TY - JOUR
T1 - Stress management intervention to prevent post–intensive care syndrome–family in patients’ spouses
AU - Cairns, Paula L.
AU - Buck, Harleah G.
AU - Kip, Kevin E.
AU - Rodriguez, Carmen S.
AU - Liang, Zhan
AU - Munro, Cindy L.
N1 - Funding Information:
Race, No. (%) White Black Ethnicity, No. (%) Non-Hispanic Hispanic Sex, No. (%) Male Female Age, mean (SD), y Perceived Stress Scale score, mean (SD) Hospital Anxiety and Depression Scale score, mean (SD) Anxiety Depression Impact of Event Scale (PTSD) score, mean (SD) National Institutes of Health Toolbox Emotion Battery score, mean (SD) Positive affect Life satisfaction Meaning and purpose Emotional support Instrumental support Friendship Loneliness Perceived rejection Perceived hostility Self-efficacy Perceived stress Fear affect Fear somatic arousal Sadness Anger affect Anger hostility Anger aggression
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Background Post–intensive care syndrome–family (PICS-F) refers to acute and chronic psychological effects of critical care on family members of patients in intensive care units (ICUs). Evidence suggests that increased distress during the ICU stay increases risk of PICS-F. Sensation Awareness Focused Training (SĀF-T) is a new, promising stress management intervention, but the feasibility of such training during the ICU stay for family caregivers who are acting as the surrogate decision-maker for patients who are undergoing mechanical ventilation is unknown. Objectives To assess feasibility and acceptability of SĀF-T to inform a future larger randomized controlled trial. Methods This randomized controlled trial of SĀF-T (n = 5) versus a control (n = 5) group was conducted at a level 1 trauma center. Participants assigned to SĀF-T completed 1 session daily for 3 days. Measures included enrollment rate, data completion rate, acceptability of SĀF-T, and symptoms of PICS-F. Scales used included Perceived Stress, Hospital Anxiety and Depression, Impact of Event, and National Institutes of Health Toolbox Emotion Battery. Results Mean age was 58 (SD, 12) years; 70% of participants were female. Predetermined feasibility criteria were met in enrollment rate (67%), outcome measures completion rate (> 90%), and SĀF-T acceptability (100% of doses completed during the ICU stay) without adverse events. Stress scores after SĀF-T were significantly lower than scores before SĀF-T (z = −3.5, P = .01). Conclusions SĀF-T intervention during the ICU stay is feasible, acceptable, and may improve family caregivers’ post-ICU outcomes. Larger clinical trial to assess the effectiveness of SĀF-T in preventing PICS-F seem warranted.
AB - Background Post–intensive care syndrome–family (PICS-F) refers to acute and chronic psychological effects of critical care on family members of patients in intensive care units (ICUs). Evidence suggests that increased distress during the ICU stay increases risk of PICS-F. Sensation Awareness Focused Training (SĀF-T) is a new, promising stress management intervention, but the feasibility of such training during the ICU stay for family caregivers who are acting as the surrogate decision-maker for patients who are undergoing mechanical ventilation is unknown. Objectives To assess feasibility and acceptability of SĀF-T to inform a future larger randomized controlled trial. Methods This randomized controlled trial of SĀF-T (n = 5) versus a control (n = 5) group was conducted at a level 1 trauma center. Participants assigned to SĀF-T completed 1 session daily for 3 days. Measures included enrollment rate, data completion rate, acceptability of SĀF-T, and symptoms of PICS-F. Scales used included Perceived Stress, Hospital Anxiety and Depression, Impact of Event, and National Institutes of Health Toolbox Emotion Battery. Results Mean age was 58 (SD, 12) years; 70% of participants were female. Predetermined feasibility criteria were met in enrollment rate (67%), outcome measures completion rate (> 90%), and SĀF-T acceptability (100% of doses completed during the ICU stay) without adverse events. Stress scores after SĀF-T were significantly lower than scores before SĀF-T (z = −3.5, P = .01). Conclusions SĀF-T intervention during the ICU stay is feasible, acceptable, and may improve family caregivers’ post-ICU outcomes. Larger clinical trial to assess the effectiveness of SĀF-T in preventing PICS-F seem warranted.
UR - http://www.scopus.com/inward/record.url?scp=85074444452&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85074444452&partnerID=8YFLogxK
U2 - 10.4037/ajcc2019668
DO - 10.4037/ajcc2019668
M3 - Article
C2 - 31676522
AN - SCOPUS:85074444452
VL - 28
SP - 471
EP - 476
JO - American Journal of Critical Care
JF - American Journal of Critical Care
SN - 1062-3264
IS - 6
ER -