MedPath

CPR Audiovisual Tool to Impact ICU Patients' Surrogate Anxiety Level.

Not Applicable
Completed
Conditions
Critical Illness
Interventions
Other: CPR Video
Registration Number
NCT03630965
Lead Sponsor
Medical College of Wisconsin
Brief Summary

Video or No Video to decrease HCPOA/LAR anxiety and increase knowledge as it pertains to CPR.

Detailed Description

Designated surrogate decision makers of 30 medical intensive care unit patients will be consented and enrolled to receive either a video describing CPR and it's outcomes after standard of care code discussions versus standard of care code discussions alone. All participants will complete a short questionnaire to determine their knowledge level regarding CPR and to assess their anxiety levels. Patients who view the video will also rate their comfort level while watching the video on a 5 point Likert scale.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
26
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group BCPR VideoCPR video
Primary Outcome Measures
NameTimeMethod
Measure the impact of CPR video on the Surrogate's level of anxiety during the decision-making process on code status, in the ICU compared to the control group of surrogates (No intervention group).2.5 years

30 surrogates in the ICU (15 in the intervention group and 15 in the No intervention group) will be administered the validated Hamilton Anxiety Rating Scale (HAM-A), to measure the surrogates' anxiety level . The HAM-A questionnaire has been validated to assess for anxiety, and classify anxiety.

The Score in HAM-A is on a scale of 0 to 56 total score, when it is less than 17 there is no anxiety or mild; 18-24 is mild to moderate; 25-30 is moderate to severe; and 30-56 is severe anxiety.

The HAM-A questionnaire has been validated to assess change in anxiety after an intervention or treatment, with a delta in total score of 8 with a Standard deviation of 1.7.

Secondary Outcome Measures
NameTimeMethod
Analyze the surrogates' comfort when watching the video.3 years

Surrogate in the intervention group will be asked if he or she if feeling comfortable watching the video. This will be a single question that will be answered using a Likert Scale.

Measure the impact of CPR video on patients' surrogate's knowledge about CPR, when compared to the No intervention group.3 years

Knowledge assessment will be performed with a 5 questions (1 point each) questionnaire.

Describe if the CPR video's impact on surrogates' anxiety level, is affected by the patient's severity of illness as per the SOFA score.3 years

Will calculate patients' SOFA score which is the Sequential Organ Failure Assessment (SOFA) score. It is used to grade patients' severity of organs dysfunction and mortality. The SOFA Score is on a scale of 0-24, with higher numbers correlating with higher organs dysfunction and mortality.

Trial Locations

Locations (1)

Medical College of Wisconsin/Froedtert Hospital

🇺🇸

Milwaukee, Wisconsin, United States

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