PARTNER II: Improving Patient and Family Centered Care in Advanced Critical Illness
NCT ID: NCT02445937
Last Updated: 2019-10-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
848 participants
INTERVENTIONAL
2015-06-01
2019-09-18
Brief Summary
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1. To increase the patient-centeredness of end-of-life decisions, and to increase the quality of clinician-family communication.
2. To decrease the psychological burden on family members acting as surrogates.
3. To reduce total health care costs by decreasing the duration of use of burdensome, invasive treatments at the end of life.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
SEQUENTIAL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Control
The control group will receive usual care, in which the frequency and content of physician-family communication is determined by the clinical team according to their usual practice. No study ICU has a protocolized approach to family communication and instead clinicians determine the timing and frequency of communication with families. All sites have palliative care services.
No interventions assigned to this group
Behavioral: The PARTNER II Intervention
The PARTNER intervention is a multifaceted intervention delivered by a trained "PARTNER Champion" who has undergone 16 hours of intense communication training, with audit and feedback, quarterly booster training, and expert implementation support. Additionally, there is academic detailing of ICU physicians and ICU bedside nurses to augment the intervention. The PARTNER Intervention deploys three strategies to improve: 1) the timeliness and frequency of clinician-family communication, 2) the emotional and decision support provided to families and 3) the appropriate involvement of palliative care specialists.
PARTNER II
The PARTNER intervention is a multifaceted intervention delivered by a trained "PARTNER Champion" who has undergone 16 hours of intense communication training, with audit and feedback, quarterly booster training, and expert implementation support. Additionally, there is academic detailing of ICU physicians and ICU bedside nurses to augment the intervention. The PARTNER Intervention deploys three strategies to improve: 1) the timeliness and frequency of clinician-family communication, 2) the emotional and decision support provided to families and 3) the appropriate involvement of palliative care specialists.
Interventions
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PARTNER II
The PARTNER intervention is a multifaceted intervention delivered by a trained "PARTNER Champion" who has undergone 16 hours of intense communication training, with audit and feedback, quarterly booster training, and expert implementation support. Additionally, there is academic detailing of ICU physicians and ICU bedside nurses to augment the intervention. The PARTNER Intervention deploys three strategies to improve: 1) the timeliness and frequency of clinician-family communication, 2) the emotional and decision support provided to families and 3) the appropriate involvement of palliative care specialists.
Eligibility Criteria
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Inclusion Criteria
* Surrogate decision maker for ICU patient in one of 5 UPMC ICU's
Exclusion Criteria
* Surrogate's loved one is for organ transplantation
* Not physically able to participate in family meeting
18 Years
ALL
Yes
Sponsors
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University of Pittsburgh
OTHER
Responsible Party
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Douglas White
Vice Chair and Professor of Critical Care Medicine
Principal Investigators
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Douglas B. White, MD, MAS
Role: PRINCIPAL_INVESTIGATOR
University of Pittsburgh
Locations
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UPMC Hamot
Erie, Pennsylvania, United States
UPMC Presby/Shady
Pittsburgh, Pennsylvania, United States
Countries
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References
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Other Identifiers
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PRO14090204
Identifier Type: -
Identifier Source: org_study_id
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