Post-intensive care allied health clinic for Intensive Care Survivors.

Intervention The intervention to be provided is an allied health (AH)-led follow-up service. Participants randomised to the intervention will be triaged based on discipline-specific screening tools for follow-up care from one (or more) of three AH disciplines: Dietetics, Physiotherapy and Psychology, as above. All patients will be contacted via telephone within one month of hospital discharge and baseline health related quality of life will be assessed using the EQ-5D-5L. Additionally the discipline specific screening tools will be done: Mini-Nutritional Assessment-Short Form for dietetics, Barthel Index for Activities of Daily Living for physiotherapy and Hospital Anxiety and Depression Scale and the Impact of event scale-revised tool will be used for psychology. The intervention will be provided from one-month post-hospital discharge, to up to six months post-hospital discharge. The intervention will be delivered face-to-face where possible (particularly the initial appointment with each discipline), with the option to receive the service via telehealth where required/preferred. The frequency and duration of the sessions will vary between 30 minute and one-hour sessions at clinician discretion with a maximum of 3 sessions per discipline overall. In each session, personalised strategies to address Post Intensive Care Syndrome (PICS) symptoms will be devised with patients and their families (as appropriate). Dieticians will discuss nutritional plans with participants and may prescribe meal plans, meal supports and supplements. Physiotherapists will discuss training goals with participants and may prescribe an aerobic and strength training program based on this. Psychologists will assess specific patient goals and may use brief skills-based interventions to support patients in self-management techniques to address their goals. Adherence to intervention (% attendance, % completed inter-session work) will be collected and number of intervention sessions attended by mode of delivery (face to face versus telehealth.

Intervention The intervention to be provided is an allied health (AH)-led follow-up service. Participants randomised to the intervention will be triaged based on discipline-specific screening tools for follow-up care from one (or more) of three AH disciplines: Dietetics, Physiotherapy and Psychology, as above. All patients will be contacted via telephone within one month of hospital discharge and baseline health_x0002_ related quality of life will be assessed using the EQ-5D-5L. Additionally the discipline specific screening tools will be done: Mini-Nutritional Assessment-Short Form for dietetics, Barthel Index for Activities of Daily Living for physiotherapy and Hospital Anxiety and Depression Scale and the Impact of event scale-revised tool will be used for psychology. The intervention will be provided from one-month post-hospital discharge, to up to six months post-hospital discharge. The intervention will be delivered face-to-face where possible (particularly the initial appointment with each discipline), with the option to receive the service via telehealth where required/preferred. The frequency and duration of the sessions will vary between 30 minute and one-hour sessions at clinician discretion with a maximum of 3 sessions per discipline overall. In each session, personalised strategies to address Post Intensive Care Syndrome (PICS) symptoms will be devised with patients and their families (as appropriate). Dieticians will discuss nutritional plans with participants and may prescribe meal plans, meal supports and supplements. Physiotherapists will discuss training goals with participants and may prescribe an aerobic and strength training program based on this. Psychologists will assess specific patient goals and may use brief skills-based interventions to support patients in self-management techniques to address their goals. Adherence to intervention (% attendance, % completed inter-session work) will be collected and number of intervention sessions attended by mode of delivery (face to face versus telehealth.