Funding: National Institutes of Health - National Institute on Aging K23AG032875 Project period: 9/1/08 - 8/31/12
This is a single-center, randomized controlled trial of an intervention to support families of critically-ill patients. The intervention centers on the use of a Family Support Counselor to provide emotional, practical and communication support and tailored feedback to clinicians about families’ needs.
Evaluate the effectiveness of a multifaceted communication intervention to improve psychological outcomes among family members of critically ill patients, using a randomized, controlled trial design.
Hypothesis: The intervention will result in significantly reduced symptoms of depression, post-traumatic stress disorder, and anxiety at three (3) months compared to families receiving usual care.
Evaluate the effectiveness of the intervention to improve the quality of communication and decision-making between physicians and family members, using both quantitative and qualitative measures.
Hypothesis: The intervention will result in increased quality of communication, increased family knowledge of key medical information, and lower physician-family conflict.
Evaluate the effect of the intervention on the family-reported patient centeredness of care.
Hypothesis: Mortality will be similar in the two groups, but the intervention will result in higher family ratings of patient centeredness