Anxiety, Family Members of Intensive Care Unit Patients, Health Education
Conditions
Keywords
Intensive Care Unit, ICU Family Members, QR Code, Digital Education, Video-Based Education, Anxiety, Health Communication, Family-Centered Care, Randomized Controlled Trial
Brief summary
This prospective randomized controlled study aims to evaluate the effect of a QR code-based digital information video on knowledge level and anxiety among family members of intensive care unit (ICU) patients. Participants will be randomly assigned to either a control group receiving routine verbal information or an intervention group receiving routine verbal information plus access to a standardized QR code-based educational video. Knowledge level, anxiety, and satisfaction with information will be assessed at baseline, within 24 hours after the intervention, and 72 hours later. The study will determine whether digital video-based information improves understanding of the ICU environment and reduces anxiety among family members.
Detailed description
Family members of patients admitted to intensive care units frequently experience anxiety, uncertainty, and a need for information regarding the patient's condition and ICU procedures. Conventional verbal information may vary depending on time constraints, workload, and communication practices, resulting in inconsistent delivery of information. This prospective randomized controlled trial will investigate whether a standardized QR code-based digital information video can improve knowledge and reduce anxiety among family members of ICU patients. Eligible first-degree relatives of ICU patients will be randomized into two groups. The control group will receive routine verbal information according to standard clinical practice. The intervention group will receive routine verbal information in addition to access to a QR code-based educational video. The educational video will provide information regarding the ICU environment, monitoring systems, mechanical ventilation, sedation practices, common procedures, visiting policies, and frequently encountered clinical situations. The video is designed to provide standardized, understandable, and easily accessible information. The primary outcome will be the total score of the Information Adequacy and Comprehensibility Questionnaire. Secondary outcomes will include anxiety scores measured using the Visual Analog Scale for Anxiety (VAS-A), satisfaction with information, and participant-reported adequacy of answers to their information needs. Assessments will be performed at baseline, within 24 hours after the intervention, and 72 hours after enrollment. A total of 150 participants will be enrolled. The study is conducted at Elazig Fethi Sekin City Hospital.
Interventions
BEHAVIORALQR Code-Based Digital Educational Video
A standardized QR code-based educational video providing information about the intensive care unit environment, monitoring systems, mechanical ventilation, sedation practices, visiting policies, and frequently encountered clinical situations.
Sponsors
Elazıg Fethi Sekin Sehir Hastanesi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Masking description
Due to the nature of the intervention, participants and investigators are aware of group assignment. Family members in the intervention group receive access to a QR code-based educational video in addition to routine verbal information, whereas participants in the control group receive routine verbal information only. Therefore, blinding is not feasible.
Intervention model description
Participants will be randomly assigned in a 1:1 ratio to either a control group receiving routine verbal information or an intervention group receiving routine verbal information plus a QR code-based digital educational video. Outcomes will be assessed at baseline, within 24 hours after the intervention, and 72 hours after enrollment.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age 18 years or older * First-degree family member of a patient admitted to the intensive care unit * Able to read and understand Turkish * Able to use a smartphone * Able to access QR code-based educational materials * Willing to participate and provide written informed consent
Exclusion criteria
* History of a diagnosed psychiatric disorder * Current use of anxiolytic or antidepressant medication * Visual or hearing impairment preventing participation in video-based education * First-degree family member who is an active healthcare professional involved in patient care * Inability to complete study questionnaires or follow-up assessments * Refusal to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Information Adequacy and Comprehensibility Questionnaire Total Score | 72 hours after enrollment | Total score of the Information Adequacy and Comprehensibility Questionnaire, a 15-item Likert-type questionnaire developed for this study. Scores range from 15 to 75, with higher scores indicating better understanding and perceived adequacy of information. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety Score Measured by Visual Analog Scale for Anxiety (VAS-A) | 72 hours after enrollment | Participant-reported anxiety measured using a 0-10 Visual Analog Scale for Anxiety (VAS-A), where higher scores indicate greater anxiety. |
| Information Satisfaction Score | 72 hours after enrollment | Participant satisfaction with information provided during the intensive care unit stay, measured using a 0-10 visual analog scale, with higher scores indicating greater satisfaction. |
| Resolution of Participant Information Needs | 72 hours after enrollment | Participants rate the extent to which their most important information needs and questions were answered using a 0-10 scale, with higher scores indicating better resolution of information needs. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORSevim Şenol Karataş, MD
Elazıg Fethi Sekin Sehir Hastanesi
Outcome results
None listed