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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RECRUITING
NA
75 participants
INTERVENTIONAL
2024-09-10
2030-09-30
Brief Summary
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To develop and implement a follow-up service to strengthen hope in ICU patients, and to evaluate the effect on hope in a stepped wedge randomized trial.
To identify possible predictive factors (facilitators and barriers) associated with hope.
Participants will be asked to take part in an ICU follow-up service, a "Hope Intervention" consisting of digital individual- and group conversations. The program will address topics that are important for hope, such as active involvement, social relationships, believes and thoughts of the future.
We will compare the level of hope between participants who have completed the "Hope Intervention" to those that have not yet completed the program.
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Detailed Description
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Having hope and belief in a positive future, even when the prospects of such future are uncertain, may give strength and motivation and possibly improve the outcome in the rehabilitation phase. Hope is scarcely described in ICU patients.
Health care professionals need to learn how to best support ICU patients and promote hope during the rehabilitation period. Therefore, the main aim of the present study is to develop, implement and evaluate a follow up service to former ICU patients to strengthen their hope using a stepped wedge cluster randomized control intervention trial (SW-CRT). The secondary aim is to identify possible predictive factors associated with hope.
The intervention will start after hospital discharge and will be carried out in group sessions.
Conditions
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Study Design
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RANDOMIZED
CROSSOVER
SUPPORTIVE_CARE
NONE
Study Groups
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Cluster A
Cluster A will participate in the Hope Intervention shortly after randomization. Prior the intervention the participants will serve as controls.
Hope Intervention
Group meetings after hospital discharge reflecting on themes that may have an impact on hope.
The Hope Intervention consists of four group meetings and two individual conversations during a four week period.
Cluster B
Cluster B will participate in the Hope Intervention when Cluster A ends, approximately four weeks after randomization. Prior the intervention the participants will serve as controls.
Hope Intervention
Group meetings after hospital discharge reflecting on themes that may have an impact on hope.
The Hope Intervention consists of four group meetings and two individual conversations during a four week period.
Cluster C
Cluster C will participate in the Hope Intervention when Cluster B ends, approximately eight weeks after randomization. Prior the intervention the participants will serve as controls.
Hope Intervention
Group meetings after hospital discharge reflecting on themes that may have an impact on hope.
The Hope Intervention consists of four group meetings and two individual conversations during a four week period.
Cluster D
Cluster D will participate in the Hope Intervention when Cluster C ends, approximately 12 weeks after randomization. Prior the intervention the participants will serve as controls.
Hope Intervention
Group meetings after hospital discharge reflecting on themes that may have an impact on hope.
The Hope Intervention consists of four group meetings and two individual conversations during a four week period.
Cluster E
Cluster E will participate in the Hope Intervention when Cluster D ends, approximately 16 weeks after randomization. Prior the intervention the participants will serve as controls.
Hope Intervention
Group meetings after hospital discharge reflecting on themes that may have an impact on hope.
The Hope Intervention consists of four group meetings and two individual conversations during a four week period.
Interventions
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Hope Intervention
Group meetings after hospital discharge reflecting on themes that may have an impact on hope.
The Hope Intervention consists of four group meetings and two individual conversations during a four week period.
Eligibility Criteria
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Inclusion Criteria
* ICU patient for \> 48 hours
* must be able to communicate verbally just after their ICU stay and be able to handle digital meetings
Exclusion Criteria
* Do not understand and speak Norwegian
* Patients with major psychiatric challenges, suicidal attempts as a reason for ICU stay
* Age over 85 years.
18 Years
85 Years
ALL
No
Sponsors
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Vestre Viken Hospital Trust
OTHER
Diakonhjemmet Hospital
OTHER
Oslo University Hospital
OTHER
Responsible Party
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Tone Rustøen
Reseacher, Professor
Principal Investigators
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Tone Rustøen, PhD
Role: PRINCIPAL_INVESTIGATOR
Oslo University Hospital
Locations
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Vestre Viken HF, Bærum Hospital
Drammen, Akershus, Norway
Diakonhjemmet Hospital
Oslo, , Norway
Oslo University Hospital
Oslo, , Norway
Countries
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Central Contacts
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Facility Contacts
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References
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Herth K. Abbreviated instrument to measure hope: development and psychometric evaluation. J Adv Nurs. 1992 Oct;17(10):1251-9. doi: 10.1111/j.1365-2648.1992.tb01843.x.
Schneeweiss S, Wang PS, Avorn J, Glynn RJ. Improved comorbidity adjustment for predicting mortality in Medicare populations. Health Serv Res. 2003 Aug;38(4):1103-20. doi: 10.1111/1475-6773.00165.
Broadbent DE, Cooper PF, FitzGerald P, Parkes KR. The Cognitive Failures Questionnaire (CFQ) and its correlates. Br J Clin Psychol. 1982 Feb;21(1):1-16. doi: 10.1111/j.2044-8260.1982.tb01421.x.
Russell D, Cutrona CE, Rose J, Yurko K. Social and emotional loneliness: an examination of Weiss's typology of loneliness. J Pers Soc Psychol. 1984 Jun;46(6):1313-21. doi: 10.1037//0022-3514.46.6.1313.
Portenoy RK, Thaler HT, Kornblith AB, Lepore JM, Friedlander-Klar H, Kiyasu E, Sobel K, Coyle N, Kemeny N, Norton L, et al. The Memorial Symptom Assessment Scale: an instrument for the evaluation of symptom prevalence, characteristics and distress. Eur J Cancer. 1994;30A(9):1326-36. doi: 10.1016/0959-8049(94)90182-1.
Dufault K, Martocchio BC. Symposium on compassionate care and the dying experience. Hope: its spheres and dimensions. Nurs Clin North Am. 1985 Jun;20(2):379-91.
Other Identifiers
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542348
Identifier Type: -
Identifier Source: org_study_id
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