Barriers and opportunities for implementation of a brief psychological intervention for post-ICU mental distress in the primary care setting - results from a qualitative sub-study of the PICTURE trial
© 2023. The Author(s)..
BACKGROUND: The results of critical illness and life-saving invasive measures during intensive care unit treatment can sometimes lead to lasting physical and psychological impairments. A multicentre randomized controlled trial from Germany (PICTURE) aims to test a brief psychological intervention, based on narrative exposure therapy, for post-traumatic stress disorder symptoms following intensive care unit treatment in the primary care setting. A qualitative analysis was conducted to understand feasibility and acceptance of the intervention beyond quantitative analysis of the main outcomes in the primary study.
METHODS: Qualitative explorative sub-study of the main PICTURE trial, with eight patients from the intervention group recruited for semi-structured telephone interviews. Transcriptions were analysed according to Mayring's qualitative content analysis. Contents were coded and classified into emerging categories.
RESULTS: The study population was 50% female and male, with a mean age of 60.9 years and transplantation surgery being the most frequent admission diagnosis. Four main factors were identified as conducive towards implementation of a short psychological intervention in a primary care setting: 1) long-term trustful relationship between patient and GP team; 2) intervention applied by a medical doctor; 3) professional emotional distance of the GP team; 4) brevity of the intervention.
CONCLUSION: The primary setting has certain qualities such as a long-term doctor-patient relationship and low-threshold consultations that offer good opportunities for implementation of a brief psychological intervention for post-intensive care unit impairments. Structured follow-up guidelines for primary care following intensive care unit treatment are needed. Brief general practice-based interventions could be part of a stepped-care approach.
TRIAL REGISTRATION: The main trial was registered at the DRKS (German Register of Clinical Trials: DRKS00012589) on 17/10/2017.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
|---|---|
| Enthalten in: |
BMC primary care - 24(2023), 1 vom: 06. Mai, Seite 113 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Sanftenberg, Linda [VerfasserIn] |
|---|
| Links: |
|---|
| Anmerkungen: |
Date Completed 08.05.2023 Date Revised 12.05.2023 published: Electronic DRKS: DRKS00012589 Citation Status MEDLINE |
|---|
| doi: |
10.1186/s12875-023-02046-0 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM356527638 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM356527638 | ||
| 003 | DE-627 | ||
| 005 | 20231226070644.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1186/s12875-023-02046-0 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1188.xml |
| 035 | |a (DE-627)NLM356527638 | ||
| 035 | |a (NLM)37149603 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Sanftenberg, Linda |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Barriers and opportunities for implementation of a brief psychological intervention for post-ICU mental distress in the primary care setting - results from a qualitative sub-study of the PICTURE trial |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 08.05.2023 | ||
| 500 | |a Date Revised 12.05.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a DRKS: DRKS00012589 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s). | ||
| 520 | |a BACKGROUND: The results of critical illness and life-saving invasive measures during intensive care unit treatment can sometimes lead to lasting physical and psychological impairments. A multicentre randomized controlled trial from Germany (PICTURE) aims to test a brief psychological intervention, based on narrative exposure therapy, for post-traumatic stress disorder symptoms following intensive care unit treatment in the primary care setting. A qualitative analysis was conducted to understand feasibility and acceptance of the intervention beyond quantitative analysis of the main outcomes in the primary study | ||
| 520 | |a METHODS: Qualitative explorative sub-study of the main PICTURE trial, with eight patients from the intervention group recruited for semi-structured telephone interviews. Transcriptions were analysed according to Mayring's qualitative content analysis. Contents were coded and classified into emerging categories | ||
| 520 | |a RESULTS: The study population was 50% female and male, with a mean age of 60.9 years and transplantation surgery being the most frequent admission diagnosis. Four main factors were identified as conducive towards implementation of a short psychological intervention in a primary care setting: 1) long-term trustful relationship between patient and GP team; 2) intervention applied by a medical doctor; 3) professional emotional distance of the GP team; 4) brevity of the intervention | ||
| 520 | |a CONCLUSION: The primary setting has certain qualities such as a long-term doctor-patient relationship and low-threshold consultations that offer good opportunities for implementation of a brief psychological intervention for post-intensive care unit impairments. Structured follow-up guidelines for primary care following intensive care unit treatment are needed. Brief general practice-based interventions could be part of a stepped-care approach | ||
| 520 | |a TRIAL REGISTRATION: The main trial was registered at the DRKS (German Register of Clinical Trials: DRKS00012589) on 17/10/2017 | ||
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Mental health | |
| 650 | 4 | |a Narrative exposure therapy | |
| 650 | 4 | |a Post-intensive care syndrome | |
| 650 | 4 | |a Post-traumatic stress disorder | |
| 650 | 4 | |a Qualitative analysis | |
| 700 | 1 | |a Beutel, Antina |e verfasserin |4 aut | |
| 700 | 1 | |a Friemel, Chris Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Kosilek, Robert Philipp |e verfasserin |4 aut | |
| 700 | 1 | |a Schauer, Maggie |e verfasserin |4 aut | |
| 700 | 1 | |a Elbert, Thomas |e verfasserin |4 aut | |
| 700 | 1 | |a Reips, Ulf-Dietrich |e verfasserin |4 aut | |
| 700 | 1 | |a Gehrke-Beck, Sabine |e verfasserin |4 aut | |
| 700 | 1 | |a Schubert, Tomke |e verfasserin |4 aut | |
| 700 | 1 | |a Schmidt, Konrad |e verfasserin |4 aut | |
| 700 | 1 | |a Gensichen, Jochen |e verfasserin |4 aut | |
| 700 | 0 | |a PICTURE-study team |e verfasserin |4 aut | |
| 700 | 1 | |a Adrion, Christine |e investigator |4 oth | |
| 700 | 1 | |a Angstwurm, Matthias |e investigator |4 oth | |
| 700 | 1 | |a Bergmann, Antje |e investigator |4 oth | |
| 700 | 1 | |a Bielmeier, Gerhard |e investigator |4 oth | |
| 700 | 1 | |a Bischhoff, Andrea |e investigator |4 oth | |
| 700 | 1 | |a Bogdanski, Ralph |e investigator |4 oth | |
| 700 | 1 | |a Brettner, Franz |e investigator |4 oth | |
| 700 | 1 | |a Brettschneider, Christian |e investigator |4 oth | |
| 700 | 1 | |a Briegel, Josef |e investigator |4 oth | |
| 700 | 1 | |a Bürkle, Martin |e investigator |4 oth | |
| 700 | 1 | |a Dohmann, Johanna |e investigator |4 oth | |
| 700 | 1 | |a Falkai, Peter |e investigator |4 oth | |
| 700 | 1 | |a Felbinger, Thomas |e investigator |4 oth | |
| 700 | 1 | |a Fisch, Richard |e investigator |4 oth | |
| 700 | 1 | |a Förstl, Hans |e investigator |4 oth | |
| 700 | 1 | |a Fohr, Benjamin |e investigator |4 oth | |
| 700 | 1 | |a Franz, Martin |e investigator |4 oth | |
| 700 | 1 | |a Friederich, Patrick |e investigator |4 oth | |
| 700 | 1 | |a Friemel, Chris Maria |e investigator |4 oth | |
| 700 | 1 | |a Gallinat, Jürgen |e investigator |4 oth | |
| 700 | 1 | |a Gerlach, Herwig |e investigator |4 oth | |
| 700 | 1 | |a Güldner, Andreas |e investigator |4 oth | |
| 700 | 1 | |a Hardt, Hanna |e investigator |4 oth | |
| 700 | 1 | |a Heintze, Christoph |e investigator |4 oth | |
| 700 | 1 | |a Heinz, Andreas |e investigator |4 oth | |
| 700 | 1 | |a Heller, Axel |e investigator |4 oth | |
| 700 | 1 | |a von Heymann, Christian |e investigator |4 oth | |
| 700 | 1 | |a Hoppmann, Petra |e investigator |4 oth | |
| 700 | 1 | |a Huge, Volker |e investigator |4 oth | |
| 700 | 1 | |a Irlbeck, Michael |e investigator |4 oth | |
| 700 | 1 | |a Jaschinski, Ulrich |e investigator |4 oth | |
| 700 | 1 | |a Jarczak, Dominik |e investigator |4 oth | |
| 700 | 1 | |a Joos, Stefanie |e investigator |4 oth | |
| 700 | 1 | |a Kaiser, Elisabeth |e investigator |4 oth | |
| 700 | 1 | |a Kerinn, Melanie |e investigator |4 oth | |
| 700 | 1 | |a Klefisch, Frank-Rainer |e investigator |4 oth | |
| 700 | 1 | |a Kluge, Stefan |e investigator |4 oth | |
| 700 | 1 | |a Koch, Roland |e investigator |4 oth | |
| 700 | 1 | |a Koch, Thea |e investigator |4 oth | |
| 700 | 1 | |a Kowalski, Michelle |e investigator |4 oth | |
| 700 | 1 | |a König, Hans-Helmut |e investigator |4 oth | |
| 700 | 1 | |a Lackermeier, Peter |e investigator |4 oth | |
| 700 | 1 | |a Laugwitz, Karl-Ludwig |e investigator |4 oth | |
| 700 | 1 | |a Lemke, Yvonne |e investigator |4 oth | |
| 700 | 1 | |a Lies, Achim |e investigator |4 oth | |
| 700 | 1 | |a Linde, Klaus |e investigator |4 oth | |
| 700 | 1 | |a Lindemann, Daniela |e investigator |4 oth | |
| 700 | 1 | |a Lühmann, Dagmar |e investigator |4 oth | |
| 700 | 1 | |a May, Stephanie |e investigator |4 oth | |
| 700 | 1 | |a Ney, Ludwig |e investigator |4 oth | |
| 700 | 1 | |a Oltrogge, Jan |e investigator |4 oth | |
| 700 | 1 | |a Pankow, Wulf |e investigator |4 oth | |
| 700 | 1 | |a Papiol, Sergi |e investigator |4 oth | |
| 700 | 1 | |a Ragaller, Maximilian |e investigator |4 oth | |
| 700 | 1 | |a Rank, Nikolaus |e investigator |4 oth | |
| 700 | 1 | |a Reill, Lorenz |e investigator |4 oth | |
| 700 | 1 | |a Richter, Hans-Peter |e investigator |4 oth | |
| 700 | 1 | |a Riessen, Reimer |e investigator |4 oth | |
| 700 | 1 | |a Ringeis, Grit |e investigator |4 oth | |
| 700 | 1 | |a Rüchhardt, Ann |e investigator |4 oth | |
| 700 | 1 | |a Schelling, Gustav |e investigator |4 oth | |
| 700 | 1 | |a Schelling, Jörg |e investigator |4 oth | |
| 700 | 1 | |a Scherag, André |e investigator |4 oth | |
| 700 | 1 | |a Scherer, Martin |e investigator |4 oth | |
| 700 | 1 | |a Schneider, Antonius |e investigator |4 oth | |
| 700 | 1 | |a Schneider, Gerhard |e investigator |4 oth | |
| 700 | 1 | |a Schneider, Jürgen |e investigator |4 oth | |
| 700 | 1 | |a Schnurr, Julia |e investigator |4 oth | |
| 700 | 1 | |a Schultz, Susanne |e investigator |4 oth | |
| 700 | 1 | |a Schulze, Thomas G |e investigator |4 oth | |
| 700 | 1 | |a Schumacher, Karin |e investigator |4 oth | |
| 700 | 1 | |a Spieth, Peter |e investigator |4 oth | |
| 700 | 1 | |a Thurm, Franka |e investigator |4 oth | |
| 700 | 1 | |a Vogl, Thomas |e investigator |4 oth | |
| 700 | 1 | |a Voigt, Karen |e investigator |4 oth | |
| 700 | 1 | |a Walther, Andreas |e investigator |4 oth | |
| 700 | 1 | |a Wassilowsky, Dietmar |e investigator |4 oth | |
| 700 | 1 | |a Wäscher, Cornelia |e investigator |4 oth | |
| 700 | 1 | |a Weber-Carstens, Steffen |e investigator |4 oth | |
| 700 | 1 | |a Wehrstedt, Regina |e investigator |4 oth | |
| 700 | 1 | |a Weierstall-Pust, Roland |e investigator |4 oth | |
| 700 | 1 | |a Weis, Marion |e investigator |4 oth | |
| 700 | 1 | |a Weiss, Georg |e investigator |4 oth | |
| 700 | 1 | |a Well, Harald |e investigator |4 oth | |
| 700 | 1 | |a Zöllner, Christian |e investigator |4 oth | |
| 700 | 1 | |a Zwissler, Bernhard |e investigator |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t BMC primary care |d 2022 |g 24(2023), 1 vom: 06. Mai, Seite 113 |w (DE-627)NLM335717934 |x 2731-4553 |7 nnns |
| 773 | 1 | 8 | |g volume:24 |g year:2023 |g number:1 |g day:06 |g month:05 |g pages:113 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1186/s12875-023-02046-0 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 24 |j 2023 |e 1 |b 06 |c 05 |h 113 | ||