Effects of an online information tool on post-traumatic stress disorder in relatives of intensive care unit patients : a multicenter double-blind, randomized, placebo-controlled trial (ICU-Families-Study)
© 2023. The Author(s)..
PURPOSE: Intensive care unit (ICU) hospitalization is challenging for the family members of the patients. Most family members report some level of anxiety and depression, sometimes even resulting in post-traumatic stress disorder (PTSD). An association has been reported between lack of information and PTSD. This study had three aims: to quantify the psychological burden of family members of critically ill patients, to explore whether a website with specific information could reduce PTSD symptoms, and to ascertain whether a website with information about intensive care would be used.
METHOD: A multicenter double-blind, randomized, placebo-controlled trial was carried out in Austria and Switzerland.
RESULTS: In total, 89 members of families of critically ill patients (mean age 47.3 ± 12.9 years, female n = 59, 66.3%) were included in the study. 46 relatives were allocated to the intervention website and 43 to the control website. Baseline Impact of Event Scale (IES) score was 27.5 ± 12.7. Overall, 50% showed clinically relevant PTSD symptoms at baseline. Mean IES score for the primary endpoint (~ 30 days after inclusion, T1) was 24 ± 15.8 (intervention 23.9 ± 17.9 vs. control 24.1 ± 13.5, p = 0.892). Hospital Anxiety and Depression Scale (HADS - Deutsch (D)) score at T1 was 12.2 ± 6.1 (min. 3, max. 31) and did not differ between groups. Use of the website differed between the groups (intervention min. 1, max. 14 vs. min. 1, max. 3; total 1386 "clicks" on the website, intervention 1021 vs. control 365). Recruitment was prematurely stopped in February 2020 due to coronavirus disease 2019 (COVID-19).
CONCLUSION: Family members of critically ill patients often have significant PTSD symptoms and online information on critical illness did not result in reduced PTSD symptoms.
| Errataetall: |
CommentOn: Aust Crit Care. 2022 Jul;35(4):375-382. - PMID 34353725 |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:49 |
|---|---|
| Enthalten in: |
Intensive care medicine - 49(2023), 11 vom: 23. Nov., Seite 1317-1326 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Hoffmann, Magdalena [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Comment |
|---|
| Anmerkungen: |
Date Completed 04.11.2023 Date Revised 11.12.2023 published: Print-Electronic ClinicalTrials.gov: NCT02931851 CommentOn: Aust Crit Care. 2022 Jul;35(4):375-382. - PMID 34353725 Citation Status MEDLINE |
|---|
| doi: |
10.1007/s00134-023-07215-4 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM363629041 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM363629041 | ||
| 003 | DE-627 | ||
| 005 | 20231227131816.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00134-023-07215-4 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1226.xml |
| 035 | |a (DE-627)NLM363629041 | ||
| 035 | |a (NLM)37870597 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Hoffmann, Magdalena |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Effects of an online information tool on post-traumatic stress disorder in relatives of intensive care unit patients |b a multicenter double-blind, randomized, placebo-controlled trial (ICU-Families-Study) |
| 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 04.11.2023 | ||
| 500 | |a Date Revised 11.12.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a ClinicalTrials.gov: NCT02931851 | ||
| 500 | |a CommentOn: Aust Crit Care. 2022 Jul;35(4):375-382. - PMID 34353725 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s). | ||
| 520 | |a PURPOSE: Intensive care unit (ICU) hospitalization is challenging for the family members of the patients. Most family members report some level of anxiety and depression, sometimes even resulting in post-traumatic stress disorder (PTSD). An association has been reported between lack of information and PTSD. This study had three aims: to quantify the psychological burden of family members of critically ill patients, to explore whether a website with specific information could reduce PTSD symptoms, and to ascertain whether a website with information about intensive care would be used | ||
| 520 | |a METHOD: A multicenter double-blind, randomized, placebo-controlled trial was carried out in Austria and Switzerland | ||
| 520 | |a RESULTS: In total, 89 members of families of critically ill patients (mean age 47.3 ± 12.9 years, female n = 59, 66.3%) were included in the study. 46 relatives were allocated to the intervention website and 43 to the control website. Baseline Impact of Event Scale (IES) score was 27.5 ± 12.7. Overall, 50% showed clinically relevant PTSD symptoms at baseline. Mean IES score for the primary endpoint (~ 30 days after inclusion, T1) was 24 ± 15.8 (intervention 23.9 ± 17.9 vs. control 24.1 ± 13.5, p = 0.892). Hospital Anxiety and Depression Scale (HADS - Deutsch (D)) score at T1 was 12.2 ± 6.1 (min. 3, max. 31) and did not differ between groups. Use of the website differed between the groups (intervention min. 1, max. 14 vs. min. 1, max. 3; total 1386 "clicks" on the website, intervention 1021 vs. control 365). Recruitment was prematurely stopped in February 2020 due to coronavirus disease 2019 (COVID-19) | ||
| 520 | |a CONCLUSION: Family members of critically ill patients often have significant PTSD symptoms and online information on critical illness did not result in reduced PTSD symptoms | ||
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Comment | |
| 650 | 4 | |a Communication | |
| 650 | 4 | |a Families | |
| 650 | 4 | |a Family-centered care | |
| 650 | 4 | |a Information | |
| 650 | 4 | |a Intensive care | |
| 650 | 4 | |a Online | |
| 650 | 4 | |a Post-traumatic stress disorder | |
| 700 | 1 | |a Jeitziner, Marie-Madlen |e verfasserin |4 aut | |
| 700 | 1 | |a Riedl, Regina |e verfasserin |4 aut | |
| 700 | 1 | |a Mueller, Gerhard |e verfasserin |4 aut | |
| 700 | 1 | |a Peer, Andreas |e verfasserin |4 aut | |
| 700 | 1 | |a Bachlechner, Adelbert |e verfasserin |4 aut | |
| 700 | 1 | |a Heindl, Patrik |e verfasserin |4 aut | |
| 700 | 1 | |a Burgsteiner, Harald |e verfasserin |4 aut | |
| 700 | 1 | |a Schefold, Joerg C |e verfasserin |4 aut | |
| 700 | 1 | |a von Lewinski, Dirk |e verfasserin |4 aut | |
| 700 | 1 | |a Eller, Philipp |e verfasserin |4 aut | |
| 700 | 1 | |a Pieber, Thomas |e verfasserin |4 aut | |
| 700 | 1 | |a Sendlhofer, Gerald |e verfasserin |4 aut | |
| 700 | 1 | |a Amrein, Karin |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Intensive care medicine |d 1993 |g 49(2023), 11 vom: 23. Nov., Seite 1317-1326 |w (DE-627)NLM000234818 |x 1432-1238 |7 nnns |
| 773 | 1 | 8 | |g volume:49 |g year:2023 |g number:11 |g day:23 |g month:11 |g pages:1317-1326 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00134-023-07215-4 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 49 |j 2023 |e 11 |b 23 |c 11 |h 1317-1326 | ||