the Résonance(s) program (Month 5) and three months after program completion (Month 8), compared with baseline (inclusion visit).
The PECS-B is composed of six tasks assessing four dimensions of social cognition: emotional lexicon, emotion recognition, theory of mind, and alexithymia.
These dimensions are evaluated through total scores, with changes in scores used to assess variations in social cognitive abilities over time.
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Baseline, Month 5 and Month 8
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To assess the impact of the Résonance(s) program on participants' anxiety immediately after completion of the intervention (Month 5) and three months after the end of the intervention (Month 8).
Prazo: Baseline, Month 5 and Month 8
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Changes in anxiety will be assessed using the State-Trait Anxiety Inventory (STAI).
The STAI is a 20-item self-report questionnaire, with each item rated on a 4-point scale (1-4).
Higher scores indicate higher levels of anxiety.
State anxiety (STAI Form Y-A), which evaluates the participant's current emotional state and situational anxiety, will be measured at each program session to monitor changes over time.
Trait anxiety (STAI Form Y-B), which assesses the participant's usual and more stable emotional disposition toward anxiety, will be assessed at baseline (inclusion visit), at the end of the program (Month 5), and three months after program completion (Month 8) to evaluate changes in the participant's habitual anxiety level.
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Baseline, Month 5 and Month 8
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To describe the experiential perceptions of participants in the Résonance(s) program at the end of the intervention (Month 5).
Prazo: Month 5
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Participants' experiential perceptions of the Résonance(s) program will be described using responses to all items of the end-of-program questionnaire (Month 5), excluding the item related to engagement in the care and recovery pathway.
Responses to these items will be collected as "yes" or "no" answers and will assess participants' appreciation and perception of the program.
Each questionnaire item will be summarized using descriptive analyses.
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Month 5
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To describe changes in participants' psychotropic medications at the end of the intervention (Month 5) and three months after the end of the intervention (Month 8).
Prazo: Baseline, Month 5 and Month 8
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Changes in psychotropic medication, including dosage adjustments and any changes in prescribed medication, will be described at Month 5 and Month 8 in comparison with baseline (inclusion visit).
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Baseline, Month 5 and Month 8
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Colaboradores e Investigadores
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Estimado)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- 2026-A01417-44
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