Supporting the Recovery Needs of Patients Following Intensive Care

Recovery for intensive care survivors is limited by ongoing problems with walking, strength, fatigue, mental distress and cognitive morbidity known as 'Post Intensive Care Syndrome'. There has been increasing interest in ways that clinicians can support patients in their post ICU recovery.

The investigators are undertaking a co design approach to informing the design of a recovery pathway for patients who have been admitted to the intensive care to support them in their return to home, family and working responsibilities.

Study Overview

• Status: Enrolling by invitation
• Conditions: ICU Acquired Weakness; Intensive Care Unit Syndrome; Intensive Care Unit Acquired Weakness; Post Intensive Care Unit Syndrome; Post Intensive Care Syndrome
• Intervention / Treatment: Other: Former ICU patient and caregiver workshops; Other: Health care professional workshops

Detailed Description

This project will aim to involve ~ 20 past ICU patient/family members and ~20 health professionals to participate in a co-design approach to examine the recovery needs and resources that are required to support patients after leaving hospital. Using an experience based co design methodology three 2-hour workshops will be run with the first workshop involving patients/family members, the second involving healthcare professionals to separately gain thoughts and perspectives, and then the final workshop which will be combined to identify and problem solve priority resources and solutions.

• Study Type: Observational
• Enrollment (Anticipated): 40

Contacts and Locations

Study Locations

• Australia
  • Victoria
    • Melbourne, Victoria, Australia, 3050
      • The Royal Melbourne Hospital
    • Melbourne, Victoria, Australia, 3065
      • St Vincent's Hospital Melbourne

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

Participants will be recruited across two Australian hospitals

Description

Inclusion Criteria:

• Hospitalized adults, aged 18 years or over
• Admitted to the ICU requiring invasive mechanical ventilation for > 48 hours and remain in the ICU for a minimum of four days
• Living at home before the current admission (not in a facility and/or no fixed abode)

Exclusion Criteria:

• Non-English speaking (insufficient English language skills to read and understand questionnaires and patient information consent form)
• Pre-existing documented cognitive impairment
• Spinal cord injury or other primary neuromuscular disease
• New lower limb fracture with altered weight bearing status
• Expected survival < 3 months according to the treating medical team
• Active substance abuse or psychosis
• Lack of access to telephone / computer or inability to use these resources independently (which would impact on ability to complete the intervention)
• Pregnancy
• Suicidality
• Incarcerated
• Cardiac surgery within this ICU admission (as these patients routinely receive a standard outpatient rehabilitation through cardiac rehabilitation)
• Poor premorbid mobility defined as < 10 metres ambulation +/- gait aid independently

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Interviews: Past ICU patients and caregivers; Former ICU patients and their families that meet the following criteria: Adults > 18 years and above who required at least 48 hours of invasive mechanical ventilation and were in the ICU at least 4 days with an ICU admission in the past five years; and able to participate in a workshop in English.	Other: Former ICU patient and caregiver workshops; In depth interviews and workshops will be conducted with individuals enrolled in the study.; Other Names: In depth interviews and workshops
Interviews: Health care professionals; Active working health professionals with prior experience working directly in the ICU setting and/or care for ICU patients in their own clinical rea (acute, subacute and/or community settings).	Other: Health care professional workshops; In depth interviews and workshops will be conducted with individuals enrolled in the study.; Other Names: In depth interviews and workshops

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Lived experiences and opinions	Capability Opportunity Motivation Barriers and Theoretical Domains Framework will be used to interpret qualitative data from the workshops and interviews.	3 months

Collaborators and Investigators

• Sponsor: University of Melbourne

Study record dates

Study Major Dates

• Study Start (ACTUAL): August 31, 2021
• Primary Completion (ANTICIPATED): July 1, 2022
• Study Completion (ANTICIPATED): July 1, 2022

Study Registration Dates

• First Submitted: August 30, 2021
• First Submitted That Met QC Criteria: September 3, 2021
• First Posted (ACTUAL): September 14, 2021

Study Record Updates

• Last Update Posted (ACTUAL): October 21, 2021
• Last Update Submitted That Met QC Criteria: October 19, 2021
• Last Verified: October 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease; Syndrome; Asthenia
• Other Study ID Numbers: 2020.333; RMH69389 (OTHER: ERM)

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