Provision of psychological support to people in intensive care (v1.0)

Conditions

Topic: Mental Health, Critical care

Paul Mouncey, Dorothy Wade, Alvin Richards‐Belle, Zia Sadique, Jerome Wulff et al. (18 authors)

Health Services and Delivery Research2019-08-0112 citations

Effect of a Nurse-Led Preventive Psychological Intervention on Symptoms of Posttraumatic Stress Disorder Among Critically Ill Patients

Dorothy Wade, Paul Mouncey, Alvin Richards‐Belle, Jerome Wulff, David A Harrison et al. (22 authors)

JAMA2019-02-18106 citations

10.1001/jama.2019.0073

Psychological Outcomes following a nurse-led Preventative Psychological Intervention for critically ill patients (POPPI): protocol for a cluster-randomised clinical trial of a complex intervention

Alvin Richards‐Belle, Paul Mouncey, Dorothy Wade, Chris R. Brewin, Lydia M. Emerson et al. (15 authors)

BMJ Open2018-02-0123 citations

10.1136/bmjopen-2017-020908

Psychological outcomes following a nurse-led preventative psychological intervention for critically ill patients trial: Statistical and health economic analysis plan

Jerome Wulff, Zia Sadique, Richard Grieve, David Howell, Paul Mouncey et al. (8 authors)

Journal of the Intensive Care Society2018-01-295 citations

10.1177/1751143718755016

Interventions

1. An education package (two training courses and associated materials) to train critical care unit staff to carry out parts 2-4 below 2. Creating a less stressful environment in the ICU 3. Assessing

and 4. Carrying out three stress support sessions for very distressed patients (delivered by specially trained POPPI nurses).

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Age 18 years or greater 2. Greater than 48 hours in critical care 3. Receipt of Level 3 critical care (for any period of time) during the first 48 hours 4. Between +1 and 1 on the Richmond Agitation Sedation Scale 5. Glasgow Coma Scale score of 15 6. Englishspeaking and ability to communicate orally

Exclusion criteria

Exclusion criteria: 1. Pre-existing chronic cognitive impairment, such as dementia 2. Pre-existing psychotic illness, such as schizophrenia 3. Pre-existing chronic PTSD 4. Receiving end-of-life-care 5. Previously recruited into POPPI

Design outcomes

Primary

Measure	Time frame
PTSD symptom severity measured using the PTSD Symptom Scale (Self-report version) (PSS-SR) Timepoint(s): 6 months	—

Secondary

Measure	Time frame
1. Cost-effectiveness; Timepoint(s): 6 months 2. Days alive and free from sedation; Timepoint(s): Day 30 3. Depression measured using the Hospital Anxiety and Depression Scale (HADS); Timepoint(s): 6 months 4. Duration of critical care unit stay; Timepoint(s): End of critical care unit stay 5. Health-Related Quality of Life; Timepoint(s): 6 months 6. PTSD Symptom Scale (Self-Report version) (PSS-SR) >18; Timepoint(s): 6 months 7. Anxiety measured using the HADS; Timepoint(s): 6 months (added 04/04/2016)	—

Measure

Time frame

1. Cost-effectiveness; Timepoint(s): 6 months 2. Days alive and free from sedation; Timepoint(s): Day 30 3. Depression measured using the Hospital Anxiety and Depression Scale (HADS); Timepoint(s): 6 months 4. Duration of critical care unit stay; Timepoint(s): End of critical care unit stay 5. Health-Related Quality of Life; Timepoint(s): 6 months 6. PTSD Symptom Scale (Self-Report version) (PSS-SR) >18; Timepoint(s): 6 months 7. Anxiety measured using the HADS; Timepoint(s): 6 months (added 04/04/2016)

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Countries

England, United Kingdom

Contacts

Public ContactPaul Mouncey

Outcome results

None listed