ICU Doulas Providing Psychological Support

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-12

Study Completion Date

2021-12-31

Brief Summary

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Many patients who survive critical illness suffer from symptoms of anxiety, depression, or post-traumatic stress disorder (PTSD) after leaving the intensive care unit (ICU). Memories of frightening and delusional experiences in the ICU appear to be the strongest potentially modifiable risk factor. Research on the formation of fear and associated memories shows that if mitigating information about a traumatic event is introduced during the time between memory formation and its recall, the emotional experience of the memory can be modified in a positive manner. This means that in order to prevent mental health problems in critical illness survivors, psychological support needs to take place in parallel with medical treatment in the ICU. The Researchers hypothesize that early psychological support for the critically ill can decrease mental health morbidity in critical illness survivors. However, providing consistent psychological support intervention is a challenge for busy ICU clinicians. It is not feasible to hire behavioral medicine trained psychologists to become permanent ICU staff nationwide. Doulas, trained lay health care providers who provide emotional support to women in labor, have been identified as reliable yet affordable alternative. Given common elements of their services and our intervention, doulas are in an ideal position to administer early psychological support. The objective of this project is to refine and test a behavioral intervention to be administered in parallel with medical treatment in the ICU. This will be accomplished by training doulas in providing standardized psychological support intervention and refining the intervention based on stakeholder feedback

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Detailed Description

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Conditions

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Illness, Critical Anxiety Depression Post Traumatic Stress Disorder Cognitive Impairment

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

pilot study

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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ICU doulas intervention

specially trained ICU doulas will provide critically ill intubated patients with early psychological support on a daily basis

Group Type EXPERIMENTAL

positive suggestion

Intervention Type BEHAVIORAL

humanization of critical care experience with positive reframing of hospital course on daily basis to eligible participants

Interventions

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positive suggestion

humanization of critical care experience with positive reframing of hospital course on daily basis to eligible participants

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* adults (age \>18) admitted to the ICU requiring intubation or vasopressors and expected to stay \>48 hours.

Exclusion Criteria

* history of dementia, mental retardation, suicide attempt, psychotic disorders such as schizophrenia, acute alcohol/substance intoxication or withdrawal, severe metabolic encephalopathy;
* patients on comfort care;
* patients not expected to survive the hospital stay
* non-English speaking, deaf or mute
* prisoners

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No