Evidence map›Paper›PMID 41051554›Full record

Trial reportIntensive care medicine2025

Effects of The Caregiver Pathway intervention on symptoms of post-intensive care syndrome among family caregivers to critically ill patients: long-term results from a randomized controlled trial.

Solbjørg Watland, Lise Solberg Nes, Øivind Ekeberg, Morten Rostrup, Elizabeth Hanson, Mirjam Ekstedt, Milada Hagen, Elin Børøsund

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Intensive care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. 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

8 authors.

Solbjørg WatlandDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-6644-4144
Lise Solberg NesDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-9261-0871
Øivind EkebergProfessor Emeritus, Currently in Private Practice, Kolsås, Norway.
Morten RostrupMedicine Intensive Care Unit, Department of Acute Medicine, Division of Medicine, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-6388-4072
Elizabeth HansonDepartment of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden.
Mirjam EkstedtDepartment of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden.ORCID 0000-0002-4108-391X
Milada HagenFaculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.ORCID 0000-0001-8947-8649
Elin BørøsundDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway. eborosun@ous-hf.no.ORCID 0000-0003-3897-7055

Funding

EkstraStiftelsen Helse og Rehabilitering (Stiftelsen Dam) 2021/FO347303
6 · The paper itself

Abstract

purposeA long-term evaluation of The Caregiver Pathway, a model to follow up family caregivers on Post-intensive Care Symptoms among Family (PICS-F).

methodsA single-center non-blinded randomized controlled trial including 196 family caregivers to critically ill patients randomized to intervention (n = 101) or control group (n = 95). The Caregiver Pathway intervention consists of: (1) a digital assessment followed by a conversation with a nurse in the first days at the ICU, (2) a supportive card when leaving the ICU, (3) an offer to receive a phone call following patient transfer to a step-down unit, and (4) a follow-up conversation within 3 months after discharge. Outcome measures were collected at 6 and 12 months, including symptoms of post-traumatic stress disorder (PTSD), anxiety, depression, Health-related Quality of Life (HRQoL), hope, and self-efficacy.

resultsThe Caregiver Pathway was associated with a significant effect for symptoms of PTSD after 6 months compared with controls, mean IES-R score: 25.8 [95% CI 21.9-29.7] versus 30.9 [95% CI 26.7-35.0], p = 0.009, and a trend toward an effect after 12 months: IES-R score: 25.0 [95% CI 21.3-28.7] versus 28.4 [95% CI 24.1-32.7], p = 0.057. Subgroup analyses at 12 months showed a significant intervention effect among family caregivers of patients who survived compared to controls for PTSD, IES-R score: 19.8 [95% CI 15.3-24.2] versus 29.1 [95% CI 23.5-34.6], p = 0.001, and anxiety, HADS-A score: 4.3 [95% CI 3.1-5.4] versus 6.8 [95% CI 5.2-8.4], p = 0.003.

conclusionsThe Caregiver Pathway has the potential to reduce the symptoms of PICS-F, especially among family caregivers whose patient has survived.

Indexed as

CaregiversCritical CareCritical IllnessStress Disorders, Post-TraumaticAdultAgedAnxietyDepressionFemaleHumansIntensive Care UnitsMaleMiddle AgedQuality of Life

Identifiers

PMID41051554
PMCPMC12640315

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.