Impact of a Communication Strategy in the Prevention of Depressive Symptoms in Patients with Covid-19

Pontificia Universidad Catolica de Chile

Status: Completed

Conditions: Critical Illness; Covid19; Mechanical Ventilation

Treatments: Behavioral: Intervention. Early and integral communication strategy (EICS)

Study type: Interventional

Funder types: Other

Identifiers

NCT05035563

COVID0921

Details and patient eligibility

About

The purpose of this study is to compare the effect of an early and integral communication strategy (EICS) versus standard care, on the rate of depressive symptoms at 3 months after discharge from the ICU, in patients with severe Covid-19, their family members and health personnel.

Evaluating the rate of depressive symptoms at 3 months after discharge from the ICU, with a) Hospital Anxiety and Depression, b) Posttraumatic Stress Disorder Checklist (S)

Full description

We designed a pre-post intervention study, the groups were non-randomly allocated.

The study is implementation in 10 Chilean hospitals, admitting 350 patients.

Pre-intervention: The practices of each ICU will be maintained, until the moment that according to randomization corresponds the beginning of the intervention, in each center.

Post-intervention: EICS to facilitate communication between the family, patient and health team, through written material, via the web (tablet and webmaster) and by telephone.

Enrollment: 350 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults> 18 years old
• Admitted to the ICU
• Requiring Mechanical Ventilation> 12 hrs due to COVID-19

Exclusion criteria

• Patients with therapeutic proportionality is defined early
• Patients with communication limitations (they do not speak Spanish) are excluded.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: Single Blind

---

350 participants in 2 patient groups

Traditional communication management (Pre-intervention)

No Intervention group

Description:

Traditional communication practices are maintained, which consists of reporting the patient's medical conditions or specific requirements of the case, between the health team and the family. According to the social and administrative conditions of each centers, medical telephone information is provided on the conditions of the patients.

Early and integral communication strategy (EICS) (Post-intervention)

Experimental group

Description:

EICS that includes a bundle of various strategies that allow to favor communication and contact between family members, patients and health team. That considers the delivery of: (1) Receive timely and understandable information; (2) Receive visits, companionship, and spiritual assistance

Treatment:

Behavioral: Intervention. Early and integral communication strategy (EICS)