Evidence map›Paper›PMID 30037868›Full record

ArticleBMJ open2018

Providing psychological support to people in intensive care: development and feasibility study of a nurse-led intervention to prevent acute stress and long-term morbidity.

Dorothy Wade, Nicole Als, Vaughan Bell, Chris Brewin, Donatella D'Antoni, David A Harrison, Mags Harvey, Sheila Harvey, David Howell, Paul R Mouncey and 8 more

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. What Animal Models Can Tell Us About Long-Term Psychiatric Symptoms in Sepsis Survivors: a Systematic Review.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Prevalence of Depression, Anxiety and Stress Among Patients Discharged from Critical Care Units.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2021
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 1 country.

Dorothy WadeCritical Care Department, University College London Hospitals NHS Foundation Trust, London, UK.
Nicole AlsCritical Care Department, University College London Hospitals NHS Foundation Trust, London, UK.
Vaughan BellPsychological Interventions Clinic for Outpatients with Psychosis, Maudsley Psychology Centre, Maudsley Hospital, London, UK.
Chris BrewinResearch Department of Clinical, Educational & Health Psychology, University College London, London, UK.
Donatella D'AntoniInstitute of Pharmaceutical Science, King's College London, London, UK.
David A HarrisonIntensive Care National Audit and Research Centre, London, UK.
Mags HarveyCritical Care Department, University College London Hospitals NHS Foundation Trust, London, UK.
Sheila HarveyIntensive Care National Audit and Research Centre, London, UK.
David HowellCritical Care Department, University College London Hospitals NHS Foundation Trust, London, UK.
Paul R MounceyIntensive Care National Audit and Research Centre, London, UK.
Monty MythenUniversity College London/ University College London Hospitals NIHR Biomedical Research Centre, Institute of Sport Exercise and Health (ISEH), London, UK.
Alvin Richards-BelleIntensive Care National Audit and Research Centre, London, UK.ORCID 0000-0001-8577-9380
Deborah SmythCritical Care Department, University College London Hospitals NHS Foundation Trust, London, UK.
John WeinmanInstitute of Pharmaceutical Science, King's College London, London, UK.
John WelchCritical Care Department, University College London Hospitals NHS Foundation Trust, London, UK.
Chris WhitmanCritical Care Department, University College London Hospitals NHS Foundation Trust, London, UK.
Kathryn M RowanIntensive Care National Audit and Research Centre, London, UK.
POPPI investigators
University College London Hospitals NHS Foundation Trust · GBIntensive Care National Audit & Research Centre · GBKing's College London · GBUniversity College London · GBMaudsley Hospital · GB

Funding

Department of Health 12/64/124
6 · The paper itself

Abstract

objectivesAdverse psychological outcomes, following stressful experiences in critical care, affect up to 50% of patients. We aimed to develop and test the feasibility of a psychological intervention to reduce acute stress and prevent future morbidity.

designA mixed-methods intervention development study, using two stages of the UK Medical Research Council framework for developing and testing complex interventions. Stage one (development) involved identifying an evidence base for the intervention, developing a theoretical understanding of likely processes of change and modelling change processes and outcomes. Stage two comprised two linked feasibility studies.

settingFour UK general adult critical care units.

participantsStage one: former and current patients, and psychology, nursing and education experts. Stage two: current patients and staff. OUTCOMES: Feasibility and acceptability to staff and patients of content and delivery of a psychological intervention, assessed using quantitative and qualitative data. Estimated recruitment and retention rates for a clinical trial.

resultsBuilding on prior work, we standardised the preventative, nurse-led Provision Of Psychological support to People in Intensive Care (POPPI) intervention. We devised courses and materials to train staff to create a therapeutic environment, to identify patients with acute stress and to deliver three stress support sessions and a relaxation and recovery programme to them. 127 awake, orientated patients took part in an intervention feasibility study in two hospitals. Patient and staff data indicated the complex intervention was feasible and acceptable. Feedback was used to refine the intervention. 86 different patients entered a separate trial procedures study in two other hospitals, of which 66 (80% of surviving patients) completed questionnaires on post-traumatic stress, depression and health 5 months after recruitment.

conclusionThe 'POPPI' psychological intervention to reduce acute patient stress in critical care and prevent future psychological morbidity was feasible and acceptable. It was refined for evaluation in a cluster randomised clinical trial. TRIAL REGISTRATION NUMBER: ISRCTN61088114; Results.

Indexed as

Practice Patterns, Nurses'Psychosocial Support SystemsAttitude of Health PersonnelCritical Care NursingFeasibility StudiesHumansNursing Staff, HospitalPatient SatisfactionRelaxation TherapyStress Disorders, Post-TraumaticStress, Psychologicaladult psychiatry

Identifiers

PMID30037868
PMCPMC6059275
OpenAlexW2885690540

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.