Trial reportContemporary clinical trials2012
Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU.
Trial report in Contemporary clinical trials, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Randomized Trial of an Interdisciplinary Communication Intervention to Improve Patient and Family Outcomes in the Intensive Care Unit
Pediatric Continuity Care Intensivist: Role Implementation and Randomized Control Trial
Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Information or education interventions for adult intensive care unit (ICU) patients and their carers.The Cochrane database of systematic reviews · 2018Pooled it
- Interprofessional collaboration to improve professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2017Pooled it
- The Prevalence of Compassion Fatigue and Burnout among Healthcare Professionals in Intensive Care Units: A Systematic Review.PloS one · 2015Pooled it
- Measuring Depression-Severity in Critically Ill Patients' Families with the Patient Health Questionnaire (PHQ): Tests for Unidimensionality and Longitudinal Measurement Invariance, with Implications for CONSORT.Journal of pain and symptom management · 2016Trial
- Randomized Trial of Communication Facilitators to Reduce Family Distress and Intensity of End-of-Life Care.American journal of respiratory and critical care medicine · 2016Trial
- Clinicians' perceptions of the usefulness of a communication facilitator in the intensive care unit.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2014Trial
- The long term impact of an end-of-life communication intervention among veterans with COPD.Heart & lung : the journal of critical careTrial
- Article
- Evolution of Investigating Informed Assent Discussions about CPR in Seriously Ill Patients.Journal of pain and symptom management · 2022Article
- Communication Quality Analysis: A user-friendly observational measure of patient-clinician communication.Communication methods and measures · 2022Article
- Making Family-Centered Care for Adults in the ICU a Reality.Frontiers in psychiatry · 2022Article
- Symptoms of post-traumatic stress disorder (PTSD) in next of kin during suspension of ICU visits during the COVID-19 pandemic: a prospective observational study.BMC psychiatry · 2021Observational
- Facilitating communication for critically ill patients and their family members: Study protocol for two randomized trials implemented in the U.S. and France.Contemporary clinical trials · 2021Article
- Quality improvement of end‑of‑life decision-making and communication in the ICU : Effect on clinicians' burnout and relatives' distress.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Article
- Psychological Attachment Orientations of Surrogate Decision-Makers and Goals-of-Care Decisions for Brain Injury Patients in ICUs.Critical care explorations · 2020Article
- Seven Types of Uncertainty When Clinicians Care for Pediatric Patients With Advanced Cancer.Journal of pain and symptom management · 2020Article
- A conceptual model of barriers and facilitators to primary clinical teams requesting pediatric palliative care consultation based upon a narrative review.BMC palliative care · 2019Review
- Prioritizing information topics for relatives of critically ill patients : Cross-sectional survey among intensive care unit relatives and professionals.Wiener klinische Wochenschrift · 2018Article
- "It's better to have three brains working instead of one": a qualitative study of building therapeutic alliance with family members of critically ill patients.BMC health services research · 2018Article
- Preliminary Identification of Coping Profiles Relevant to Surrogate Decision Making in the ICU.PloS one · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
The intensive care unit (ICU), where death is common and even survivors of an ICU stay face the risk of long-term morbidity and re-admissions to the ICU, represents an important setting for improving communication about palliative and end-of-life care. Communication about the goals of care in this setting should be a high priority since studies suggest that the current quality of ICU communication is often poor and is associated with psychological distress among family members of critically ill patients. This paper describes the development and evaluation of an intervention designed to improve the quality of care in the ICU by improving communication among the ICU team and with family members of critically ill patients. We developed a multi-faceted, interprofessional intervention based on self-efficacy theory. The intervention involves a "communication facilitator" - a nurse or social worker - trained to facilitate communication among the interprofessional ICU team and with the critically ill patient's family. The facilitators are trained using three specific content areas: a) evidence-based approaches to improving clinician-family communication in the ICU, b) attachment theory allowing clinicians to adapt communication to meet individual family member's communication needs, and c) mediation to facilitate identification and resolution of conflict including clinician-family, clinician-clinician, and intra-family conflict. The outcomes assessed in this randomized trial focus on psychological distress among family members including anxiety, depression, and post-traumatic stress disorder at 3 and 6 months after the ICU stay. This manuscript also reports some of the lessons that we have learned early in this study.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.