Evidence map›Paper›PMID 41981773›Full record

Observational studyNursing in critical care2026

The Effect of Family Voice Interventions on Delirium Incidence and Duration in Adult ICU Patients: A Systematic Review and Meta-Analysis.

Ella Peschel, Marion Diegelmann, Roland Eßl-Maurer, Pia Goetze, Susanne Krotsetis, Anemone Neumann-Wagner, Eunkyeong Oh, Bianca Schmidt-Maciejewski, Florian Schimböck, Vanessa Vater and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Nursing in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

11 authors.

Ella PeschelUniversity Hospital of Schleswig-Holstein, Lübeck, Germany.ORCID https://orcid.org/0009-0003-6657-1527
Marion DiegelmannNursing Research, University Hospital Frankfurt, Germany.
Roland Eßl-MaurerNursing Department, Coordination Development Clinical Nursing Practice, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
Pia GoetzeUniversity Hospital of Schleswig-Holstein, Kiel, Germany.ORCID https://orcid.org/0009-0007-8328-4772
Susanne KrotsetisUniversity Hospital of Schleswig-Holstein, Lübeck, Germany.
Anemone Neumann-WagnerUniversity Hospital of Schleswig-Holstein, Lübeck, Germany.ORCID https://orcid.org/0009-0000-2951-2526
Eunkyeong OhDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg Eppendorf (UKE), Hamburg, Germany.
Bianca Schmidt-MaciejewskiAsklepios Hospital St. Georg, Department of Nursing Competence and Development, Hamburg, Germany.ORCID https://orcid.org/0000-0001-9751-4793
Florian SchimböckInstitute of General Practice, University Hospital of Schleswig-Holstein/University, Kiel, Germany.ORCID https://orcid.org/0000-0002-4834-0114
Vanessa VaterNursing Research, University Hospital Frankfurt, Germany.ORCID https://orcid.org/0000-0002-7010-4687
Peter NydahlNursing Research and Development, University Hospital of Schleswig-Holstein, Kiel, Germany.ORCID https://orcid.org/0000-0002-5178-0364

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelirium is a common and serious complication in patients on intensive care units (ICUs). Family voice interventions may support orientation, reduce sensory deprivation and mitigate delirium, but their efficacy remains unclear.

aimThe primary aim was to systematically evaluate the effects of family voice interventions on the incidence and duration of delirium in adult ICU patients.

methodsWe searched PubMed, CINAHL, Embase, Cochrane Library and APA PsycNet and grey literature from inception to present. Eligible randomized controlled trials (RCT) included adults (≥ 18 years) in ICU settings receiving family voice interventions via live or recorded voices of family members. Primary outcomes were delirium incidence and duration, assessed using validated tools. Quality assessment was conducted by using RoB 2.0 and Grade. Meta-analyses were performed using RevMan 9.5.1.

resultsOut of 438 titles, seven RCT with a low to high risk of bias including 582 patients were analysed. Certainty of evidence was moderate. Meta-analysis evaluating family voice interventions versus usual care showed a significant reduction in delirium incidence (OR: 0.39 [CI: 0.26, 0.58], p < 0.001; χ

conclusionsFamily voice interventions may aid in preventing and reducing delirium in critically ill patients, potentially supporting patient recovery and improving family psychological well-being. Given the moderate certainty of evidence, more robust research is necessary. RELEVANCE FOR CLINICAL PRACTICE: Critically ill patients and families should be educated about delirium. Clinicians should integrate families in the prevention and treatment of delirium by using live or recorded re-orienting voice interventions.

Indexed as

DeliriumFamilyIntensive Care UnitsVoiceAdultHumansIncidenceReview Literature as Topiccritical caredeliriumfamilyfamily involvementpatient‐centred careprevention

Identifiers

PMID41981773
PMCPMC13080060

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.