Self-Care Mental Health App Intervention for Post–Intensive Care Syndrome–Family: A Randomized Pilot Study.
Background: Post–intensive care syndrome–family (PICS-F) is a constellation of adverse psychological symptoms experienced by family members of critically ill patients during and after acute illness. Cognitive behavioral therapy delivered using smartphone technology is a novel approach for PICS-F sym...
| Publicado en: | American Journal of Critical Care Vol. 32; no. 6; pp. 440 - 449 |
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| Autores principales: | , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Nov2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173344225&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173344225 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Nov2023 vid: 32 iid: 6 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 173344225 173344225 173344225 10.4037/ajcc2023800 173344225 ppf: 440 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Self-Care Mental Health App Intervention for Post–Intensive Care Syndrome–Family: A Randomized Pilot Study. aug: au: Petrinec, Amy B. Wilk, Cindy Hughes, Joel W. Zullo, Melissa D. George, Richard L. affil: an associate professor, College of Nursing, Kent State University, Kent, Ohio sug: subj: Mobile Applications Utilization Smartphone Cognitive Therapy ICU Psychosis Prevention and Control Intensive Care Units Family Psychosocial Factors Family Services Mental Health Services Self Care Critically Ill Patients Psychosocial Factors Treatment Outcomes Human Male Female Randomized Controlled Trials Random Assignment Self-Efficacy Quality of Life Anxiety Prevention and Control Depression Prevention and Control Descriptive Statistics Comparative Studies Mental Health Critical Care Critical Illness Pilot Studies Male Female ab: Background: Post–intensive care syndrome–family (PICS-F) is a constellation of adverse psychological symptoms experienced by family members of critically ill patients during and after acute illness. Cognitive behavioral therapy delivered using smartphone technology is a novel approach for PICS-F symptom self-management. Objective: To determine the efficacy of smartphone delivery of cognitive behavioral therapy in reducing the prevalence and severity of PICS-F symptoms in family members of critically ill patients. Methods: The study had a randomized controlled longitudinal design with control and intervention groups composed of family members of patients admitted to 2 adult intensive care units. The intervention consisted of a mental health app loaded on participants' personal smartphones. The study time points were upon enrollment (within 5 days of intensive care unit admission; time 1), 30 days after enrollment (time 2), and 60 days after enrollment (time 3). Study measures included demographic data, PICS-F symptoms, mental health self-efficacy, health-related quality of life, and app use. Results: The study sample consisted of 60 predominantly White (72%) and female (78%) family members (30 intervention, 30 control). Anxiety and depression symptom severity decreased significantly over time in the intervention group but not in the control group. Family members logged in to the app a mean of 11.4 times (range, 1-53 times) and spent a mean of 50.16 minutes (range, 1.87-245.92 minutes) using the app. Conclusions: Delivery of cognitive behavioral therapy to family members of critically ill patients via a smartphone app shows some efficacy in reducing PICS-F symptoms. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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