ArticleContemporary clinical trials2021
Facilitating communication for critically ill patients and their family members: Study protocol for two randomized trials implemented in the U.S. and France.
Article in Contemporary clinical trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 21 citations in OpenAlex.
- Exploring Implementation Processes of a Multicomponent Family Support Intervention in Intensive Care Units (FICUS) Study: A Mixed-Methods Process Evaluation.Journal of advanced nursing · 2025Trial
- "It's all about setting the stage." The nurse facilitator trial: perceived outcomes and implementation issues. A qualitative study among ICU clinicians and nurse facilitators.Intensive care medicine · 2024Trial
- A randomised controlled trial of a nurse facilitator to promote communication for family members of critically ill patients.Intensive care medicine · 2024Trial
- Barriers and Strategies to Effective Serious Illness Communication for Patients with End-Stage Liver Disease in the Intensive Care Setting.Journal of intensive care medicine · 2026Review
- Experience of Communication with Hospitalized Pediatric and Adult Patients in Intensive Care Unit: Validation and Reliability Analysis of EC-ICU 24-Item Scale.Advances in experimental medicine and biology · 2026Article
- Risk Factors and Consequences of Financial Hardship among Family of Critically Ill Patients.Annals of the American Thoracic Society · 2025Article
- Perspectives on Implementing a Communication Facilitator Intervention From a Critical Care Setting.Journal of pain and symptom management · 2025Article
- Time to Talk Money? Intensive Care Unit Clinicians' Perspectives on Addressing Patients' Financial Hardship.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025Article
- Article
- Predicting survival time for critically ill patients with heart failure using conformalized survival analysis.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025Article
- Article
- Financial Hardship: A Qualitative Study Exploring Perspectives of Seriously Ill Patients and Their Family.Journal of pain and symptom management · 2024Article
- Tailored implementation of the FICUS multicomponent family support intervention in adult intensive care units: findings from a mixed methods contextual analysis.BMC health services research · 2023Article
- Article
- Family caregiver inclusion is not a level playing field: toward equity for the chosen families of sexual and gender minority patients.Palliative care and social practice · 2022Article
Corrections and comments
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Authors and funding
14 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundCritically-ill patients and their families suffer a high burden of psychological symptoms due, in part, to many transitions among clinicians and settings during and after critical illness, resulting in fragmented care. Communication facilitators may help. DESIGN AND
interventionWe are conducting two cluster-randomized trials, one in the U.S. and one in France, with the goal of evaluating a nurse facilitator trained to support, model, and teach communication strategies enabling patients and families to secure care consistent with patients' goals, beginning in ICU and continuing for 3 months.
participantsWe will randomize 376 critically-ill patients in the US and 400 in France to intervention or usual care. Eligible patients have a risk of hospital mortality of greater than15% or a chronic illness with a median survival of approximately 2 years or less. OUTCOMES: We assess effectiveness with patient- and family-centered outcomes, including symptoms of depression, anxiety, and post-traumatic stress, as well as assessments of goal-concordant care, at 1-, 3-, and 6-months post-randomization. The primary outcome is family symptoms of depression over 6 months. We also evaluate whether the intervention improves value by reducing utilization while improving outcomes. Finally, we use mixed methods to explore implementation factors associated with implementation outcomes (acceptability, fidelity, acceptability, penetration) to inform dissemination. Conducting the trial in U.S. and France will provide insights into differences and similarities between countries.
conclusionsWe describe the design of two randomized trials of a communication facilitator for improving outcomes for critically ill patients and their families in two countries.
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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.