Delivering Cognitive Behavioral Therapy for Post–Intensive Care Syndrome–Family via a Mobile Health App.

Background: Family members of intensive care unit (ICU) patients are at risk for post–intensive care syndrome– family (PICS-F), including symptoms of anxiety, depression, and posttraumatic stress. Cognitive behavioral therapy is the first-line nonpharmacologic treatment for many psychological sympto...

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Publicado en:American Journal of Critical Care Vol. 30; no. 6; pp. 451 - 459
Autores principales: Petrinec, Amy, Wilk, Cindy, Hughes, Joel W., Zullo, Melissa D., Chen, Yea-Jyh, Palmieri, Patrick A.
Formato: research tables/charts Journal Article
Publicado: American Association of Critical-Care Nurses Nov2021
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: American Journal of Critical Care
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      dt: Nov2021
      vid: 30
      iid: 6
      pid: 2559
      pub: American Association of Critical-Care Nurses
      place: Alisa Veijo, California
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        atl: Delivering Cognitive Behavioral Therapy for Post–Intensive Care Syndrome–Family via a Mobile Health App.
      aug:
        au:
          Petrinec, Amy
          Wilk, Cindy
          Hughes, Joel W.
          Zullo, Melissa D.
          Chen, Yea-Jyh
          Palmieri, Patrick A.
        affil: Amy Petrinec is an assistant professor, College of Nursing, Kent State University, Kent, Ohio
      sug:
        subj:
          Cognitive Therapy
          Intensive Care Units
          Quality of Health Care
          Smartphone
          Mobile Applications Utilization
          Telehealth
          Critically Ill Patients Psychosocial Factors
          ICU Psychosis
          Family Services Standards
          Human
          Prospective Studies
          Comparative Studies
          Pretest-Posttest Design
          Male
          Female
          Family Health
          Scales
          Psychological Tests
          Critical Care
          Consumer Satisfaction
          Descriptive Statistics
          Hospitalization Psychosocial Factors
          Male
          Female
      ab: Background: Family members of intensive care unit (ICU) patients are at risk for post–intensive care syndrome– family (PICS-F), including symptoms of anxiety, depression, and posttraumatic stress. Cognitive behavioral therapy is the first-line nonpharmacologic treatment for many psychological symptoms and has been successfully delivered by use of mobile technology for symptom self-management. Objectives: To determine the feasibility of delivering cognitive behavioral therapy through a smartphone app to family members of critically ill patients. Methods: This was a prospective longitudinal cohort study with a consecutive sample of patients admitted to 2 adult ICUs and their family members. The control group period was followed by the intervention group period. The intervention consisted of a mobile health app preloaded on a smartphone provided to family members. The study time points were enrollment (within 5 days of ICU admission), 30 days after admission, and 60 days after admission. Study measures included demographic data, app use, satisfaction with the app, mental health self-efficacy, and measures of PICS-F symptoms. Results: The study sample consisted of 49 predominantly White (92%) and female (82%) family members (24 intervention, 25 control). Smartphone ownership was 88%. Completion rates for study measures were 92% in the control group and 79% in the intervention group. Family members logged in to the app a mean of 18.58 times (range 2-89) and spent a mean of 81.29 minutes (range 4.93-426.63 minutes) using the app. Conclusions: The study results confirm the feasibility of implementing app-based delivery of cognitive behavioral therapy to family members of ICU patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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