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重症监护后综合征自我管理的同伴支持 (PS‐PICS) : 朋辈导师培训研究方案
Author(s) -
Danesh Valerie,
Hecht Jacki,
Hao Richard,
Boehm Leanne,
Jimenez Edgar J.,
Arroliga Alejandro C.,
Sanghi Sandhya,
Stevens Alan
Publication year - 2021
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14736
Subject(s) - motivational interviewing , medicine , peer support , intervention (counseling) , quality of life (healthcare) , clinical trial , physical therapy , psychology , nursing , pathology
Abstract 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.

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