A Randomized Controlled Trial to Test the Effectiveness of a Multi-faceted Communication Intervention for Family Members of Critically Ill Patients.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 159
- 试验地点
- 1
- 主要终点
- Patient Outcome: Patient centeredness of care
研究概览
简要总结
The purpose of this study is to test the effectiveness of a multi-faceted communication intervention for family members of critically ill patients to reduce the family members' long-term symptoms of depression and anxiety.
详细描述
One in four elderly Americans die in or shortly after discharge from an intensive care unit. An expanding body of literature documents that physician-family communication and end-of-life care is poor in intensive care units. These deficiencies are associated with high rates of adverse psychological outcomes among surrogates, physician-family conflict, and life support decisions that may be inconsistent with patients' goals and preferences. There is a lack on information on practical, generalizable interventions that effectively improve this important aspect of care for elderly patients and their families.
The primary aim of this study is to evaluate the effectiveness of a multifaceted communication intervention to improve psychological outcomes among family members of critically ill patients, using a randomized, controlled trial design.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •for ICU Patients:
- •must be unable to make treatment decisions for him/herself, as determined by the patient's physicians.
- •must have have either an APACHE II score of ≥ 25 or, for patients with a primary neurologic diagnosis (e.g. intracranial hemorrhage, subdural hemorrhage, or subarachnoid hemorrhage), physician estimate that the patient has at least a 50% risk of long term, severe functional impairment
- •must be 50 years old or greater.
排除标准
- •for ICU Patients:
- •Patients who do not have surrogates or at least one family member who is willing to participate in the study.
- •Patients awaiting organ transplantation.
研究组 & 干预措施
Family Support Intervention
干预措施: Family Support Intervention (Behavioral)
Control Group
结局指标
主要结局
Patient Outcome: Patient centeredness of care
时间窗: Three months following patient death or discharge from the ICU.
Family Outcome: Family members' depressive symptoms
时间窗: Three months following patient death or discharge from the ICU.
次要结局
未报告次要终点