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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Hoffmann, M; Jeitziner, MM; Riedl, R; Mueller, G; Peer, A; Bachlechner, A; Heindl, P; Burgsteiner, H; Schefold, JC; von, Lewinski, D; Eller, P; Pieber, T; Sendlhofer, G; Amrein, K.
Effects of an online information tool on post-traumatic stress disorder in relatives of intensive care unit patients: a multicenter double-blind, randomized, placebo-controlled trial (ICU-Families-Study).
Intensive Care Med. 2023; 49(11): 1317-1326.
Doi: 10.1007/s00134-023-07215-4
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- Leading authors Med Uni Graz
- Hoffmann Magdalena
- Co-authors Med Uni Graz
- Amrein Karin
- Eller Philipp
- Pieber Thomas
- Riedl Regina
- Sendlhofer Gerald
- von Lewinski Dirk
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- Abstract:
- PURPOSE: Intensive care unit (ICU) hospitalization is challenging for the family members of the patients. Most family members report some level of anxiety and depression, sometimes even resulting in post-traumatic stress disorder (PTSD). An association has been reported between lack of information and PTSD. This study had three aims: to quantify the psychological burden of family members of critically ill patients, to explore whether a website with specific information could reduce PTSD symptoms, and to ascertain whether a website with information about intensive care would be used. METHOD: A multicenter double-blind, randomized, placebo-controlled trial was carried out in Austria and Switzerland. RESULTS: In total, 89 members of families of critically ill patients (mean age 47.3 ± 12.9 years, female n = 59, 66.3%) were included in the study. 46 relatives were allocated to the intervention website and 43 to the control website. Baseline Impact of Event Scale (IES) score was 27.5 ± 12.7. Overall, 50% showed clinically relevant PTSD symptoms at baseline. Mean IES score for the primary endpoint (~ 30 days after inclusion, T1) was 24 ± 15.8 (intervention 23.9 ± 17.9 vs. control 24.1 ± 13.5, p = 0.892). Hospital Anxiety and Depression Scale (HADS - Deutsch (D)) score at T1 was 12.2 ± 6.1 (min. 3, max. 31) and did not differ between groups. Use of the website differed between the groups (intervention min. 1, max. 14 vs. min. 1, max. 3; total 1386 "clicks" on the website, intervention 1021 vs. control 365). Recruitment was prematurely stopped in February 2020 due to coronavirus disease 2019 (COVID-19). CONCLUSION: Family members of critically ill patients often have significant PTSD symptoms and online information on critical illness did not result in reduced PTSD symptoms.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult - administration & dosage
- Female - administration & dosage
- Humans - administration & dosage
- Male - administration & dosage
- Middle Aged - administration & dosage
- Anxiety - psychology
- Critical Care - psychology
- Critical Illness - therapy, psychology
- Depression - psychology
- Intensive Care Units - administration & dosage
- Stress Disorders, Post-Traumatic - prevention & control, psychology
- Double-Blind Method - administration & dosage
- Find related publications in this database (Keywords)
- Families
- Family-centered care
- Post-traumatic stress disorder
- Information
- Intensive care
- Communication
- Online