Andrew M Kiselica, Ellen Johnson, Kaleea R Lewis, Kate Trout
Examining racial disparities in the diagnosis of mild cognitive impairment
Applied neuropsychology. Adult
determine effect standardized program family participation essential care activities icu symptoms anxiety depression posttraumatic stress satisfaction among relatives perceptions experiences icu healthcare providers hcps multicenter steppedwedge cluster randomized controlled trial seven adult icus one university six general teaching hospitals three hundred six relatives 235 icu hcps standardized program facilitate family participation inpatient communication amusementdistraction comfort personal care breathing mobilization nutrition data collected surveys among relatives icu hcps significant differences symptoms anxiety relatives intervention period compared control period median hospital anxiety depression scale hads 5 interquartile range iqr 210 vs 6 iqr 39 median ratio mr 072 95 ci 046113 p 015 depression median hads 4 iqr 26 vs 3 iqr 16 mr 085 95 ci 055132 p 047 posttraumatic stress median impact event scalerevised score 045 iqr 027082 vs 041 iqr 0141 mr 094 95 ci 078114 p 054 reported satisfaction slightly lower intervention period mean 890 sd 110 vs mean 906 sd 110 difference 060 95 ci 107 012 p 001 icu hcps perceived relatives knew participate 47 intervention period versus 22 control period odds ratio 315 95 ci 164605 p 001 also reported relatives sufficient knowledge 41 vs 16 356 95 ci 175725 p 001 skills 44 vs 25 238 95 ci 122463 p 001 apply family participation application standardized program facilitate family participation change mental health symptoms relatives icu patients 3 months discharge icu hcps reported increased clarity knowledge skills among relatives icu hcps