ICU sedation, delirium & recovery
Effect of a Standardized Family Participation Program in the ICU: A Multicenter Stepped-Wedge Cluster Randomized Controlled Trial*
Authors' conclusion
Application of a standardized program to facilitate family participation did not change mental health symptoms in relatives of ICU patients 3 months after discharge.
Study context
- Population
- Relatives of patients and healthcare providers (HCPs) in 7 adult ICUs (1 university, 6 general teaching hospitals)306 relatives · 235 ICU HCPs
- Comparison
- Standardized family participation program vs control period
Methodological detailsmulticenter, stepped-wedge, cluster randomized, Data collected through surveys among relatives and ICU HCPs
- Multicenter
- Stepped-wedge
- Cluster randomized
- Data collected through surveys among relatives and ICU HCPs
Primary result
Anxiety symptoms in relatives (HADS)
Median ratio
0.72
95% CI 0.46–1.13
P = 0.15
By group
Intervention period
5
median · IQR 2–10
Control period
6
median · IQR 3–9
As reported in the abstract
Further findings
Mean
| Outcome | Intervention period | Control period | Difference (95% CI) | P value | |
|---|---|---|---|---|---|
| Satisfaction of relativesSlightly lower in the intervention period | 8.90 (SD 1.10) | 9.06 (SD 1.10) | −0.60 (−1.07 to −0.12) | P = 0.01 | |
| −1.5−1−0.500.5Difference (linear scale) |
| Outcome | Intervention period | Control period | OR (95% CI) | P value | |
|---|---|---|---|---|---|
| HCP-perceived relatives knowing how to participate | 47% | 22% | 3.15 (1.64–6.05) | P < 0.01 | |
| 0.10.31310Odds ratio (log scale) |
Median
| Outcome | Intervention period | Control period | MR (95% CI) | P value |
|---|---|---|---|---|
| Depression symptoms in relatives (HADS) | 4 (IQR 2–6) | 3 (IQR 1–6) | 0.85 (0.55–1.32) | P = 0.47 |
| Posttraumatic stress in relatives (Impact of Event Scale-Revised) | 0.45 (IQR 0.27–0.82) | 0.41 (IQR 0.14–1) | 0.94 (0.78–1.14) | P = 0.54 |
HCP-reported relatives having sufficient knowledge to apply family participation
- Sufficient knowledge, intervention vs control period
- 41% vs 16%
- OR
- 3.56 (95% CI 1.75-7.25; p < 0.01)
HCP-reported relatives having sufficient skills to apply family participation
- Sufficient skills, intervention vs control period
- 44% vs 25%
- OR
- 2.38 (95% CI 1.22-4.63; p = 0.01)
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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