Evidence map›Paper›PMID 35610616›Full record

ArticleCritical care (London, England)2022

A multicentre evaluation exploring the impact of an integrated health and social care intervention for the caregivers of ICU survivors.

Joanne McPeake, Philip Henderson, Pamela MacTavish, Helen Devine, Malcolm Daniel, Phil Lucie, Lynn Bollan, Lucy Hogg, Mike MacMahon, Sharon Mulhern and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Barriers to and Facilitators of Family Caregiving of Patients With COVID-19 Early in the Pandemic.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2023
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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

16 authors.

Joanne McPeakeIntensive Care Unit, Glasgow Royal Infirmary, Glasgow, UK. Joanne.mcpeake@glasgow.ac.uk.
Philip HendersonSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.
Pamela MacTavishIntensive Care Unit, Glasgow Royal Infirmary, Glasgow, UK.
Helen DevineIntensive Care Unit, Glasgow Royal Infirmary, Glasgow, UK.
Malcolm DanielIntensive Care Unit, Glasgow Royal Infirmary, Glasgow, UK.
Phil LucieIntensive Care Unit, University Hospital Wishaw, Wishaw, UK.
Lynn BollanIntensive Care Unit, University Hospital Wishaw, Wishaw, UK.
Lucy HoggIntensive Care Unit, NHS Fife, Kirkcaldy, UK.
Mike MacMahonIntensive Care Unit, NHS Fife, Kirkcaldy, UK.
Sharon MulhernIntensive Care Unit, NHS Ayrshire and Arran, Kilmarnock, UK.
Pauline MurrayIntensive Care Unit, NHS Ayrshire and Arran, Kilmarnock, UK.
Laura O'NeillIntensive Care Unit, University Hospital Monklands, Airdrie, UK.
Laura StrachanIntensive Care Unit, Queen Elizabeth University Hospital, Glasgow, UK.
Theodore J IwashynaCenter for Clinical Management Research, VA Ann Arbor Health System, Ann Arbor, MI, USA.
Martin ShawSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.
Tara QuasimIntensive Care Unit, Glasgow Royal Infirmary, Glasgow, UK.

Funding

Health Foundation UK 173544The Institute of Healthcare Improvement Studies 307748-01/PD-2019-02-16
6 · The paper itself

Abstract

backgroundCaregivers and family members of Intensive Care Unit (ICU) survivors can face emotional problems following patient discharge from hospital. We aimed to evaluate the impact of a multi-centre integrated health and social care intervention, on caregiver and family member outcomes.

methodsThis study evaluated the impact of the Intensive Care Syndrome: Promoting Independence and Return to Employment (InS:PIRE) programme across 9 sites in Scotland. InS:PIRE is an integrated health and social care intervention. We compared caregivers who attended this programme with a contemporary control group of ICU caregivers (usual care cohort), who did not attend.

resultsThe primary outcome was anxiety measured via the Hospital Anxiety and Depression Scale at 12 months post-hospital discharge. Secondary outcome measures included depression, carer strain and clinical insomnia. A total of 170 caregivers had data available at 12 months for inclusion in this study; 81 caregivers attended the InS:PIRE intervention and completed outcome measures at 12 months post-hospital discharge. In the usual care cohort of caregivers, 89 completed measures. The two cohorts had similar baseline demographics. After adjustment, those caregivers who attended InS:PIRE demonstrated a significant improvement in symptoms of anxiety (OR: 0.42, 95% CI: 0.20-0.89, p = 0.02), carer strain (OR: 0.39; 95% CI: 0.16-0.98 p = 0.04) and clinical insomnia (OR: 0.40; 95% CI: 0.17-0.77 p < 0.001). There was no significant difference in symptoms of depression at 12 months.

conclusionsThis multicentre evaluation has shown that caregivers who attended an integrated health and social care intervention reported improved emotional health and less symptoms of insomnia, 12 months after the delivery of the intervention.

Indexed as

CaregiversSleep Initiation and Maintenance DisordersDepressionHumansIntensive Care UnitsQuality of LifeSocial SupportSurvivorsCaregivers and mental healthCritical careFamilyRehabilitation

Identifiers

PMID35610616
PMCPMC9128318

What OpenQuestion holds

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Registered trials

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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.