Clinical Trial Details
— Status: Not yet recruiting
Administrative data
NCT number |
NCT06048783 |
Other study ID # |
220111005 |
Secondary ID |
|
Status |
Not yet recruiting |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
March 4, 2024 |
Est. completion date |
August 30, 2024 |
Study information
Verified date |
August 2023 |
Source |
Pontificia Universidad Catolica de Chile |
Contact |
Leyla Alegria, MSc |
Phone |
+56223549024 |
Email |
lmalegri[@]uc.cl |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
Studies in hospitalized patients have shown that a large percentage of them consider religion
or spirituality to be an important factor in enabling them to cope with a serious illness.
Studies conducted in the ICU, have shown that spiritual care from a chaplain/priest is
associated with increased satisfaction in family members of critically ill patients, however,
the focus has traditionally been on offering support to family members and not to patients.
Interventions for critically ill patients have mostly been implemented by chaplains or a
member of the health care team, primarily nurses. Although these studies show promising
results in terms of quality of life, they mostly reflect the perspective of the health teams
and not that of the patients, they are not evaluated with standardized instruments and, in
general, they are not standardized strategies.
Given that this will be one of the first studies with patients who received care in the ICU,
it is proposed to conduct a pilot and feasibility study to gather lessons to implement a
larger study. Studies of this type place greater emphasis on evaluating the feasibility of
implementing the intervention and therefore this study will seek to: (1) evaluate the
feasibility of implementing the intervention in a hospital setting, including participant
recruitment procedures; (2) evaluate how the intervention, format and manner of
implementation is received by participants; (3) preliminarily evaluate the impact on
psychological symptomatology associated with PICS at the end of the intervention, at 3 and 6
months post-intervention.
Showing the impact of spiritual care on health outcomes of individuals, through studies such
as this one, may contribute to a paradigm shift from a biomedical perspective to a holistic
view of ICU patients. Although the technological and advanced life support offered by the ICU
is essential for critical patients, but survival of a severe disease without a good quality
of life makes it necessary to seek strategies to improve this problem, which undoubtedly
requires a comprehensive approach to the person, through medical-physiological care and
spiritual care.
Description:
Many patients who survive a critical illness suffer physical, psychological and cognitive
problems, negatively impacting their quality of life, which has been termed Post-ICU Syndrome
(PICS). Some studies have reported a residual effect several months after discharge from the
ICU, affecting people's quality of life and functionality. Among the psychological symptoms
of PICS are described symptoms of depression, anxiety and post-traumatic stress disorder
(PTSD). It is estimated that at least 50% of ICU survivors will present psychological
symptoms of PICS at discharge and other studies report that a quarter of survivors present
PTSD symptoms one year after discharge from the ICU.
Spirituality should be an essential element of health care, as it is part of the essence of
being human. International accreditation associations and scientific societies suggest
incorporating spiritual care into the usual standards of care. Studies of hospitalized
patients have shown that a large percentage of patients consider religion or spirituality to
be an important factor in enabling them to cope with serious illness. And although previous
studies have shown that chaplain/priest care is associated with increased satisfaction in
family members of critically ill patients, the focus has traditionally been on offering
support to family members and not to patients. However, there is a growing recognition of the
need for a comprehensive approach in health care to provide spiritual support to ICU patients
that is evaluated and contributes to improving the quality of life of these individuals. On
the other hand, showing the impact of spiritual care on health outcomes of individuals,
through studies such as this one, can contribute to a paradigm shift from a biomedical
perspective to a holistic view of ICU patients. The technological and advanced life support
offered by the ICU is essential for critically ill patients, but the survival of a severe
disease without a good quality of life makes it necessary to seek strategies to improve this
problem, which undoubtedly requires a comprehensive approach to the person, through
medical-physiological care and spiritual care.
The proposed design aims to evaluate the feasibility of implementing a spiritual
accompaniment intervention for patients who received care in the ICU, and to begin to
implement it during hospitalization. This will provide information regarding the feasibility
of implementing an intervention of this type in this context, offering it during
hospitalization and its remote implementation process, once the patient is discharged.
Considering that these studies work with small samples, it is not necessary to estimate the
sample calculation. However, in order to obtain some preliminary results of the effect of the
intervention, a sample of 15 people per group will be recruited and followed up until 6
months after discharge, which will allow us to evaluate changes over time in PICS symptoms.
It is proposed that the intervention will begin during hospitalization, so that it will have
a preventive nature and help mitigate the impact of ICU hospitalization on the development of
mental health symptoms in patients. Participants will be randomly assigned to groups and will
be evaluated considering intention to treat. On the other hand, gathering the perspective of
volunteers, patients and research support team will provide us with inputs to improve the
intervention and the best way to implement it.