PARTNER II: Improving Patient and Family Centered Care in Advanced Critical Illness
Completed · Not applicable
Conditions studied: Anxiety, Depression
In brief
This is a stepped wedged randomized controlled trial comparing the PARTNER intervention with usual care in 5 Intensive Care Units. The overarching goal of this research project to ensure patient-centered decisions about the use of intensive treatments for patients with advanced critical illness. In a prior project, the investigators developed the PARTNER program (PAiring Re-engineered ICU Teams with Nurse-driven Education and OutReach), a 4-facet, team-based intervention that re-engineers how surrogates are supported in ICUs, including: 1) changing care "defaults" to ensure clinician-family meetings within 48 hours of enrollment and frequently thereafter; 2) protocolized, nurse-administered coaching and emotional support of surrogates before and during clinician-family meetings, 3) increased use of palliative care services for patients with a poor prognosis. The investigators propose to begin deployment of the PARTNER II program in the spring of 2015 enrolling 690 surrogate decision makers in 5 ICUs using a stepped wedge design. The investigators expect to achieve the following project goals: 1. To increase the patient-centeredness of end-of-life decisions, and to increase the quality of clinician-family communication. 2. To decrease the psychological burden on family members acting as surrogates. 3. To reduce total health care costs by decreasing the duration of use of burdensome, invasive treatments at the end of life.
Key facts
- Study ID
- NCT02445937
- Run by
- University of Pittsburgh
- People needed
- 848
- Starts
- 2015-06-01
- Expected to finish
- 2019-09-18
- Last updated by the study team
- 2019-10-15
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- 18 years of age or older
- Surrogate decision maker for ICU patient in one of 5 UPMC ICU's
You may not qualify if…
- Non-English Speaking
- Surrogate's loved one is for organ transplantation
- Not physically able to participate in family meeting
Where it is running
- UPMC Hamot — Erie, Pennsylvania, United States
- UPMC Presby/Shady — Pittsburgh, Pennsylvania, United States
Full record on ClinicalTrials.gov
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