Effectiveness of a Mobile Technology Share Decision-Making Program for Critically Ill Patients' Caregiver in Intensive Care Unit.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Decisional Conflict
研究概览
简要总结
By developing a smart mobile shared decision-making (SDM) model, this study aims to assist family members of critically ill end-stage patients in making appropriate decisions, enhance their decision quality, and evaluate the model's effectiveness
详细描述
This study utilized a single-blind experimental design and was conducted in the intensive care unit (ICU) of a medical center in northern Taiwan. The study participants were family members responsible for making end-of-life decisions for patients diagnosed with terminally ill critical conditions. Participants were randomly assigned to either the experimental or control group using block randomization software. A total of 70 participants were enrolled, with 35 assigned to the experimental group and 35 to the control group
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Participant, Care Provider)
盲法说明
Participants were randomly assigned to either the experimental group or the control group using block randomization software. Family members were blinded to the group allocation
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients diagnosed with terminal cancer or the eight designated non-cancer terminal diseases.
- •Patients determined to have a terminal and irreversible condition by two attending physicians.
- •Primary family decision-makers who are aged 20 years or older and provide informed consent to participate in the study.
- •Able to communicate in Mandarin or Taiwanese and possess basic literacy skills.
排除标准
- •Cases where all family members reside abroad and have appointed an alternative healthcare proxy.
- •Those who have already received end-of-life decision-making consultations prior to ICU admission.
- •Patients who already have a Do Not Resuscitate (DNR) status annotated and have confirmed their end-of-life care preferences.
研究组 & 干预措施
Mobile technology devices
mHealth tools 7days
干预措施: Experimental: Mobile technology devices (Other)
Placebo
Usual Care
干预措施: Placebo Comparator: Placebo (Other)
结局指标
主要结局
Decisional Conflict
时间窗: 7days
To evaluate the changes in decisional conflict among family members."The Decisional Conflict Scale (DCS) was employed to measure participants' uncertainty in making choices. The scale comprises 16 items across five subscales, with a total score exceeding 37.5 indicating significant decisional conflict. The instrument has demonstrated robust internal consistency (Cronbach's alpha = 0.78 - 0.92)."
次要结局
未报告次要终点
研究者
CHIA-HUI MA
Critical Care Nurse
Mackay Memorial Hospital