Peer Support for Post Intensive Care Syndrome Self-Management

Not Applicable

• Conditions: Respiratory Failure; Shock, Hypovolemic; Critical Illness; Shock, Septic; Chronic Disease; Respiratory Distress Syndrome, Adult; Sepsis; Shock
• Interventions: Behavioral: Peer Support with Motivational Interviewing; Behavioral: Usual Care Group

• Registration Number: NCT03788096
• Lead Sponsor: University of Texas at Austin

Brief Summary

A prospective, 2-arm, single-blind, randomized controlled clinical feasibility trial design is planned. Forty CCI survivors will be randomized (1:1) to either the PS-PICS (peer support) intervention or usual care (control) group.

Detailed Description

Randomized participants will complete 4 study assessments: 1) baseline data at hospital discharge; 2) baseline data post-hospital discharge and before the start of the weekly peer support intervention; 3) post-intervention at the conclusion of the 90-day weekly peer support intervention; and 4) follow-up at 6-months post-hospital discharge. The weekly peer support intervention will be delivered by a small pool of critical illness survivor peers (mentors) recruited from the study site from previous research. Peer support mentors will be trained in peer support and MI, and will deliver 3 months of weekly MI interventions (phone-based) to CCI survivors randomized to the intervention group. Participants randomized to the usual care group will not receive the weekly peer support/MI intervention but will receive the usual discharge planning services currently provided at hospital discharge. Participants in both groups will be contacted by the research team for 4 telephone-based assessments. The design will allow us to test the feasibility and potential impact of the PS-PICS intervention on social relationship measures, depression and self-management. Data collection and analyses are guided by the Individual and Family Self-Management Theory. The Individual and Family Self-Management Theory illustrates the interaction of the process of self-management with risk and protective factors, and short-term and long-term outcomes.

Study Timeline

• Study First Submitted: 2018-11-20
• Study First Submitted QC: 2018-12-21
• Study First Posted: 2018-12-27
• Study Start: 2020-04-20
• Status Verified: 2020-10
• Primary Completion: 2020-10-27
• Last Update Submitted: 2020-10-30
• Last Update Posted: 2020-11-02
• Study Completion: 2021-01-27

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• age18 years or older
• ICU length of stay 8 days or longer
• expected to survive hospitalization with a discharge destination to home within 28 days of hospital discharge
• diagnosed with 2 or more chronic conditions.

Exclusion Criteria

• death prior to hospital discharge
• enrollment in Hospice services at the time of hospital discharge
• non-communicative
• no access to telephone
• incarcerated

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
PS-PICS Peer Support Intervention	Peer Support with Motivational Interviewing	ICU mentors will be responsible for providing support to survivor participants randomized to the PS-PICS peer support intervention. Mentors will be trained in motivational interviewing techniques to engage mentees in goal setting and emotional management that is not readily accessible as part of discharge planning.
Usual Care Group	Usual Care Group	A control intervention will be used to provide comparison data consistent with usual care (absence of structured peer support telephone intervention) to evaluate the impact of the PS-PICS peer support intervention.

Primary Outcome Measures

Name	Time	Method
Social Network Index	3 months post-intervention	Social Network Index (SNI) to measure social relationships. The scale range is 0-12. The total score will be reported. The maximum total score is 12. Higher values represent a broader diversity of social networks and are classified as a better outcome.

Secondary Outcome Measures

Name	Time	Method
Center for Epidemiologic Studies Depression Scale (CES-D)	3 months post-intervention	Center for Epidemiologic Studies Depression Scale (CES-D) to measure self-reported symptoms of depression The scale range is 0-60. The total score will be reported. The maximum total score is 60. Higher values represent self-reported symptoms of depression. Higher values represent a worse outcome.
Patient Activation Measure	3 months post-intervention	Patient Activation Measure (PAM) Survey to measure self-reported active behavior in the self-management of chronic illness.; The scale range is 0-100. The total score will be reported. The maximum total score is 100. Higher values represent high levels of activation in self-management. Higher values represent a better outcome.
Social Network Index	1-week Post-intervention	Social Network Index (SNI) to measure social relationships. The scale range is 0-12. The total score will be reported. The maximum total score is 12. Higher values represent a broader diversity of social networks and are classified as a better outcome.
Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue Scale	3 months post-intervention	The Measure includes a scale. Please provide the following scale information: Specify the full (unabbreviated) scale name and construct (i.e., indicate what the scale measures if not clear from name).; Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue Scale Include all scale ranges (i.e., minimum and maximum scores) required to interpret any values. For example, if the \*total\* score is reported, the \*total\* range should be provided. If \*subscale\* scores are reported, the range for each \*subscale\* should be provided.; The scale range is 0-65. The total score will be reported. For each scale range provided, specify which values are considered to be a better or worse outcome (e.g., Do higher values represent a better or worse outcome?).; The maximum total score is 65. Higher values represent higher levels of fatigue.; If subscales are combined to compute a total score, consider indicating how subscales are combined (summed, averaged, etc.).; N/A
Short Form-36 (SF-36)	3 months post-intervention	Short Form-36 (SF-36) or 36-Item Short Form Health Survey Instrument The SF-36 has eight scaled scores; the scores are weighted sums of the questions in each section. Scores range from 0 - 100.; Lower scores = more disability, higher scores = less disability Sections: ∙ Vitality ∙ Physical functioning ∙ Bodily pain ∙ General health perceptions ∙ Physical role functi

Trial Locations

Locations (1)

Baylor Scott & White Health; 🇺🇸 Temple, Texas, United States