Critical Care, Family Engagement, Virtual
Conditions
Keywords
family engagement, virtual, critical care
Brief summary
Barriers to family participation in ICU rounds exist at the health care system level (e.g., restriction on visitation, infection control) and the individual level (e.g., caretaker role, illness, disability, inability to miss work). While virtual family participation in ICU rounds may contribute to addressing these barriers, its feasibility, impact, and effectiveness are yet unknown. The primary objective of this study is to assess the feasibility of virtual family participation in adult ICU rounds. The secondary objectives are: to assess the effect size of virtual family participation in ICU rounds on family engagement, satisfaction, and anxiety and depression; and to explore family and physician experiences of family participation in ICU rounds. This will be a pilot prospective trial of 72 family members at 4 Canadian adult ICUs, with an embedded qualitative study that will sample family members and critical care physicians. The primary outcome will reflect feasibility metrics (i.e., recruitment, uptake, technical, and follow-up). Secondary outcomes include data regarding family engagement, satisfaction, mental health, and perceived experiences of participation in ICU rounds. This study will assess the feasibility of conducting a larger, hypothesis-testing randomized controlled trial to assess virtual family participation in adult ICU rounds.
Interventions
OTHERParticipation in virtual rounds
Virtual participation in daily ICU team rounds
Sponsors
Canadian Institutes of Health Research (CIHR)
Fonds de la Recherche en Santé du Québec
McGill Faculty of Medicine
Lady Davis Institute
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Family member of ICU patient with expected ICU stay \> 48 hours (as per treating team) * Age ≥ 18 years old * Willing and able to participate in virtual ICU rounds * Ability to communicate in English or French * Able: technological capability and understanding to participate virtually in ICU rounds (must have a phone or computer with internet and audio/video capabilities). * Family member is anyone with a biological, legal, or emotional relationship with the patient.
Exclusion criteria
* Intends to participate in in-person rounds (if available and offered at participating site) * Another family member already participating in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment rate of 3 participants per month per site completing initial FAME questionnaire | 6 months | Recruitment rate |
| % of participants completing at least one virtual rounding session | Within 1-week of ICU discharge | Uptake |
| % of virtual rounds without technical issues | Within 1-week of ICU discharge | Technical issues |
| % of participants completing follow-up | Within 1-week of ICU discharge | Follow-up of participants |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety and depression as measured by HADS | Within 1-week of ICU discharge | Anxiety and depression |
| Family care engagement as measured by FAME | Within 1-week of ICU discharge | Family care engagement |
| Family satisfaction as measured by FS-ICU 24R | Within 1-week of ICU discharge | Family satisfaction |
Countries
Canada
Outcome results
None listed