Anxiety, Depression, Narrative Medicine, Post Intensive Care Syndrome, Post Traumatic Stress Disorder
Conditions
Keywords
Post Intensive Care Syndrome, Pediatric, Children, Diary, ICU diary, Narrative medicine, Pediatric Intensive Care Unit
Brief summary
When children become very sick and need to stay in a Pediatric Intensive Care Unit (PICU), it can have a big impact on their recovery and their family's well-being. Sometimes kids and their families feel worried or sad even after they leave the hospital. This can have an impact on the quality of their life after hospital discharge. To help understand and improve these experiences, the investigators want to study the PICU diaries. These are journals that families and hospital staff can write in during the child's time in the hospital. Parents, other visitors and healthcare professionals can share thoughts, experiences, and even drawings or photos related to the child's admission. The content is a narrative account of what happens during the child's hospital stay, for the family to take home at PICU discharge. The investigators believe that writing in these diaries might help children and their families feel better after leaving the hospital. It might help kids feel less worried or sad, and it might also help their parents or caregivers feel better too. The study will include children who have been in the PICU and their families. Some families will receive these special diaries to use during their time in the hospital, while others won't. We'll then see how everyone feels after they leave the hospital and compare the two groups to see if the diaries make a difference. The investigators hope that by understanding how these diaries can help, healthcare professionals can make hospital experiences better for everyone involved.
Interventions
OTHERPICU diary
.The PICU diary is a notebook with lined sheets located at the patient's bedside. In this diary parents, other caregivers, family members, healthcare professionals or other visitors can write thoughts, report events related to the child/adolescent's admission, attach drawings or photographs for the patient or related to the PICU admission.
Sponsors
Ministry of Health, Italy
Bambino Gesù Children's Hospital IRCCS
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 19 Years
Healthy volunteers
No
Inclusion criteria
* children/adolescents admitted to the PICU * Mechanical ventilation for \> 48 hours * Patient's age \<19 years old
Exclusion criteria
* parents who are unable to communicate in Italian language * parents who have not signed and informed consent * patients with a poor prognosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Child's Depression | Through study completion, an average of 3 year | The Patient Health Questionnaire-9 (PHQ-9) will be used to measure the child's depression. |
| Child's Post Traumatic Stress Disease (PTSD) | Through study completion, an average of 3 year | The child's PTSD will be measured using the Revised Child Impact of Event Scale - (R CRIES 8) |
| Child's Anxiety | Through study completion, an average of 3 year | The Generalized Anxiety Disorder - 7 scale (GAD-7) will be used to measure the child's anxiety disorder. |
| Parent's Post Traumatic Stress Disease (PTSD) | Through study completion, an average of 3 year | The PTSD Checklist according to the Diagnostic and Statistical Manual of Mental Disorders (PCL-5) will be used to measure parent's post traumatic stress after PICU discharge. |
| Parent's Anxiety | Through study completion, an average of 3 year | The Generalized Anxiety Disorder - 7 scale (GAD-7) will be used to measure parent's anxiety. |
| Child's Strengths and difficulties | Through study completion, an average of 3 year | The Strengths and Difficulties Questionnaire (SDQ), a brief behavioural screening questionnaire about 2-17 year olds wukk be used. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient's Quality of Life | Through study completion, an average of 3 year | The Quality of Life will be measured using the Pediatric Quality of Life Inventory (PedsQL). |
| Satisfaction with PICU care | Through study completion, an average of 3 year | Satisfaction with PICU care will be measured using The EMpowerment of PArents in The Intensive Care (EMPATHIC-P). |
Countries
Italy
Contacts
Primary ContactOrsola Gawronski, PhD
Outcome results
None listed