Collaborative Assessment of ICU Recovery Needs (CAIRN)

The primary purpose of this study is to better understand the impact of the Society of Critical Care Medicine (SCCM) THRIVE Collaboratives on patients, their families and clinicians.

The investigators have formed an international and interprofessional evaluative team with experts in the field in an effort to explore interactions between survivors and THRIVE. This approach is reflective of the international ethos of SCCM and its collaboratives, with the potential to improve the generalizability of this survivorship research to different health systems.

Study Overview

• Status: Completed
• Conditions: Post-Intensive Care Syndrome
• Intervention / Treatment: Other: Patient, Carer, and Clinician Interviews

Detailed Description

The aims of this qualitative study are:

1. To identify elements that helped survivors in their recovery, as well as potential obstacles
2. To capture elements of survivorshop that are generalizable, regardless of participation in the THRIVE collaboratives
3. To gain knowledge to be incorporated back into the collaboratives

Patients, family members, and clinicians will be interviewed and their responses analyzed for themes of ICU recovery including elements that patients and families find helpful to recovery, barriers and facilitators to different models of post-ICU support, including peer support and post-ICU clinics, and drivers of improvement in post-ICU care. Patients, carers, and clinicians with a wide variety of survivorship experiences are encouraged to participate, including those who have participated in a THRIVE collaborative support site (peer support or clinic).

• Study Type: Observational
• Enrollment (Actual): 66

Contacts and Locations

Study Locations

• Australia
  • Victoria
    • Melbourne, Victoria, Australia, 3004
      • Australian and New Zealand Intensive Care Research Centre
• United States
  • Tennessee
    • Nashville, Tennessee, United States, 37232
      • Vanderbilt University Medical Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients and caregivers who were identified by collaborative members, or self-identify, as having been through a THRIVE Program, patients and caregivers who did not participate in a THRIVE program, and clinicians directly involved in the care of ICU survivors in the outpatient setting who have participated in a THRIVE initiative through the Society of Critical Care Medicine.

Description

Inclusion Criteria:

1. Patients who survived a critical illness, and their carers, who were identified by collaborative members or self-identify as having been through a THRIVE Program.
2. Patients who survived a critical illness, and their carers, who did not participate in a THRIVE program.
3. Clinicians directly involved in the care of ICU survivors in the outpatient setting, who have participated in a THRIVE initiative through the Society of Critical Care Medicine.

Exclusion Criteria:

• N/A

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Retrospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Patient, Carer, and Clinician Interviews; This group/cohort consists of patients who experienced critical illness and were hospitalized in an ICU setting.	Other: Patient, Carer, and Clinician Interviews; Post-ICU follow-up interviews conducted over the phone, lasting between 30-60 minutes.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Survivorship Experiences from Patients	30-minute audio-taped, semi-structured interviews with patients informing on post-ICU care coordination	18 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Survivorship Experiences from Caregivers	30-minute audio-taped, semi-structured interviews with caregivers informing on post-ICU care coordination	18 months
Survivorship Experiences from Clinicians	30-minute audio-taped, semi-structured interviews with clinicians informing on post-ICU care coordination	18 months

Collaborators and Investigators

• Sponsor: Vanderbilt University Medical Center
• Collaborators: Society of Critical Care Medicine
• Investigators: Principal Investigator: Carla M Sevin, M.D., Vanderbilt University Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): April 3, 2018
• Primary Completion (Actual): March 15, 2019
• Study Completion (Actual): March 15, 2019

Study Registration Dates

• First Submitted: March 5, 2018
• First Submitted That Met QC Criteria: April 30, 2018
• First Posted (Actual): May 1, 2018

Study Record Updates

• Last Update Posted (Actual): February 18, 2020
• Last Update Submitted That Met QC Criteria: February 14, 2020
• Last Verified: February 1, 2020

More Information

Terms related to this study

• Keywords: ICU delirium; post-intensive care syndrome; critical illness myopathy
• Additional Relevant MeSH Terms: Pathologic Processes; Disease; Syndrome
• Other Study ID Numbers: 172158

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No