Communication Tool Evaluation on Intensive Care Patients. (PICT'REA)

Toulouse University Hospital

Status: Completed

Conditions: Communication, Nonverbal

Treatments: Other: communication tool PICT'REA

Study type: Interventional

Funder types: Other

Identifiers

NCT05176457

RC31/21/0427

Details and patient eligibility

About

The present study evaluate the impact of a communication tool "PICT'REA" on patients in reanimation units, equipped with ventilation systems, preventing them from speaking.

The app consists of simple pictograms allowing simple communication between patients and the reanimation care team.

The study will assess the quality of communication before and after the introduction of the communication tool in the reanimation unit.

Full description

Invasive mechanical ventilation is commonly used in intensive care, in sedated patients but also in perfectly conscious patients, and this on a daily basis.

For these patients, the resulting deprivation of oral expression is a major source of stress and discomfort. On the side of the caregivers, the difficulty of comprehension is a source of frustration on a daily basis.

Thus PICT'REA has been developped in order to help patients and caregivers to better understand each other during invasive ventilation.

PICT'REA is a tool in the form of a mobile app with simple pictograms allowing simple communication (Yes/No/Pain chart...).

The study will analyze the quality of communication between patients and caregivers before and after the introduction of the application:

• Before setting up the tool: control group

  • Over a period of 6 months
  • In the multi-purpose resuscitations of Cardio Vascular Surgery and Neurosurgery.

• After setting up the tool:

  • Over a period of 6 months
  • In the same departments.

The analyses consists of various questionnaires :

• the modified Ease of Communication Scale,
• a Short questionnaire in 3 questions for caregivers,
• IPREA questionnaire for patients,
• Evaluation of the usability of the system by System Usability Scale questionnaire,
• Evaluation of the attractiveness of the system by Attrackdiff questionnaire.

Enrollment: 94 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hospitalized in intensive care or intensive care
• ventilated on a tracheostomy or an orotracheal intubation tube for> 24 hours
• not too agitated or too sedated (RASS -1 to +2) for> 24 hours
• Confusion Assessment Method (CAM) ICU negative
• Speak or read French

Exclusion criteria

Inability to use the device:

• Blind or visually impaired
• Severe paresis of the upper limbs
• No understanding of the tool.

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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94 participants in 2 patient groups

BEFORE PICT'REA introduction

No Intervention group

Description:

Patients will have the usual communication tools (pen and paper, hands gestures...)

AFTER PICT'REA introduction

Experimental group

Description:

Patients will be given a tablet to communicate with the caregivers whenever needed

Treatment:

Other: communication tool PICT'REA