Improve the Understanding of the Diagnosis the Treatment and the Prognosis by One Member of the Family
Conditions
Brief summary
The intervention consists of the delivery of a list of 21 questions to the relative of each patient admitted in ICU, intubated and mechanically ventilated during the first 48 hours of the stay. A formal interview is scheduled for relatives at Day 3 of inclusion. The information comprehension at Day 5 (± 1) will be compared between families that received the list of FAQ and families that received information as usual (without providing the list of FAQ
Detailed description
Half of the families of ICU patients do not understand the information provided by doctors and nurses. Receiving clear, loyal and appropriate information is one of their main expectations. We have previously reported that relatives had difficulty asking questions that allow them to improve their understanding regarding ICU issues. In a preliminary study, we developed a list of questions considered as important by families, ICU doctors and nurses. The aim of this prospective, randomized and controlled trial is to test the effectiveness of a list of frequently asked questions to relatives of ICU patients on their understanding of the provided information. The intervention consists of the delivery of a list of 21 questions to the relative of each patient admitted in intensive care, intubated and mechanically ventilated in the first 48 hours of ICU stay. A formal interview is scheduled for relatives at Day 3 of inclusion. The information comprehension at Day 5 (± 1) will be compared between families that received the list of FAQ and families that received information as usual (without providing the list of FAQ).
Interventions
OTHERlist of FAQ
Sponsors
Assistance Publique Hopitaux De Marseille
Study design
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
The subjects that will be included are relatives of patients. The patients must be 1. Adults 2. Receiving invasive mechanical ventilation 3. Intubated in the first 48 hours of ICU admission 4. For an expected duration of mechanical ventilation \> 48 hours 5. With a life expectancy of at least 5 days and a SAPS 2 at baseline \< 75 6. Who received a visit within 24 hours after intubation. Only one relative will be included.
Exclusion criteria
* person unable to read French
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of understanding at day 5 by a method of reformulation questionnaire | 5th day after inclusion | The physician in charge of the patient provides the diagnosis, the treatment and the prognosis to the investigator prior to meet the relative. After the meeting, the relative gives to the investigator the diagnosis, main treatements and the prognosis as they have undestood them. In a final step, the investigator will indicate whether similar responses are consistent or not consistent. |
| Scale of satisfaction out of intensive care. | 3 months and at one yearfter inclusion | HADS scores and IES-R at day 5 to day 10. |
Countries
France
Outcome results
None listed