Bereaved FamiliesFAMI-LIFENCT03748225
Incidence and Risk Factors of Prolonged Grief in Palliative Care Units
An observational study of Bereaved Families, run by Hôpital Franco-Britannique-Fondation Cognacq-Jay at 1 site in France.
Trial summary
The purpose of this study is to assess the incidence and risk factors of prolonged grief in family members of patients died in French palliative care units and to explore experience of bereaved families to build a scientifically valid management prevention program. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Bereaved Families
- How many people
- 609 participants
- Where
- 1 siteFrance
- Study dates
- 4 Feb 2019to 10 Feb 2021
- Phase
- Observational
- Are there results?
- None posted in the registry
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
- No healthy volunteers
- Adult, Older adult
Study population: The participating palliative care units belong to the French Society of Palliative Care (SFAP) and are selected using the list of the different French units on their website. An invitation of participation is sent to the clinical responsible of each unit. The participating units belong to university, community and private hospitals.
Who may be able to join
- Families of adult patients hospitalized more than 72 hours in a palliative care unit for end-of-life care.
- Eligibility of end-of-life cares are defined after the first evaluation by the palliative care physician.
Who cannot join
- Patients with less than 72 hours of life-expectancy
- Patients or families who refused the study
- Patients or families included in a study using the same questionnaires
- Patients without families visiting them in the first 24 hours after admission
- Patients not hospitalized for end-of-life issues
- Families not fluent in French
- Deaf or mute families
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Fami-Life Study: Protocol of a Prospective Multicenter Observational Mixed Study of Psychological Consequences of Grieving Families in French Palliative Care Units on the Behalf of the F.R.I.P.C Research Network
The purpose of this study is to assess the incidence and risk factors of prolonged grief in family members of patients died in French palliative care units and to explore experience of bereaved families to build a scientifically valid management prevention program.
Read the detailed description
There is hardly knowledge on how bereavement is treated in palliative care patient's relatives. The field of bereavement needs studies that validate the theoretical underpinning of the research area. This study will depict the grieving process of individuals having lost a relative in palliative care in France. Having baseline data of incidence of prolonged grief, risk factors of relative's prolonged grief and identification of risk factors associated with the management of end-of-life issues in palliative care will contribute to target interventions that should help decrease bereaved families burden.
The investigator designed a quantitative study to assess the psychological effect of families after the death of the patient in palliative care unit and a qualitative study to examine the grieving prolonged process.
- Conditions
- Bereaved Families
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of prolonged grief in bereaved family members
Inventory Grief Disorder > 25
Measured: 6 months after patient's death in palliative care unit
Risk factors of prolonged grief in bereaved family members
Hierarchical logistic regression models with a random effect center after selection of variables by univariate analysis then introduced in a multivariate analysis
Measured: 6 months after patient's death in palliative care unit
Secondary outcomes (4)
Post traumatic stress disorder in bereaved family members
Impact of event Scale-revised > 22
Measured: 6 months after patient's death in palliative care unit
Anxiety and depression symptoms in bereaved family members
Hospital anxiety and depression scale ≥ 8
Measured: 6 months after patient's death in palliative care unit
Anxiety and depression symptoms in family members
Hospital anxiety and depression scale ≥ 8
Measured: Between between day 3 and day 5 after patient admission in the palliative care unit
Report of the families' grief experience in those who have signs of prolonged grief according to the Inventory of Complicated Grief questionnaire with a score > 25
Interpretative Phenomenological Analysis
Measured: Between 6 and 12 months after the patient' death.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Nov 2018
- Study start4 Feb 2019
- Primary completion1 Oct 2020
- Study completion10 Feb 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Bereaved FamiliesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 609 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hôpital Franco-Britannique-Fondation Cognacq-Jay
- Sponsor type
- University, hospital or other
- Collaborators
- Fondation de France
- Responsible party
- Principal investigator, Maité Garrouste-Orgeas, MD, Hôpital Franco-Britannique-Fondation Cognacq-Jay
- Investigators
- Jean-François Timsit, MD, PhD, Study chair, INSERM 1137, IAME, Paris Diderot University, Paris
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03748225
- Sponsor's protocol ID
- IHFB-002
- Acronym
- FAMI-LIFE
- Status last verified
- Jan 2020
- First submitted
- 19 Nov 2018
- Last updated
- 11 Feb 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Fasse L, Flahault C, Bredart A, Dolbeault S, Sultan S. Describing and understanding depression in spouses of cancer patients in palliative phase. Psychooncology. 2015 Sep;24(9):1131-7. doi: 10.1002/pon.3777. Epub 2015 Feb 24.
PubMed 25707938Kentish-Barnes N, Chaize M, Seegers V, Legriel S, Cariou A, Jaber S, Lefrant JY, Floccard B, Renault A, Vinatier I, Mathonnet A, Reuter D, Guisset O, Cohen-Solal Z, Cracco C, Seguin A, Durand-Gasselin J, Eon B, Thirion M, Rigaud JP, Philippon-Jouve B, Argaud L, Chouquer R, Adda M, Dedrie C, Georges H, Lebas E, Rolin N, Bollaert PE, Lecuyer L, Viquesnel G, Leone M, Chalumeau-Lemoine L, Garrouste M, Schlemmer B, Chevret S, Falissard B, Azoulay E. Complicated grief after death of a relative in the intensive care unit. Eur Respir J. 2015 May;45(5):1341-52. doi: 10.1183/09031936.00160014. Epub 2015 Jan 22.
PubMed 25614168Flahault C, Dolbeault S, Sankey C, Fasse L. Understanding grief in children who have lost a parent with cancer: How do they give meaning to this experience? Results of an interpretative phenomenological analysis. Death Stud. 2018 Sep;42(8):483-490. doi: 10.1080/07481187.2017.1383951. Epub 2018 Jan 24.
PubMed 29173097Fasse L, Sultan S, Flahault C, Mackinnon CJ, Dolbeault S, Bredart A. How do researchers conceive of spousal grief after cancer? A systematic review of models used by researchers to study spousal grief in the cancer context. Psychooncology. 2014 Feb;23(2):131-42. doi: 10.1002/pon.3412. Epub 2013 Sep 30.
PubMed 24115499Garrouste-Orgeas M, Marche V, Pujol N, Michel D, Evin A, Fossez-Diaz V, Perruchio S, Vanbesien A, Verlaine C, Copel L, Kaczmarek W, Birkui de Francqueville L, Michonneau-Gandon V, de Lariviere E, Poupardin C, Touzet L, Guastella V, Mathias C, Mhalla A, Bouquet G, Richard B, Gracia D, Bienfait F, Verliac V, Ranchou G, Kirsch S, Flahault C, Loiodice A, Bailly S, Ruckly S, Timsit JF. Incidence and risk factors of prolonged grief in relatives of patients with terminal cancer in French palliative care units: The Fami-Life multicenter cohort study. Palliat Support Care. 2024 Oct;22(5):961-970. doi: 10.1017/S1478951523000111.
PubMed 36878669Garrouste-Orgeas M, Flahault C, Poulain E, Evin A, Guirimand F, Fossez-Diaz V, Perruchio S, Verlaine C, Vanbesien A, Kaczmarek W, Birkui de Francqueville L, De Lariviere E, Bouquet G, Copel L, Verliac V, Marche V, Mathias C, Gracia D, Mhalla A, Michonneau-Gandon V, Poupardin C, Touzet L, Ranchou G, Guastella V, Richard B, Bienfait F, Sonrier M, Michel D, Ruckly S, Bailly S, Timsit JF. The Fami-life study: protocol of a prospective observational multicenter mixed study of psychological consequences of grieving relatives in French palliative care units on behalf of the family research in palliative care (F.R.I.P.C research network). BMC Palliat Care. 2019 Dec 9;18(1):111. doi: 10.1186/s12904-019-0496-4.
PubMed 31818281
Study at a glance
From the registry record, last updated by the sponsor on 11 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Fami-Life Study: Protocol of a Prospective Multicenter Observational Mixed Study of Psychological Consequences of Grieving Families in French Palliative Care Units on the Behalf of the F.R.I.P.C Research Network
- ClinicalTrials.gov ID
- NCT03748225
- Acronym / sponsor ID
- FAMI-LIFE / IHFB-002
- Conditions
- Bereaved Families
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 609 participants (actual)
- Lead sponsor
- Hôpital Franco-Britannique-Fondation Cognacq-JayUniversity, hospital or other
- Collaborators
- Fondation de France
- Study start
- 4 Feb 2019 (actual)
- Primary completion
- 1 Oct 2020 (actual)
- Study completion
- 10 Feb 2021 (actual)
- First posted
- 20 Nov 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the incidence and risk factors of prolonged grief in family members of patients died in French palliative care units and to explore experience of bereaved families to build a scientifically valid management prevention program.
Detailed description
There is hardly knowledge on how bereavement is treated in palliative care patient's relatives. The field of bereavement needs studies that validate the theoretical underpinning of the research area. This study will depict the grieving process of individuals having lost a relative in palliative care in France. Having baseline data of incidence of prolonged grief, risk factors of relative's prolonged grief and identification of risk factors associated with the management of end-of-life issues in palliative care will contribute to target interventions that should help decrease bereaved families burden.
The investigator designed a quantitative study to assess the psychological effect of families after the death of the patient in palliative care unit and a qualitative study to examine the grieving prolonged process.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- The participating palliative care units belong to the French Society of Palliative Care (SFAP) and are selected using the list of the different French units on their website. An invitation of participation is sent to the clinical responsible of each unit. The participating units belong to university, community and private hospitals.
Key inclusion criteria (2 listed)
- Families of adult patients hospitalized more than 72 hours in a palliative care unit for end-of-life care.
- Eligibility of end-of-life cares are defined after the first evaluation by the palliative care physician.
Key exclusion criteria (7 listed)
- Patients with less than 72 hours of life-expectancy
- Patients or families who refused the study
- Patients or families included in a study using the same questionnaires
- Patients without families visiting them in the first 24 hours after admission
- Patients not hospitalized for end-of-life issues
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Incidence of prolonged grief in bereaved family members
Time frame: 6 months after patient's death in palliative care unit
Inventory Grief Disorder > 25
Risk factors of prolonged grief in bereaved family members
Time frame: 6 months after patient's death in palliative care unit
Hierarchical logistic regression models with a random effect center after selection of variables by univariate analysis then introduced in a multivariate analysis
4 secondary outcomes
Post traumatic stress disorder in bereaved family members
Time frame: 6 months after patient's death in palliative care unit
Anxiety and depression symptoms in bereaved family members
Time frame: 6 months after patient's death in palliative care unit
Anxiety and depression symptoms in family members
Time frame: Between between day 3 and day 5 after patient admission in the palliative care unit
Report of the families' grief experience in those who have signs of prolonged grief according to the Inventory of Complicated Grief questionnaire with a score > 25
Time frame: Between 6 and 12 months after the patient' death.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Feb 2021.
- Results publication: PubMed 25707938Fasse L, Flahault C, Bredart A, Dolbeault S, Sultan S. Describing and understanding depression in spouses of cancer patients in palliative phase. Psychooncology. 2015 Sep;24(9):1131-7. doi: 10.1002/pon.3777. Epub 2015 Feb 24.
- Results publication: PubMed 25614168Kentish-Barnes N, Chaize M, Seegers V, Legriel S, Cariou A, Jaber S, Lefrant JY, Floccard B, Renault A, Vinatier I, Mathonnet A, Reuter D, Guisset O, Cohen-Solal Z, Cracco C, Seguin A, Durand-Gasselin J, Eon B, Thirion M, Rigaud JP, Philippon-Jouve B, Argaud L, Chouquer R, Adda M, Dedrie C, Georges H, Lebas E, Rolin N, Bollaert PE, Lecuyer L, Viquesnel G, Leone M, Chalumeau-Lemoine L, Garrouste M, Schlemmer B, Chevret S, Falissard B, Azoulay E. Complicated grief after death of a relative in the intensive care unit. Eur Respir J. 2015 May;45(5):1341-52. doi: 10.1183/09031936.00160014. Epub 2015 Jan 22.
- Results publication: PubMed 29173097Flahault C, Dolbeault S, Sankey C, Fasse L. Understanding grief in children who have lost a parent with cancer: How do they give meaning to this experience? Results of an interpretative phenomenological analysis. Death Stud. 2018 Sep;42(8):483-490. doi: 10.1080/07481187.2017.1383951. Epub 2018 Jan 24.
- Results publication: PubMed 24115499Fasse L, Sultan S, Flahault C, Mackinnon CJ, Dolbeault S, Bredart A. How do researchers conceive of spousal grief after cancer? A systematic review of models used by researchers to study spousal grief in the cancer context. Psychooncology. 2014 Feb;23(2):131-42. doi: 10.1002/pon.3412. Epub 2013 Sep 30.
- Derived from this study: PubMed 36878669Garrouste-Orgeas M, Marche V, Pujol N, Michel D, Evin A, Fossez-Diaz V, Perruchio S, Vanbesien A, Verlaine C, Copel L, Kaczmarek W, Birkui de Francqueville L, Michonneau-Gandon V, de Lariviere E, Poupardin C, Touzet L, Guastella V, Mathias C, Mhalla A, Bouquet G, Richard B, Gracia D, Bienfait F, Verliac V, Ranchou G, Kirsch S, Flahault C, Loiodice A, Bailly S, Ruckly S, Timsit JF. Incidence and risk factors of prolonged grief in relatives of patients with terminal cancer in French palliative care units: The Fami-Life multicenter cohort study. Palliat Support Care. 2024 Oct;22(5):961-970. doi: 10.1017/S1478951523000111.
- Derived from this study: PubMed 31818281Garrouste-Orgeas M, Flahault C, Poulain E, Evin A, Guirimand F, Fossez-Diaz V, Perruchio S, Verlaine C, Vanbesien A, Kaczmarek W, Birkui de Francqueville L, De Lariviere E, Bouquet G, Copel L, Verliac V, Marche V, Mathias C, Gracia D, Mhalla A, Michonneau-Gandon V, Poupardin C, Touzet L, Ranchou G, Guastella V, Richard B, Bienfait F, Sonrier M, Michel D, Ruckly S, Bailly S, Timsit JF. The Fami-life study: protocol of a prospective observational multicenter mixed study of psychological consequences of grieving relatives in French palliative care units on behalf of the family research in palliative care (F.R.I.P.C research network). BMC Palliat Care. 2019 Dec 9;18(1):111. doi: 10.1186/s12904-019-0496-4.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jean-François Timsit, MD, PhD study chair
INSERM 1137, IAME, Paris Diderot University, Paris
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Bereaved Families, run by Hôpital Franco-Britannique-Fondation Cognacq-Jay at 1 site in France.
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 2 inclusion and 7 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: finished, as of the sponsor's last update on 11 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.
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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of prolonged grief in bereaved family members (time frame: 6 months after patient's death in palliative care unit). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03748225, which also lists 6 linked publications.
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 11 Feb 2021.