Improving Psychological Outcomes for Acute Respiratory Failure Survivors Using a Self-Management Intervention

Description

A growing number of patients are surviving a stay in the intensive care unit (ICU) but may experience long-lasting psychological problems, but research evaluating such treatment for ICU patients is scant. The goal of this pilot randomized controlled trial is to evaluate the feasibility, acceptability, and potential benefit of an evidence-based psychological intervention for anxiety and associated outcomes for ICU patients. The main question\[s\] it aims to answer are: * Is this intervention feasible and acceptable in ARF patients? * Is this intervention in the ICU and hospital associated with reduced anxiety symptoms? Participants will participate in a cognitive behavioral therapy informed self-management intervention aimed to reduce anxiety symptoms. Researchers will compare the intervention group to patients who receive usual care to see if the intervention reduces symptoms at the the conclusion of the intervention and at 3 months follow-up.

Conditions

Respiratory Failure, Anxiety, Critical Illness

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Study Overview

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Study Details

Study overview

A growing number of patients are surviving a stay in the intensive care unit (ICU) but may experience long-lasting psychological problems, but research evaluating such treatment for ICU patients is scant. The goal of this pilot randomized controlled trial is to evaluate the feasibility, acceptability, and potential benefit of an evidence-based psychological intervention for anxiety and associated outcomes for ICU patients. The main question\[s\] it aims to answer are: * Is this intervention feasible and acceptable in ARF patients? * Is this intervention in the ICU and hospital associated with reduced anxiety symptoms? Participants will participate in a cognitive behavioral therapy informed self-management intervention aimed to reduce anxiety symptoms. Researchers will compare the intervention group to patients who receive usual care to see if the intervention reduces symptoms at the the conclusion of the intervention and at 3 months follow-up.

Improving Psychological Outcomes for Acute Respiratory Failure Survivors Using a Self-Management Intervention

Improving Psychological Outcomes for Acute Respiratory Failure Survivors Using a Self-Management Intervention

Condition
Respiratory Failure
Intervention / Treatment

-

Contacts and Locations

Baltimore

Johns Hopkins Hospital, Baltimore, Maryland, United States, 21287

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * ≥18 years old
  • * English speaking and not aphasic
  • * ARF with mechanical ventilation via endotracheal tube \> 24 hours
  • * Expected hospital stay of \>7 days at time of eligibility
  • * Alert (ie, Richmond Agitation Sedation Scale sedation score = -1, 0, or 1)
  • * Not delirious (ie, negative Confusion Assessment Method -ICU score)
  • * Presence of anxiety symptoms (Visual Analog Scale-Anxiety score ≥50)\*\*
  • * Pre-existing cognitive impairment (AD-8 score ≥2)
  • * History of major psychiatric illness (i.e., psychotic disorder, bi-polar disorder, suicide attempt in past 24 months, pervasive developmental disorder, active substance use disorder)
  • * Declines or incapable of informed consent
  • * Anticipated discharge to hospice, primary focus on palliative care, or \>90% probability of in-hospital death

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

Johns Hopkins University,

Megan Hosey, PhD, PRINCIPAL_INVESTIGATOR, Johns Hopkins School of Medicine

Study Record Dates

2027-09-01