Peer Support for Post Intensive Care Syndrome Self‐Management (PS‐PICS): Study protocol for peer mentor training
- 11 January 2021
- journal article
- research article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 77 (4), 2092-2101
- https://doi.org/10.1111/jan.14736
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.Keywords
Funding Information
- National Institute of Nursing Research (P30NR015335)
This publication has 56 references indexed in Scilit:
- Critical illness polyneuropathy and myopathy: a major cause of muscle weakness and paralysisThe Lancet Neurology, 2011
- Functional Disability 5 Years after Acute Respiratory Distress SyndromeThe New England Journal of Medicine, 2011
- Psychometric Properties of the Patient Activation Measure among Multimorbid Older AdultsHealth Services Research, 2010
- Depression among white and nonwhite caregivers of the chronically critically illJournal of Critical Care, 2010
- Social Relationships and Health: A Flashpoint for Health PolicyJournal of Health and Social Behavior, 2010
- Surviving critical illness: Acute respiratory distress syndrome as experienced by patients and their caregiversCritical Care Medicine, 2009
- The Individual and Family Self-Management Theory: Background and perspectives on context, process, and outcomesNursing Outlook, 2009
- Adverse outcomes associated with contact precautions: A review of the literatureAmerican Journal of Infection Control, 2009
- Informal Caregiver Burden among Survivors of Prolonged Mechanical VentilationAmerican Journal of Respiratory and Critical Care Medicine, 2007
- Factorial and discriminant validity of the center for epidemiological studies depression (CES-D) scaleJournal of Clinical Psychology, 1986