Evaluation of the Effect of an Emergency Department Information Video on the Risk of Post-Traumatic Stress Disorder 30 Days After an Emergency Visit.

NCT06755606 | Not Yet Recruiting

• 2 other identifiers: APHP231231IDRCB : 2023-A01766-39
• Study Type: observational
• Target: 750
• Locations: 0 countries
• Sites: N/A

Brief Summary

Post-traumatic stress disorder (PTSD) is a psychological disorder characterized by the re-experiencing of distressing symptoms, avoidance of traumatic memories and physiological hyperarousal in people who have been exposed to a traumatic event. The consequences of PTSD are manifold: financial, quality of life, absenteeism, morbidity, and mortality. An emergency department visit can be a traumatic event and associated with anxiety. Studies have explored the prevalence and factors associated with the occurrence of PTSD among a selected population of patients admitted to the emergency department for either cardiological or traumatological reasons. The prevalence of PTSD at 1 month varied among these populations, from 12% to 25%. Several factors have been described that could be independently associated with an increased risk of developing PTSD: factors linked to the patient himself (basal state and severity of acute pathology) or to the patient pathway (care structure, care modalities, waiting time). Given the serious medical, psycho-social and economic consequences of PTSD, it is important to identify the risk factors that can be controlled during a patient's stay in the emergency department. In 2025, a general information procedure for patients and next of kin will be deployed in three emergency departments. The aim of this procedure is to improve the quality of the information provided to emergency patients, thereby enhancing the experience of patients and those accompanying them. It will consist of video support delivering standardized information to patients from the moment they arrive in the emergency department until they are discharged. These videos will describe the patient's journey through the emergency department. The aim of this study is to evaluate the effect of this information procedure on the risk of developing PTSD.

Conditions

PTSD - Post Traumatic Stress Disorder; Stress Disorder, Post Traumatic

Keywords

stress disorders; interventions; communication; emergency medicine

Outcome Measures

Primary Outcomes (1)

• Occurence PTSD

  assessed by calculation of PCL-5 score

  DaAy 30

Secondary Outcomes (2)

• Identify factors associated with the occurrence of PTSD

  Day 30

• HAD score at D30

  Day 30

Study Arms (2)

BEFORE

Group pf patients enrolled Before the information procedure was set up

AFTER

Group pf patients enrolled After the information procedure was set up

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Any adult patient coming for an unscheduled emergency consultation

You may qualify if:

• Age ≥ 18 years
• Triage level 1, 2, 3 by the triage nurse (according to CIMU, FRENCH or other scale used locally)
• Non-opposition to participation in the study after information and delivery of the information note
• Possibility of 30-day follow-up (self-questionnaire to be completed by e-mail)
• Patient with cognitive or sensory capacity to view and understand information videos

You may not qualify if:

• Inability to consent (neurological disorder, coma, acute intoxication, cognitive impairment)
• Patient does not have a good understanding of the French language.
• Estimated life expectancy less than 6 months
• Participation in other clinical intervention research

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead

MeSH Terms

Conditions

Combat Disorders; Stress Disorders, Post-Traumatic; Stress Disorders, Traumatic; Communication

Condition Hierarchy (Ancestors)

Trauma and Stressor Related Disorders; Mental Disorders; Behavior

Study Officials

• Jennifer TRUCHOT, MD, PhD

  Assistance Publique - Hôpitaux de Paris

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Jennifer TRUCHOT, MD, PhD

CONTACT

jennifer.truchot@aphp.fr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 24, 2024
• First Posted: January 1, 2025
• Study Start: February 1, 2025
• Primary Completion: January 1, 2026
• Study Completion: January 1, 2026
• Last Updated: January 1, 2025

Record last verified: 2024-12