A Psycho-educational Intervention to Improve Family Mental Health and Child Educational Outcomes Following Admission to PICU: A Pilot Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Critical Illness
- Sponsor
- Imperial College London
- Enrollment
- 31
- Primary Endpoint
- The Number of Feasibility Criteria Successfully Met
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
- Evaluate the feasibility and acceptability of an information based intervention delivered to parents following their child's admission to paediatric intensive care;
- Evaluate the feasibility and acceptability of the study design and procedures;
- Explore the effects of the intervention on parent and child psychological outcomes 3-6 months post discharge from PICU;
- Explore the effects of parental stress experienced during PICU admission on the effectiveness of the intervention;
- To provide data that, combined with results from other studies, could inform the sample size for a future multi-site RCT.
Detailed Description
Most children are now expected to make a complete medical recovery following admission to PICU. However, research suggests that some children will go on to develop psychological difficulties, such as problems with emotions, behaviour, and learning. In addition, parents themselves may suffer with emotional difficulties. Although the follow-up of survivors is recommended, there are currently no specific guidelines in place. Intervention in the early stages of recovery could help families pull through without long lasting after-effects.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Unplanned emergency admissions to PICU for at least 12 hours
- •Parent or primary carer speaks and can read English
Exclusion Criteria
- •Child dies whilst on ward
- •Child discharged with a terminal illness
- •Child has had multiple PICU admission in the past
- •Staff feel it is inappropriate to approach family
- •Family live overseas
Outcomes
Primary Outcomes
The Number of Feasibility Criteria Successfully Met
Time Frame: 3-6 months post discharge from PICU
Feasibility success criteria have been defined a priori for the intervention and study design. There are six feasibility criteria related to the intervention, covering aspects of the timing of the intervention, compliance, and evaluation. There are also six feasibility criteria related to the study design, covering recruitment rate; participation rate; acceptability of procedures; attrition rate; and the time-scale of data collection. Dependent on the number of criteria successfully met, the following classification will be used: "\*" 0-2/6 criteria met - Stop; intervention and/or study design not feasible. "\*" 3-4/6 criteria met - Continue with modifications; feasible intervention and/or study design with modifications. "\*" 5/6 criteria met - Continue without modifications, but monitor closely; feasible intervention and/or study design with close monitoring. "\*" 6/6 criteria met - Continue without modifications; feasible intervention and/or study design as is.
Secondary Outcomes
- Impact of Events Scale (IES)(3-6 months post discharge from PICU)
- Hospital Anxiety and Depression Scale (HADS)(3-6 months post discharge from PICU)