N/A N=451 Health Services Research

Improving Family Meetings in the Pediatric Cardiac Intensive Care Unit

Communication · Critical Illness

Bottom Line

View on ClinicalTrials.gov: NCT03749330 ↗

Enrolled (actual)

451

Serious AEs

0.0%

Results posted

Jan 2024

Primary outcome: Primary: Perceived Acceptability Comparison of CICU TALC by CICU Providers Immediately After Completion of Intervention: Satisfaction Survey — 1.4 score on a scale

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: CICU Team And Loved Ones Communicating (CICU TALC) (Behavioral)
Age: Pediatric, Adult, Older Adult
Sex: All
Sponsor: Children's Hospital of Philadelphia
Primary completion: Sep 2022

Outcome Measures

Outcome	Result	p-value
PRIMARY Perceived Acceptability Comparison of CICU TALC by CICU Providers Immediately After Completion of Intervention: Satisfaction Survey	1.4	—
PRIMARY Participant Retention Rates	60; 22	—
PRIMARY Participant Consent Rates	60; 24	—
PRIMARY Rates of Missing Data From Parents and Team Subjects	59; 22	—
PRIMARY Duration of Meetings Between Teams and Families	50; 50	—
PRIMARY Amount of Information Provided by CICU TALC as Perceived by Parent Participants in Intervention	2.2	—
PRIMARY Perceived Clarity of Intervention Materials of CICU TALC by Parent Participants in Intervention	1.48	—
PRIMARY Summary Rating of CICU TALC Intervention by Parent Participants in Intervention	1.76	—
PRIMARY Percent of Family Meetings Adhering to Intervention Protocol	93; 93	—
PRIMARY Percent of Team Meetings Adhering to Intervention Schedule and Protocol: Observation of Meeting	28	—
PRIMARY Feasibility of Enrollment and Retention of Participants	60; 22	—
SECONDARY Changes in CICU Providers' Use of Explicit Statements of Empathy During Family Meetings	0.5; 0.27	—
SECONDARY Changes in CICU Team Function for Communication	3; 5	<0.05 sig

Summary

This study aims to improve communication between medical teams, patients, and families in the pediatric cardiac intensive care unit. The researchers hypothesize that both improving interprofessional teamwork when preparing for family meeting and preparing families for these meetings will improve team and family satisfaction with communication. The study will involve bringing together a group of medical professionals and parents of patients to collaboratively design an intervention. In addition, the researchers will study feasibility and acceptability of the intervention and whether it impacts family and team outcomes.

Eligibility Criteria

Inclusion Criteria

Participants in Co-design:

Clinicians including attending physicians, front line clinicians (fellows, nurse practitioners, or physician assistants), bedside nurses, and social workers working at CHOP or parents of children previously hospitalized in an ICU at CHOP.

Clinicians Participating in Intervention:

Pediatric CICU clinicians (attending intensivists, cardiologists, cardiac surgeons, front line clinicians, bedside nurses, and social workers) at CHOP who volunteer to undergo communication skills training.

Clinicians Not Participating in Intervention:

Clinicians who plan to participate in family meetings in the pediatric CICU that will be observed by the research team.

Parent-patient Dyads Participating in the Survey or Interview:

Parent must be the legal decision maker of a patient who has been admitted to the CHOP CICU for at least 7 days.
Patient has been admitted to the CICU at CHOP for ≥7 days following onset of study and the medical team believes the patient will remain in the CICU for at least 7 more days OR the patient has already been admitted to the CICU for 14 days.
Parent/guardian ≥ 18 years old.
Child < 18 years old at time of enrollment.
Parent/guardian is English-speaking.
Parent/guardian has no cognitive impairments that prevent them from being a surrogate decision maker.

Exclusion Criteria

Participants in Co-design:

None.

Clinicians Participating in Intervention:

Clinicians who will not participate in CHOP's CICU chronic care meeting in the following year.

Clinicians Not Participating in Intervention:

None.

Parent-patient Dyads Participating in the Survey or Interview:

Parent is not the legal decision maker of a patient who has been admitted to the CHOP CICU for at least 7 days.
The medical team does not believe the patient will remain in the CICU for at least 7 more days.
Parent/guardian < 18 years old.
Child is ≥ 18 years old at time of enrollment.
Parent/guardian is not English-speaking.
Parent/guardian has cognitive impairments that prevent them from being a surrogate decision maker.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03749330). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.