The Visiting Child and His Family in ICU

Not Applicable

Completed

• Conditions: Child; Acute Stress Disorder; Intensive Care; Post Traumatic Stress Disorder
• Interventions: Other: interview

• Registration Number: NCT03954522
• Lead Sponsor: Centre Hospitalier Universitaire de Besancon

Brief Summary

According to literature, it's difficult to evaluate the impact of the visit of the child in ICU. Currently, no recommendations are available regarding welcome and accompany children who visit their relative hospitalized in ICU. Collaboration between humanities and medical sciences brings to this question a complementary look. Majority of studies investigated the question of the impact of young child ICU visit in a unidirectional linear causality scheme visit = psychopathological impact. The visit of the child in ICU should not be considered as an isolated event whose objective characteristics would be alone vectors of trauma. Contrary, the child visit must be apprehended in relation to the quality of the supports on which the child can count. The investigators hypothesize that children can overcome the visit of a kin hospitalized in ICU if accompanying people can support the child and contain, before and after the visit, the emotions of the child.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-04-09
• Study First Submitted QC: 2019-05-16
• Study First Posted: 2019-05-17
• Study Start: 2019-09-26
• Primary Completion: 2020-11-23
• Study Completion: 2020-12-23
• Status Verified: 2025-01
• Last Update Submitted: 2025-01-15
• Last Update Posted: 2025-01-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 57

Inclusion Criteria

• family groups in which at least one child aged 6 to 14 years having expressed the wish to visit his/her hospitalized relative
• family groups in which the non-hospitalized parent has expressed the wish to accompany his/her child during the visit
• parent hospitalized in ICU is at least 18 years old
• informed consent of children, non-hospitalized and/or hospitalized relatives
• informed consent of the accompanying caregiver

Exclusion Criteria

• moribund patient
• child unaccompanied by his/her parent/relative during the visit
• non-hospitalized non-French-speaking parent/relative (need to be able to answer the questionnaires)
• child benefiting from a psychological follow-up prior to the hospitalization of his/her parent
• non French-speaking child
• child under 6 years old or older than 14
• hospitalized relative who died before the proposed interview with the child (particular attention will be carry out to the interview conditions. The loss of the hospitalized parent will not allow for an interview on the experience of the visit).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Expérimental	interview	psychologist interview and psychometrics scales

Primary Outcome Measures

Name	Time	Method
Chronic psychotraumatic impact of the visit on the child	1 month	Scale of stress (Child IES-R : Impact of Event Scale- Revised) : score calculated on 40 points.; A score of 17 or greater is considered as clinically relevant
Parental, family and caregiver support provided to the child during and following the visit	1 month	semi directive interviews of caregiver/family
Psychological experience of the visit according the child age	1 month	semi directive interview analysed in subgroup: comparison between child aged from 6 to 10 years old versus 11 to 14 years old
Psychological experience of the visit for the child	7 days	semi directive interview
Acute psychotraumatic impact of the visit on the child	7 days	Scale of stress (Child IES-R : Impact of Event Scale- Revised) : score calculated on 40 points.; A score of 17 or greater is considered as clinically relevant

Trial Locations

Locations (1)

Chu de Besancon; 🇫🇷 Besancon, France