Removing Surrogates' Uncertainty to Reduce Fear and Anxiety After Cardiac Events

NCT ID: NCT06048068

Last Updated: 2025-11-18

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-07

Study Completion Date

2024-10-14

Brief Summary

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The goal of this study is to test the feasibility and acceptability of an informational website to reduce uncertainty, psychological distress, and caregiver burden among close family members of cardiac arrest patients. The investigators hypothesize that participants who receive access to the website will have lower rates of uncertainty, psychological distress, and caregiver burden at 3 months post-hospital discharge compared to participants who receive usual care.

Detailed Description

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This study will be an unblinded, two-arm randomized controlled trial that enrolls up to 100 adult surrogates of living cardiac arrest patients hospitalized in the New York Presbyterian hospital system. Participants must be English- or Spanish-speaking and have a device with internet access. Participants will be randomized 2:1 to receive the informational intervention program or usual care (control).

Intervention arm participants will receive the informational intervention in three discrete packages upon study enrollment, movement to the general medical floor, and at one month post-discharge. All participants will be assessed at study enrollment, hospital discharge, and 3 months post-discharge for their illness uncertainty, psychological distress, and caregiver burden. All participants will also wear a GENEActiv sleep monitor to track their sleep for one week following hospital discharge.

Conditions

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Cardiac Arrest

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomized 2:1 to the informational intervention group or the control group (care as usual). Participants will remain in their assigned arm for the entirety of their study participation. Randomization will be performed using the REDCap randomization module by a study coordinator. This study will be unblinded.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Informational Intervention Arm

Participants in this arm will receive access to the informational intervention program, via a website link that they will access through their own person phone/tablet/computer.

Group Type EXPERIMENTAL

Educational Informational Platform

Intervention Type BEHAVIORAL

This intervention contains many informational articles for surrogates about cardiac arrest, the subsequent hospitalization, and the emotional journey following cardiac arrest. All articles are available in both English and Spanish.

Control Arm

Participants in this arm will receive usual care and no access to the informational intervention program.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Educational Informational Platform

This intervention contains many informational articles for surrogates about cardiac arrest, the subsequent hospitalization, and the emotional journey following cardiac arrest. All articles are available in both English and Spanish.

Intervention Type BEHAVIORAL

Other Intervention Names

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Heartsight website, ourheartsight.com

Eligibility Criteria

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Inclusion Criteria

* 18 years of age or older
* Surrogate of a living NewYork Presbyterian Hospital cardiac arrest patient
* English- or Spanish-speaking
* Has a working smartphone, tablet, laptop, or other device with internet access

Exclusion Criteria

* Any medical and/or psychiatric impairment precluding them from complying with the protocol
* Non-English and non-Spanish speaking
* Lack of internet/device access
* Surrogate of an adult CA patient who passed away
* Cannot be reached for initial contact (3 unsuccessful attempts made in ICU)
* Moved to the in-patient floor before initial contact can be established
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

Columbia University

OTHER

Sponsor Role lead

Responsible Party

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Sachin Agarwal

Associate Professor of Neurology (Neurocritical Care)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sachin Agarwal, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Locations

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Columbia University Medical Center/New York Presbyterian

New York, New York, United States

Site Status

Countries

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United States

References

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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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P30AG064198

Identifier Type: NIH

Identifier Source: secondary_id

View Link

AAAR8497

Identifier Type: -

Identifier Source: org_study_id

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