Evidence map›Paper›PMID 39821565›Full record

ArticleNeurocritical care2025

Psychosocial Support Needs and Preferences Among Family Caregivers of ICU Patients with Severe Acute Brain Injury: A Qualitative Thematic Analysis.

David Y Hwang, Mira Reichman, Sarah M Bannon, Kate Meurer, Rina Kubota, Jisoo Kim, Nithyashri Baskaran, Qiang Zhang, Nathan S Fishbein, Kaitlyn Lichstein and 12 more

Abstract readMulticenter Study
In one paragraph

Article in Neurocritical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Review
  3. Article
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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

22 authors.

David Y Hwang *Division of Neurocritical Care, Department of Neurology, University of North Carolina School of Medicine, Chapel Hill, NC, USA. david_hwang@med.unc.edu.ORCID 0000-0002-2150-4289
Mira Reichman *Department of Psychology, University of Washington, Seattle, WA, USA.
Sarah M BannonCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Kate MeurerDivision of Neurocritical Care and Emergency Neurology, Department of Neurology, Yale School of Medicine, New Haven, CT, USA.
Rina KubotaDivision of Neurocritical Care and Emergency Neurology, Department of Neurology, Yale School of Medicine, New Haven, CT, USA.
Jisoo KimDivision of Neurocritical Care and Emergency Neurology, Department of Neurology, Yale School of Medicine, New Haven, CT, USA.
Nithyashri BaskaranDivision of Neurocritical Care and Emergency Neurology, Department of Neurology, Yale School of Medicine, New Haven, CT, USA.
Qiang ZhangDavid Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
Nathan S FishbeinCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Kaitlyn LichsteinCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Alexander M PresciuttiCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Emily C WoodworthCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Melissa MottaProgram in Trauma, Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA.
Susanne MuehlschlegelDepartments of Neurology, Anesthesiology/Critical Care and Surgery, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Michael E ReznikDepartment of Neurology, Alpert Medical School, Brown University, Providence, RI, USA.
Matthew N JaffaDepartment of Neurology, Ayer Neuroscience Institute, Hartford Hospital, Hartford, CT, USA.
Claire J CreutzfeldtDepartment of Neurology, Harborview Medical Center, University of Washington, Seattle, WA, USA.
Corey R FehnelDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Amanda D TomlinsonDepartment of Critical Care Medicine, Instructor of Medicine, College of Medicine, Mayo Clinic, Jacksonville, FL, USA.
Craig A WilliamsonDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
Ana-Maria VranceanuCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Coma Family Investigators

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
Mentoring in technology enhanced mind body and lifestyle interventionsK24AT011760 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI Ana-Maria Vranceanu · 2022 to 2026
$911k
Mind-Body Peer Support for Family Caregivers to Patients with Severe Acute Brain InjuryF31AT012417 · NCCIH · UNIVERSITY OF WASHINGTON · PI Mira Reichman · 2024 to 2026
$149k
NCCIH NIH HHS 1K24AT011760-01NCCIH NIH HHS F31 AT012417NCCIH NIH HHS K24 AT011760NINR NIH HHS 5R01NR019982-02NINR NIH HHS R01 NR019982
6 · The paper itself

Abstract

backgroundFamily caregivers of patients with severe acute brain injury (SABI) are at risk for clinically significant chronic emotional distress, including depression, anxiety, and posttraumatic stress. Existing psychosocial interventions for caregivers of intensive care unit (ICU) patients are not tailored to the unique needs of caregivers of patients with SABI, do not demonstrate long-term efficacy, and may increase caregiver burden. In this study, we explored the needs and preferences for psychosocial services among SABI caregivers to inform the development and adaptation of interventions to reduce their emotional distress during and after their relative's ICU admission.

methodsIn this multicenter longitudinal qualitative study, we conducted semistructed interviews with SABI caregivers at two time points: during their relative's ICU admission (n = 30) and 2 months later (n = 20). We analyzed qualitative data using a hybrid of inductive and deductive analytic techniques. We recruited family caregivers of patients with SABI from 14 US neuroscience ICUs. We conducted interviews over live video. Our convenience sample of SABI caregivers (n = 30) was recruited through referral by medical teams and nursing staffs across participating neuroscience ICUs. Caregivers included spouses, children, parents, and siblings to patients with SABI.

resultsWe identified themes and subthemes related to participants' preferences for (1) the content of psychosocial support services and (2) the delivery and implementation of psychosocial support services. Findings revealed an unmet need for psychosocial support around the time of ICU discharge and 2 months later, including information to understand their loved one's condition and guide difficult decision-making, education regarding how best to communicate with the patient's care team and other family members, and emotional and behavioral coping skills.

conclusionsOur findings provide specific recommendations to justify and inform the development and adaptation of psychosocial support services for SABI caregivers for delivery in the ICU and after discharge.

Indexed as

Brain InjuriesCaregiversFamilyNeeds AssessmentPsychological DistressSocial SupportAdultAgedCritical CareFemaleHumansIntensive Care UnitsLongitudinal StudiesMaleMiddle AgedQualitative ResearchCaregiver burdenIntensive care unitsPsychological adaptationPsychological distressPsychosocial interventionPsychosocial support systems

Identifiers

PMID39821565
PMCPMC12451860

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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.