Trial Outcomes & Findings for Decision Making Support for Parents and Caregivers (NCT NCT05733975)

NCT ID: NCT05733975

Last Updated: 2025-03-18

Results Overview

Intervention and study procedures considered feasible if infant enrollment rate is greater than or equal to 50%.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

104 participants

Primary outcome timeframe

At enrollment (approximately 9 months)

Results posted on

2025-03-18

Participant Flow

Participants were recruited based on assessment of infant eligibility and approval from primary physician. Parental consent was obtained based on eligible participants. The first participant was enrolled on May 2, 2023 and the last participant was enrolled January 29, 2024.

Participant milestones

Participant milestones
Measure
Critically Ill Infants
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Parent(s) of Critically Ill Infant
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Clinicians
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Overall Study
STARTED
30
44
30
Overall Study
COMPLETED
30
42
30
Overall Study
NOT COMPLETED
0
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

This row includes the infant population only. Infant age at enrollment is reported in days. Adults are not reported in this section.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Critically Ill Infants
n=30 Participants
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Parent(s) of Critically Ill Infant
n=43 Participants
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Clinicians
n=30 Participants
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Total
n=103 Participants
Total of all reporting groups
Age, Continuous
Age at enrollment
20 days
n=30 Participants • This row includes the infant population only. Infant age at enrollment is reported in days. Adults are not reported in this section.
20 days
n=30 Participants • This row includes the infant population only. Infant age at enrollment is reported in days. Adults are not reported in this section.
Age, Continuous
30.0 years
n=43 Participants • This row includes the adult population only (parents and clinicians). Infants are not reported in this section.
41.0 years
n=30 Participants • This row includes the adult population only (parents and clinicians). Infants are not reported in this section.
34.0 years
n=73 Participants • This row includes the adult population only (parents and clinicians). Infants are not reported in this section.
Sex: Female, Male
Female
10 Participants
n=30 Participants
30 Participants
n=43 Participants
22 Participants
n=30 Participants
62 Participants
n=103 Participants
Sex: Female, Male
Male
20 Participants
n=30 Participants
13 Participants
n=43 Participants
8 Participants
n=30 Participants
41 Participants
n=103 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=30 Participants
4 Participants
n=43 Participants
2 Participants
n=30 Participants
10 Participants
n=103 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
26 Participants
n=30 Participants
39 Participants
n=43 Participants
28 Participants
n=30 Participants
93 Participants
n=103 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=30 Participants
0 Participants
n=43 Participants
0 Participants
n=30 Participants
0 Participants
n=103 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=30 Participants
0 Participants
n=43 Participants
0 Participants
n=30 Participants
0 Participants
n=103 Participants
Race (NIH/OMB)
Asian
1 Participants
n=30 Participants
2 Participants
n=43 Participants
2 Participants
n=30 Participants
5 Participants
n=103 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=30 Participants
0 Participants
n=43 Participants
0 Participants
n=30 Participants
0 Participants
n=103 Participants
Race (NIH/OMB)
Black or African American
15 Participants
n=30 Participants
15 Participants
n=43 Participants
3 Participants
n=30 Participants
33 Participants
n=103 Participants
Race (NIH/OMB)
White
13 Participants
n=30 Participants
19 Participants
n=43 Participants
25 Participants
n=30 Participants
57 Participants
n=103 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=30 Participants
4 Participants
n=43 Participants
0 Participants
n=30 Participants
5 Participants
n=103 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=30 Participants
3 Participants
n=43 Participants
0 Participants
n=30 Participants
3 Participants
n=103 Participants

PRIMARY outcome

Timeframe: At enrollment (approximately 9 months)

Population: Eligible critically ill infants.

Intervention and study procedures considered feasible if infant enrollment rate is greater than or equal to 50%.

Outcome measures

Outcome measures
Measure
Critically Ill Infants
n=54 Participants
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Clinicians
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Enrollment Rate (Critically Ill Infants)
Not enrolled/ consented
24 Participants
Enrollment Rate (Critically Ill Infants)
Enrolled/ Consented
30 Participants

PRIMARY outcome

Timeframe: approximately 9 months

Population: Critically ill infants who completed the study.

Complete data collection defined as all eligible infant, parent, and clinician data points collected for a given case and was determined at the level of the critically ill infant. Data points for which the participant withdrew prior to relevant data collection were excluded. Intervention and study procedures considered feasible if complete data collection rate is greater than or equal to 80%.

Outcome measures

Outcome measures
Measure
Critically Ill Infants
n=30 Participants
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Clinicians
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Complete Data Collection (Critically Ill Infants)
Completed data collection
29 Participants
Complete Data Collection (Critically Ill Infants)
Incomplete data collection
1 Participants

SECONDARY outcome

Timeframe: Up to 4 weeks following use of the tool

Population: Not applicable to the infant group.

Acceptability will be measured using an acceptability questionnaire, consisting of close-ended items with 5-point likert scale response options (strongly disagree, disagree, neither agree or disagree, agree, strongly agree).

Outcome measures

Outcome measures
Measure
Critically Ill Infants
n=40 Participants
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Clinicians
n=30 Participants
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Parent and Clinician Acceptability
Found to be helpful (agreed/strongly agreed)
30 Participants
28 Participants
Parent and Clinician Acceptability
Found to be helpful (all other response items)
10 Participants
2 Participants
Parent and Clinician Acceptability
Would recommend to other parents (agreed/ Strongly agreed)
35 Participants
29 Participants
Parent and Clinician Acceptability
Would recommend to other parents (all other response items)
5 Participants
1 Participants
Parent and Clinician Acceptability
Would use in the future (agreed/strongly agreed)
33 Participants
29 Participants
Parent and Clinician Acceptability
Would use in the future (all other response items)
7 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline, and up to 4 weeks following use of the tool

Population: Only applicable to the parent group.

PROMIS measures assess the extent to which patients experience challenges with symptoms over the past 7 days. Scores are derived using a standardized T-score metric, with a mean of 50 and a standard deviation of 10. Higher scores reflect greater symptom severity.

Outcome measures

Outcome measures
Measure
Critically Ill Infants
n=41 Participants
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Clinicians
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Baseline PROMIS: Ability to Participate in Social Roles and Activities
53.8 score on a scale
Interval 44.2 to 64.2
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Post Intervention PROMIS: Ability to Participate in Social Roles and Activities
51.8 score on a scale
Interval 44.2 to 64.2
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Baseline PROMIS: Emotional Distress-Anxiety
57.7 score on a scale
Interval 51.3 to 64.9
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Post Intervention PROMIS: Emotional Distress-Anxiety
57.5 score on a scale
Interval 48.9 to 62.7
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Baseline PROMIS: Emotional Distress - Depression
47.8 score on a scale
Interval 38.2 to 55.1
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Post Intervention PROMIS: Emotional Distress - Depression
52.5 score on a scale
Interval 42.9 to 55.8
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Baseline PROMIS: Fatigue
53.9 score on a scale
Interval 48.6 to 58.9
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Post Intervention: Fatigue
53.2 score on a scale
Interval 46.4 to 62.4
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Baseline PROMIS: Pain Interference
49.2 score on a scale
Interval 41.6 to 55.7
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Post Intervention PROMIS: Pain Interference
41.6 score on a scale
Interval 41.6 to 51.9
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Baseline PROMIS: Physical Function
57.0 score on a scale
Interval 47.8 to 57.0
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Post Intervention PROMIS: Physical Function
57.0 score on a scale
Interval 47.3 to 57.0
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Baseline PROMIS: Sleep Disturbance
50.1 score on a scale
Interval 49.0 to 57.7
Parent Psychological Distress, as Measured by the Patient-Reported Outcomes Measurement Information System (PROMIS)
Post-Intervention PROMIS: Sleep Disturbance
51.4 score on a scale
Interval 47.0 to 56.3

SECONDARY outcome

Timeframe: Up to 4 weeks following use of the tool

Population: Only applicable to the parent group.

Items can be summed and scored. Score ranges from 0-100, where a higher score indicates higher perceived preparedness for decision making.

Outcome measures

Outcome measures
Measure
Critically Ill Infants
n=40 Participants
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Clinicians
Parent(s) of critically ill infants received the decision making guide intervention and could choose to share their completed tool with their infant's clinicians.
Parent Preparation for Decision Making, as Measured by the PrepDM
73.75 score on a scale
Interval 59.38 to 90.0

Adverse Events

Critically Ill Infants

Serious events: 0 serious events
Other events: 0 other events
Deaths: 4 deaths

Parent(s) of Critically Ill Infant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Clinicians

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Monica Lemmon

Duke Univerisity Medical Center

Phone: 919-668-0477

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place