Bain De Bretagne

Researchers are investigating the use of a hypnotherapy method called E2R to manage chronic insomnia in primary care settings. Chronic insomnia is commonly treated with hypnotic drugs in France despite their risks, while cognitive-behavioral therapy is recommended but not widely available. This study aims to compare the effectiveness of E2R hypnotherapy against standard care without hypnosis in patients with chronic insomnia. Participants will be randomly assigned to one of two groups. One group will receive standard care from their general practitioner, which may include medications or psychotherapy but excludes hypnosis. The other group will undergo four 30-minute hypnotherapy sessions using the E2R method over six weeks, with additional practice of self-hypnosis. Both groups will have follow-up visits at 3 and 6 months after starting the study. During the study, patients will complete questionnaires assessing insomnia severity and sleep quality, record their use of psychotropic medications, and note any events affecting sleep. The research team will also monitor for neuropsychiatric side effects. These assessments occur at baseline, 3 months, and 6 months, with the main outcome measured by the Insomnia Severity Index at 6 months. Participation will last at least 6 months from enrollment.

This research aims to assess the impact of an interprofessional education program IPEP on healthcare students collaboration skills during their clinical placements in multidisciplinary primary care centers MPCC. The study compares students who receive IPEP during their MPCC placements with those who undergo placements without this program. The IPEP is delivered by trained healthcare professionals within the MPCCs to enhance interprofessional collaboration IPC. The study involves two groups an intervention group where 12 MPCCs participate, each having 3 professionals trained to implement the IPEP for students and a control group of 12 MPCCs where students complete their clinical placements as usual without the IPEP. The trained professionals receive instruction through a train the trainer program led by an educational team before delivering the IPEP. Participants will be observed during their clinical placements, with assessments comparing student scores on the Interprofessional Collaborative Competency Attainment Survey ICCAS before and after placement. Qualitative studies will explore students perceptions and feelings about interprofessional collaboration in both groups. The study duration includes 18 months for quantitative assessments and 24 months for qualitative components.