Aims: The primary aim of the Peer Support for Post Intensive Care Syndrome Self-Management (PS-PICS) peer mentor training trial is to determine the feasibility for peer mentor training to connect new ICU survivors with survivors who have made successful recoveries. Secondary aims are to also examine peer mentor eligibility, recruitment and retention rates and assess changes in participant knowledge of Post Intensive Care Syndrome (PICS), reported symptoms and health-related quality of life.
Design: Prospective clinical feasibility trial.
Methods: This study received funding from the National Institutes of Health funded P30 Center for Excellence (2014-2020). Up to 20 adult patients who have had an ICU stay of 3 days or longer more than 3 months ago will be enrolled into the study. Participants will undergo a 6-week peer mentor training program to learn how to promote healthy self-management behaviours, social connections, and well-being using motivational interviewing (MI). Participants will complete surveys about their recovery at 3 points during the study: prior to training, 6 weeks post-training and 3 months post-training. Survey questions will be used to assess trends in participant social isolation, depression, functional status, and self-management behaviours.
Discussion: Enrollment closes by December 2020. As a feasibility trial, power sufficient for hypothesis testing will not be available. However, study operations and intervention fidelity contribute to future research knowledge and participant characteristics and longitudinal outcomes will yield data on intervention feasibility. This study is the first use of embedding peer-led motivational interviewing training into a peer support intervention for ICU survivors.
Impact: Current self-management interventions are limited for ICU survivors and do not sufficiently address barriers to promoting self-management behaviours or improving their health status, well-being and cost of health. This study will provide data to develop and implement interventions for the self-management of PICS-related symptoms and sequelae.
目的: 重症监护后综合征自我管理同伴支持 (PS-PICS) 同伴导师培训试验的开展主要是为了确定同伴导师培训的可行性, 以便最终将新ICU幸存者和成功康复的幸存者相联系。次要目标是检查同伴导师的资格、招生情况和保留率, 并评估参与者重症监护后综合征 (PICS) 知识、报告症状和健康相关生活质量的变更。 设计: 前瞻性临床可行性试验。 方法: 本研究由国家卫生研究院资助的P30卓越中心 (2014年-2020年) 供资。最多将招募20名成年患者参与本研究, 但应确保所招募的患者均于3个月前进入ICU , 且至少在ICU停留3天。参与者将接受为期6周的同伴导师培训计划, 在此期间, 学习如何通过动机式访谈 (MI) 改善自我健康管理行为、社会关系和幸福感。研究期间, 参与者将在3个时间点参与恢复情况调查, 分别是: 培训前、培训后6周和培训后3个月。通过调查问题, 可对参与者社会隔离、抑郁、功能状态和自我管理行为进行评估。 讨论: 招募于2020年12月截止。由于本项试验仅具有可行性, 因此, 不可据此检验假设内容。然而, 研究的执行和有效干预措施的采取将有助于促进未来研究知识发展, 记录参与者特征, 并且, 将可通过纵向结果获知干预可行性数据。本研究首次将同伴主导的动机式访谈培训应用于ICU幸存者的同伴支持干预中。 影响: 目前, 自我管理干预措施仅适用于ICU幸存者, 且此类干预措施无法充分解决自我管理行为和健康状况改善、幸福感提升及健康成本缩减过程中所面临的障碍。本研究将可提供相关数据, 促进重症监护后综合征相关症状和后遗症患者的自我管理, 从而制定和实施干预措施。.
Keywords: intensive care unit; motivational interviewing; nursing; peer support; post intensive care syndrome; randomized controlled trial; recovery; self-management; survivorship.
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