Evidence map›Paper›PMID 36368480›Full record

ArticleContemporary clinical trials2022

The Recovering Together study protocol: A single-blind RCT to prevent chronic emotional distress in patient-cargiver dyads in the Neuro-ICU.

Ana-Maria Vranceanu, Emily C Woodworth, Millan R Kanaya, Sarah Bannon, Ryan A Mace, Heena Manglani, Brooke A Duarte, Christina L Rush, Nathaniel R Choukas, Ellie A Briskin and 8 more

Open access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

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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

18 authors at 3 institutions in 1 country.

Ana-Maria VranceanuCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America. Electronic address: avranceanu@mgh.harvard.edu.
Emily C WoodworthCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America.
Millan R KanayaCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America.
Sarah BannonCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America.
Ryan A MaceCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America.
Heena ManglaniCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America.
Brooke A DuarteCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America.
Christina L RushCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America.
Nathaniel R ChoukasCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America.
Ellie A BriskinCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America.
Joshua CohenCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America.
Robert ParkerHarvard Medical School, Boston, MA, United States of America; Biostatistics Center, Massachusetts General Hospital, Boston, MA, United States of America.
Eric MacklinHarvard Medical School, Boston, MA, United States of America; Biostatistics Center, Massachusetts General Hospital, Boston, MA, United States of America.
Ethan LesterCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America.
Lara TraegerCancer Center, Massachusetts General Hospital, Boston, MA, United States of America.
Jonathan RosandHarvard Medical School, Boston, MA, United States of America; Henry and Allison McCance Center for Brain Health, Massachusetts General Hospital, Boston, MA, United States of America; Neuroscience Intensive Care Unit, Massachusetts General Hospital, Boston, MA, United States of America.
Neuro-ICU Recovering Together TeamNeuroscience Intensive Care Unit, Massachusetts General Hospital, Boston, MA, United States of America.
Victoria A GrunbergCenter for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America; Division of Newborn Medicine, MassGeneral for Children, Boston, MA, United States of America.
Harvard University · USMassachusetts General Hospital · USBoston Children's Hospital · US

Funding

Recovering Together: Building resiliency in dyads of patients with an acute brain injury admitted to the Neuroscience Intensive Care Unit and their informal caregiversR01NR019982 · NINR · MASSACHUSETTS GENERAL HOSPITAL · PI VRANCEANU, ANA-MARIA · 2021 to 2025
$3.3M
Translational Neuroscience Training for CliniciansT32MH112485 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BUCKNER, RANDY L, ROFFMAN, JOSHUA LAWRENCE · 2018 to 2022
$1.7M
Mentoring in technology enhanced mind body and lifestyle interventionsK24AT011760 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI Ana-Maria Vranceanu · 2022 to 2026
$911k
NCCIH NIH HHS K24 AT011760NIMH NIH HHS T32 MH112485NINR NIH HHS R01 NR019982
6 · The paper itself

Abstract

introductionPatients admitted to the Neuroscience Intensive Care Unit (Neuro-ICU) with acute neurological illnesses (ANI; e.g., stroke, tumor, TBI) and their informal caregivers experience high rates of anxiety, depression, and posttraumatic stress. To address this need, we previously developed the Recovering Together (RT) dyadic intervention to help prevent chronic emotional distress in both patients and caregivers. Currently, we are conducting a fully-powered, single-blind randomized clinical trial (RCT) to evaluate the efficacy of RT versus an attention matched health education control. Here, we describe the protocol and current status of this RCT.

methodsWe aim to recruit 194 at risk patient-caregiver dyads from the Neuro-ICU at MGH. Eligible dyads include patients diagnosed with ANI, cognitively intact, at least one partner endorses emotional distress (on Hospital Anxiety and Depression Scale), English speaking, age 18 or older. Dyads are randomized to the intervention (RT-1) or control condition (RT-2) (both six sessions). RT-1 teaches resiliency (e.g., coping, mindfulness) and interpersonal skills. RT-2 provides education on health-related topics (e.g., stress, self-care, adhering to medical recommendations). Blinded research assistants collect measures at baseline, post-intervention, and three months follow-up. We will conduct mixed linear, mediation, and actor-partner interdependence models to examine changes in dyads' outcomes across time.

resultsWe have recruited 41 dyads and aim to recruit 194 total. DISCUSSION: If successful, we plan to test RT in a large-scale, multisite hybrid effectiveness-implementation study in Neuro-ICUs across the country. Enhancing psychosocial supports for patients and families could improve health outcomes, healthcare efficiency, and the culture of these units.

Indexed as

CaregiversPsychological DistressAdaptation, PsychologicalAdolescentDepressionEmotionsHumansIntensive Care UnitsRandomized Controlled Trials as TopicAcute neurological illness (ANI)CaregiverDyadEmotional distressNeuroscience intensive care unit (Neuro-ICU)Patient

Identifiers

PMID36368480
PMCPMC10161144
OpenAlexW4308516689

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.