- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04293016
Building Resilience In Caregivers of Trauma Survivors
May 10, 2023 updated by: Deborah M Little, The University of Texas Health Science Center, Houston
The purpose of the study is to examine the role of demographics, pre-existing anxiety, depression, and substance use on caregiver depression anxiety, and substance use following a critical injury to a loved one,evaluate the factors that mediate the effectiveness of traditional, psychotherapy using problem solving therapy to reduce depression, anxiety, and substance use and to evaluate the factors that mediate the effectiveness of providing an ICU diary and instruction on that diary to reduce depression, anxiety, and substance use.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
300
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Deborah M Little, PhD
- Phone Number: (713) 486-2524
- Email: Deborah.M.Little@uth.tmc.edu
Study Contact Backup
- Name: Michelle Nguyen, BA
- Email: michelle.t.nguyen@uth.tmc.edu
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77030
- Recruiting
- The University of Texas Health Science Center at Houston
-
Contact:
- Deborah M Little, PhD
- Phone Number: 713-486-2524
- Email: Deborah.M.Little@uth.tmc.edu
-
Contact:
- Michelle Nguyen
- Email: michelle.t.nguyen@uth.tmc.edu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Must anticipate serving in a Caregiver role after the patient is discharged (A. Must be either a family member or close friend of a patient who has been admitted to the trauma/critical care service ICU B. Must anticipate spending time with the patient in a caregiver or other supportive role (e.g.,emotional, social, financial) after the patient is discharged)
- Caregiver and patient must report English as a primary language
- patient and Caregiver must be able to provide informed consent
- Caregiver must be able to provide at least two forms of contact information
- Trauma Patient directly admitted to the ICU (Primary cause of admission is trauma, Injury must include trauma to the head/brain, Admitted directly to the hospital ,Patient admission of at least 48 hours , Patient is currently admitted to the ICU ,Patient is expected to survive more than 96 hours at 48 hours after admission,Patient has an abbreviated injury score greater than 3 (severe, critical, maximum) ,Fluent in English)
- Trauma patient must be able t communicate verbally
Exclusion
- Does not anticipate serving in a Caregiver role after the patient is discharged
- Caregiver is not a close friend or family member of the patient who has been admitted to the ICU
- Caregiver does not expect to serve in a supportive role to the patient
- caregiver does not meet inclusion criteria as stated above
- Patient is not currently admitted to the ICU and or is not expected to remain in the ICU for 48 hours
- Patient is not expected to survive more than 96 hours
- Patient is not expected to require assistance prior to discharge
- Patient is not between 18 and 65 years of age
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Support as usual
|
this group receives current best practice which includes participation in ICU support groups and provision of community support resources
|
Experimental: Problem Solving therapy
|
This group will receive one on one therapy based on identifying stressors and solutions to those stressors
|
Experimental: ICU diary
|
This group will provided with a structured written diary that includes identification of stressors and development of solutions to those stressors
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
short form survey (SF-12)
Time Frame: 6 months post injury
|
Quality of life of caregiver as assessed by the short form survey (SF-12).The SF-12 is a 12 item questionnaire with a range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
|
6 months post injury
|
Posttraumatic Stress Disorder Checklist(PCL-5)
Time Frame: 6 months post injury
|
The extent to which caregivers have been bothered by PTSD symptoms as assessed by the PTSD Checklist (PCL-5) assessment.The PCL-5 evaluates how much participants have been bothered by PTSD symptoms in the past week (for all assessments during treatment) or the past month (all other assessment time points) as a result of a specific life event.
Each item of the PCL-5 is scored on a five-point scale ranging from 0 "not at all") to 4 ("extremely).
|
6 months post injury
|
The Hamilton Depression Rating Scale (HAM-D)
Time Frame: 6 months post injury
|
Symptoms of depression in caregivers as assessed by the The Hamilton Depression Rating Scale (HAM-D).Although the HAM-D form lists 21 items, the scoring is based on the first 17.
Eight items are scored on a 5-point scale, ranging from 0 = not present to 4 = severe.
Nine are scored from 0(Absent)-2(frequent)
|
6 months post injury
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The center for epidemiologic studies of depression (CESD-R )
Time Frame: 3 months post injury
|
Depression in caregivers as assessed by the CESD-R tool The CESD-R scale has 20 items and each is measured from 0(not at all) to 4(nearly every day for 2 weeks)
|
3 months post injury
|
PTSD Checklist for (PCL-5) assessment.
Time Frame: 3 months post injury
|
The extent to which caregivers have been bothered by PTSD symptoms as assessed by the PTSD Checklist (PCL-5) assessment.The PCL-5 evaluates how much participants have been bothered by PTSD symptoms in the past week (for all assessments during treatment) or the past month (all other assessment time points) as a result of a specific life event.
Each item of the PCL-5 is scored on a five-point scale ranging from 0 "not at all") to 4 ("extremely).
|
3 months post injury
|
The Alcohol Use Disorders identification Test (AUDIT):
Time Frame: 3 months post injury
|
Alcohol use problems in caregivers as assessed by the AUDIT scale This is a 10-item screening tool and is rated between 0-4-the higher number indicating a worse outcome
|
3 months post injury
|
Number of days of hospitalization
Time Frame: 6 months post injury
|
medical record based review of hospital readmission
|
6 months post injury
|
Number of infections post discharge
Time Frame: 6 months post injury
|
medical record based review of number of infections after discharge
|
6 months post injury
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Deborah M Little, PhD, The University of Texas Health Science Center, Houston
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 1, 2022
Primary Completion (Anticipated)
August 28, 2024
Study Completion (Anticipated)
August 28, 2024
Study Registration Dates
First Submitted
February 28, 2020
First Submitted That Met QC Criteria
February 28, 2020
First Posted (Actual)
March 3, 2020
Study Record Updates
Last Update Posted (Actual)
May 12, 2023
Last Update Submitted That Met QC Criteria
May 10, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HSC-MS-19-0073
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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