Effect of Pediatric Intensive Care Unit Diaries on PICS-p

Bambino Gesù Children's Hospital IRCCS

Status: Enrolling

Conditions: Post Traumatic Stress Disorder; Post Intensive Care Syndrome; Depression; Narrative Medicine; Anxiety

Treatments: Other: PICU diary

Study type: Interventional

Funder types: Other

Identifiers

NCT06310109

2358_OPBG 2020

Details and patient eligibility

About

When children become very sick and need to stay in a Pediatric Intensive Care Unit (PICU), it can have a big impact on their recovery and their family's well-being. Sometimes kids and their families feel worried or sad even after they leave the hospital. This can have an impact on the quality of their life after hospital discharge.

To help understand and improve these experiences, the investigators want to study the "PICU diaries." These are journals that families and hospital staff can write in during the child's time in the hospital. Parents, other visitors and healthcare professionals can share thoughts, experiences, and even drawings or photos related to the child's admission. The content is a narrative account of what happens during the child's hospital stay, for the family to take home at PICU discharge.

The investigators believe that writing in these diaries might help children and their families feel better after leaving the hospital. It might help kids feel less worried or sad, and it might also help their parents or caregivers feel better too.

The study will include children who have been in the PICU and their families. Some families will receive these special diaries to use during their time in the hospital, while others won't. We'll then see how everyone feels after they leave the hospital and compare the two groups to see if the diaries make a difference.

The investigators hope that by understanding how these diaries can help, healthcare professionals can make hospital experiences better for everyone involved.

Enrollment: 110 estimated patients

Sex: All

Ages: Under 19 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• children/adolescents admitted to the PICU
• Mechanical ventilation for > 48 hours
• Patient's age <19 years old

Exclusion criteria

• parents who are unable to communicate in Italian language
• parents who have not signed and informed consent
• patients with a poor prognosis

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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110 participants in 2 patient groups

PICU diary

Experimental group

Description:

The "PICU diary" arm, will receive a PICU diary at the patient bedside.

Treatment:

Other: PICU diary

Control arm

No Intervention group

Description:

The control arm will receive standard care (no PICU diary).