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Post Traumatic Stress Disorder PTSDRELIEFNCT06851884

Effectiveness of Informational and Educational Tools to Improve the Experience of Relatives of ICU Patients. RELIEF, a Platform Trial

A study testing Video capsules, Cartoon and Virtual reality in people with Post Traumatic Stress Disorder PTSD, run by Assistance Publique - Hôpitaux de Paris.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The admission of a patient to an intensive care unit (ICU) is associated with high levels of acute stress, anxiety, and depression among relatives, as well as extreme emotions such as fear, guilt, distress, and helplessness. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Post Traumatic Stress Disorder PTSD
What is being tested?
Video capsules, Cartoon and Virtual reality
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
562 participants
Where
No sites listed yet
Study dates
1 Mar 2025to 31 Jan 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Trial 1 :
  • Relatives of patients with the following characteristics: ≥18 years old, treated in intensive care with invasive mechanical ventilation for at least 48 hours having received a visit from at least one relative within the first 72 hours.
  • ≥18 years old
  • Identified, if possible, by the patient as the reference person or person to be informed, or, if the patient is unable to communicate, identified by the healthcare providers as the "patient's reference relative."
  • Understanding and speaking French • Having provided their phone contact information Only one relative of the patient is included in the study.
  • Trial 2 :
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  • Relatives of patients with the following characteristics: ≥18 years old, having been treated in intensive care with invasive mechanical ventilation for at least 48 hours, for whom a decision of withhold or withdraw treatment has been made with expected death in intensive care.
  • ≥18 years old
  • Identified, if possible, by the patient as the reference person or person to be informed, or, if the patient is unable to communicate, identified by healthcare providers as the "patient's reference relative."
  • Present at the end-of-life conference (announcement of the EOL decision)
  • Understanding and speaking French
  • Having provided their phone contact information
  • Only one relative of the patient is included in the study. They are included just before or just after the end-of-life conference.

Who cannot join

  • Patients :
  • Planned or considered organ donation
  • Detained or deprived of liberty
  • Under guardianship or curatorship
  • No social security
  • Relatives :
Show all 10Show fewer
  • Social context making follow-up and telephone interviews difficult (homeless individuals, not residing in Europe or the overseas territories)
  • Inability to provide a "stable" personal mobile number (temporary phone number or not in their own name or the name of their spouse/partner)
  • Under guardianship or curatorship
  • Inability to communicate by phone (hearing impairments, etc.)

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Nancy Kentish-Barnes, MD contact

+33142499421 ext. +33

nancy.kentish@aphp.fr

Jérôme Lambert, MD PhD contact

+33142499742

jerome.lambert@u-paris.fr

About this study

Official title: Efficacité d'Interventions Pour améliorer le vécu Des Proches de Patients hospitalisés en réanimation. RELIEF, un Essai Plateforme

The admission of a patient to an intensive care unit (ICU) is associated with high levels of acute stress, anxiety, and depression among relatives, as well as extreme emotions such as fear, guilt, distress, and helplessness. In addition to these emotions, relatives also struggle to understand the information provided by the medical team-only half of the information is fully understood. These emotional and cognitive difficulties can become obstacles in decision-making processes and may have medium- and long-term consequences on their psychological well-being, particularly in terms of post-traumatic stress disorder (PTSD), anxiety, and depression. Three months after the patient is discharged from the ICU, one-third of relatives exhibit symptoms of PTSD.

The aim of this research is to propose a variety of informational and educational tools to improve relatives' understanding of both the ICU context and the information provided, with the goal of reducing the risk of developing PTSD in the months following the patient's discharge or death.

Being tested
Standard of Care (SOC), Video capsules, Cartoon, Virtual reality, Set of "end-of-life and grief" informational and educational tools
Medical subject headings
Combat Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Standard of Care (SOC)Other

    Universal welcome leaflet on patient admission

  • Video capsulesOther

    3 video capsules of 3 minutes each

  • CartoonOther

    3 cartoons

  • Virtual realityOther

    3 virtual reality programs

  • Set of "end-of-life and grief" informational and educational toolsOther

    Including a video capsule, a cartoon, and a kit of two leaflets

  • Standard of Care (SOC)Other

    Universal welcome leaflet on patient admission

Study groups in NCT06851884
Study groupRoleWhat they receive
Trial 1 : ControlActive comparatorStandard care with universal welcome leaflet. The control group is a hybrid, also including historical external controls from the cohort "Syndrome de Stress Post-traumatique chez les Proches de Patients Admitted to the Intensive Care Unit: A Multicentric, Observational, Prospective Study" according to the center's usual practice
Receives: Other: Standard of Care (SOC)
Trial 1 : Video Capsule armExperimentalNot described
Receives: Other: Video capsules
Trial 1 : Cartoon armExperimentalNot described
Receives: Other: Cartoon
Trial 1 : Virtual reality armExperimentalNot described
Receives: Other: Virtual reality
Trial 2 : ControlActive comparatorStandard care with universal welcome leaflet. The control group is a hybrid, also including historical external controls from the cohort "Syndrome de Stress Post-traumatique chez les Proches de Patients Admitted to the Intensive Care Unit: A Multicentric, Observational, Prospective Study" according to the center's usual practice
Receives: Other: Standard of Care (SOC)
Trial 2 : set of "end-of-life and grief" informational and educational toolsExperimentalNot described
Receives: Other: Set of "end-of-life and grief" informational and educational tools

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Post-Traumatic Stress Disorder (PTSD)

    Assessed with PCL-5 scale three months after the patient's discharge or death. The PCL-5 scale, Post-traumatic stress disorder CheckList version DSM-5 (PCL-5) [PCL-5, 8/14/2013, Weathers, Litz, Keane, Palmieri, Marx, \& Schnurr - National Center for PTSD] includes 20 items addressing PTSD symptoms according to DSM-5 criteria. Each item is rated from 0 ("not at all") to 4 ("extremely") for a total score between 0 and 80).

    Measured: At 3 months

Secondary outcomes (16)
  1. Trial 1 : Measure the impact of each of the 3 sets of tools on the overall understanding of relatives in intensive care

    Measure the impact of each of the 3 sets of informational and educational tools on the overall understanding of relatives in intensive care (diagnosis, prognosis, treatment) at the time of discharge from intensive care (questionnaire)

    Measured: Up to 6 months

  2. Trial 1 : Measure the impact of each of the 3 sets of tools on the anxiety and depression symptoms of relatives

    Measure the impact of each of the 3 sets of informational and educational tools on the anxiety and depression symptoms of relatives at the time of discharge from intensive care (HADS scale).

    HADS is a self-administered scale of 14 items which assessed levels of depression and anxiety, divided into 2 subscales of 7 items (Anxiety or HADS-A, Depression or HADS-D). Each item is scored on a scale of 0 to 3. A score is generated for each of the two sub-scales (sum of the 7 items, ranging from 0 to 21). Limit scores, for each of the scores, distinguish: non-cases or asymptomatic ones (score ≤ 7); probable or borderline cases (score 8-10); clearly or clinically symptomatic cases (score ≥ 11).

    Measured: Up to 6 months

  3. Trial 1 & 2 : Sleep quality of relatives

    Evaluated by ISI : Insomnia Severity Index It is a 7 questions scale. Each question is rated on a scale from 0 to 4, with 0 indicating no problems and 4 indicating very severe problems. The total score can range from 0 to 28, with higher scores indicating more severe insomnia.

    Measured: At inclusion

  4. Trial 1 & 2 : Sleep quality of relatives

    Evaluated by ISI : Insomnia Severity Index It is a 7 questions scale. Each question is rated on a scale from 0 to 4, with 0 indicating no problems and 4 indicating very severe problems. The total score can range from 0 to 28, with higher scores indicating more severe insomnia.

    Measured: At 3 months

  5. Trial 1 & 2 : Sleep quality of relatives

    Evaluated by ISI : Insomnia Severity Index It is a 7 questions scale. Each question is rated on a scale from 0 to 4, with 0 indicating no problems and 4 indicating very severe problems. The total score can range from 0 to 28, with higher scores indicating more severe insomnia.

    Measured: At 6 months

  6. Trial 1 & 2 : Symptoms of post-traumatic dissociation

    Evaluated by PDEQ : Post-traumatic Dissociation Questionnaire. Total score ranges from 0 to 48. The higher the score the more severe the dissociation symptoms are.

    Measured: At inclusion

  7. Trial 1 & 2 : satisfaction of relatives regarding communication with the intensive care teams

    Satisfaction assessed on a 8-step scale regarding communication with intensive care team

    Measured: At 3 months

  8. Trial 1 & 2 Post-traumatic stress disorder

    Trial 1 : Measure the impact of each of the 3 sets of informational and educational tools on the risk of developing post-traumatic stress disorder Trial 2 : Measure the impact of EOL of informational and educational tools on the risk of developing post-traumatic stress disorder

    Assessed with PCL-5 scale six months after the patient's discharge or death. The PCL-5 scale, Post-traumatic stress disorder CheckList version DSM-5 (PCL-5) [PCL-5, 8/14/2013, Weathers, Litz, Keane, Palmieri, Marx, \& Schnurr - National Center for PTSD] includes 20 items addressing PTSD symptoms according to DSM-5 criteria. Each item is rated from 0 ("not at all") to 4 ("extremely") for a total score between 0 and 80).

    6 months after the patient's discharge or death

    Measured: At 6 months

  9. Trial 1 & 2 : anxiety and depression symptoms of relatives

    Trial 1 : Measure the impact of each of the 3 sets of informational and educational tools on the risk of developing anxiety and depression symptoms in relatives

    Trial 2 : Measure the impact of EOL informational and educational tools on the risk of developing anxiety and depression symptoms in relatives

    HADS is a self-administered scale of 14 items which assessed levels of depression and anxiety, divided into 2 subscales of 7 items (Anxiety or HADS-A, Depression or HADS-D). Each item is scored on a scale of 0 to 3. A score is generated for each of the two sub-scales (sum of the 7 items, ranging from 0 to 21). Limit scores, for each of the scores, distinguish: non-cases or asymptomatic ones (score ≤ 7); probable or borderline cases (score 8-10); clearly or clinically symptomatic cases (score ≥ 11).

    3 months after the patient's discharge or death

    Measured: At 3 months

  10. Trial 1 & 2 : anxiety and depression symptoms of relatives

    Trial 1 : Measure the impact of each of the 3 sets of informational and educational tools on the risk of developing anxiety and depression symptoms in relatives

    Trial 2 : Measure the impact of EOL informational and educational tools on the risk of developing anxiety and depression symptoms in relatives

    HADS is a self-administered scale of 14 items which assessed levels of depression and anxiety, divided into 2 subscales of 7 items (Anxiety or HADS-A, Depression or HADS-D). Each item is scored on a scale of 0 to 3. A score is generated for each of the two sub-scales (sum of the 7 items, ranging from 0 to 21). Limit scores, for each of the scores, distinguish: non-cases or asymptomatic ones (score ≤ 7); probable or borderline cases (score 8-10); clearly or clinically symptomatic cases (score ≥ 11).

    6 months after the patient's discharge or death

    Measured: At 6 months

  11. Trial 1 & 2 : Past traumatic experiences

    Trauma History Screen (THS) The THS typically asks individuals to respond to a series of yes/no questions about whether they've experienced specific types of trauma. They include : Physical abuse, Sexual abuse, Witnessing violence, Accidents or natural disasters, Military combat, Emotional abuse, Neglect.

    The score is the number of traumatic events.

    Measured: At 3 months

  12. Trial 1 & 2 : Risk of developing prolonged grief 6 months after the patient's death

    Trial 1 : Measure, in bereaved relatives, the impact of informational and educational tools on the risk of developing prolonged grief

    Trial 2 : Measure the impact of EOL informational and educational tools on the risk of developing prolonged grief

    Prolonged Grief Disorder Scale PG-13 The score ranges from 0 to 52. Total scores of 30 or above generally indicate that the individual may be experiencing Prolonged Grief Disorder (PGD) and should be considered for further evaluation.

    Lower scores suggest that the individual is not experiencing clinically significant prolonged grief symptom

    Measured: At 6 months

  13. Trial 1 & 2 : Consumption of medical care and acts by relatives

    Using MEDEC tool (medical care consumption and acts) It summarizes frequency and type of care

    Measured: At inclusion

  14. Trial 1 & 2 : Consumption of medical care and acts by relatives

    Using MEDEC tool (medical care consumption and acts) It summarizes frequency and type of care

    During the 6 months following the patient's discharge or death

    Measured: Up to 6 months

  15. Trial 1&2 : Feasability of use of the tool

    Trial 1 : Percentage of care provider who were able to hand over the 3 sets of informational and educational tools to the patient's relatives, as well as their satisfaction

    Trial 2 : Percentage of care provider who wereable to hand over the EOL informational and educational tools to the patient's relatives, as well as their satisfaction

    Measured: Up to 6 months

  16. Trial 1 & 2 : Quality of tools assessed by families by a self-assessment questionnaire

    self-assessment questionnaire with 14 items

    Measured: At 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Feb 2025
  2. Study start1 Mar 2025 (estimated)
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Jan 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized platform trial designed to investigate a clinical question across multiple subpopulations and involving multiple interventions. The trials integrated into the platform trial are randomized and may be either conventional trials or adaptive MAMS (Multi-Arms Multi-Stage) trials. These involve multiple arms and phases, allowing for the adaptive evaluation of several interventions, with the possibility of adding or removing interventions during the trial. Additionally, the trials include a hybrid control arm that combines randomized concurrent controls and historical external controls from an observational cohort. Trial 1 : randomization according to a 1:2:2:2 ratio into one of the 4 arms: * Control * Video capsules * Comic strips * Virtual reality Trial 2 : randomization according to a 1:2 ratio into the control or intervention arm (set of "end-of-life and grief" informational and educational tools, including a video capsule, a cartoon, and a kit of 2 leaflets).
Masking
None (open label)
Enrolment
562 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06851884
Sponsor's protocol ID
APHP240666
Acronym
RELIEF
Status last verified
Jan 2025
First submitted
10 Feb 2025
Last updated
28 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Video capsules, Cartoon and Virtual reality in people with Post Traumatic Stress Disorder PTSD, run by Assistance Publique - Hôpitaux de Paris.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 28 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Nancy Kentish-Barnes, MD (+33142499421 ext. +33, nancy.kentish@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Post-Traumatic Stress Disorder (PTSD) (time frame: At 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Feb 2025.

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