Synchrony-Optimized Non-Invasive Ventilation Education Program and ICU Patients

Shahid Beheshti University of Medical Sciences

Status: Not yet enrolling

Conditions: Ventilator Associated Events; Asynchrony, Patient-Ventilator; Noninvasive Ventilation; Intensive Care (ICU)

Treatments: Other: SYNC-NIV

Study type: Interventional

Funder types: Other

Identifiers

NCT07291622

IR.SBMU.RETECH.REC.1404.593

Details and patient eligibility

About

The aim of this clinical trial is to find out whether a synchrony-optimized education program for non-invasive ventilation (NIV) can help ICU patients use their ventilator more effectively and improve their comfort, symptoms, and psychological well-being.

Researchers want to answer these main questions:

Can a structured two-session NIV education program help patients use their ventilator more regularly and for longer periods?

Does this type of training reduce anxiety, depression, and respiratory symptoms?

Can synchrony training improve patients' comfort and reduce NIV-related problems such as mask leaks or sleep disturbances?

Is this program more effective than the routine ICU education normally provided?

What Will Happen in the Study

Adults (18+) who are receiving NIV in the ICU will participate in this study.

Participants will be randomly assigned to one of two groups:

Intervention Group: Will receive the SYNC-NIV education program, consisting of:

One hands-on session (20-40 minutes) teaching patients how to synchronize their breathing with the ventilator

One supplementary session (45-60 minutes) covering mask management, preventing complications, reducing leaks, breathing exercises, equipment care, and alarm handling

An educational booklet for continued support

Control Group: Will receive the standard ICU education normally provided about the ICU environment, general care, communication, and monitoring.

All participants will be evaluated at three times:

before the intervention, the day after the program ends, and one week later.

Enrollment: 92 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients over 18 years of age
• Admitted to the ICU for at least 24 hours
• Anticipated to be hospitalized for more than one week
• Receiving NIV treatment for any underlying condition
• Capable of learning
• Proficient in the Persian language

Exclusion criteria

• Patients with Richmond Agitation-Sedation Scale (RASS) scores of +4 or -5
• Patients with cognitive disorders
• Patients with neurological disorders
• Patients with anxiety disorders
• Patients whose condition deteriorates, making continued cooperation impossible
• Patients unable to participate in educational sessions

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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92 participants in 2 patient groups

SYNC-NIV

Experimental group

Description:

The intervention will consist of a structured two-session synchrony-optimized NIV education program designed to improve patient-ventilator interaction and reduce NIV-related complications. In the first 20-40-minute session, patients will be taught the ventilator's inspiratory and expiratory cycles and will practice synchronizing their breathing with the device through guided diaphragmatic exercises and real-time feedback until they demonstrate stable synchrony. The second 45-60-minute session, delivered 18-24 hours later, will provide supplementary training on proper mask selection and fixation, prevention of common NIV complications, leak reduction techniques, equipment maintenance, advanced breathing exercises, and basic ventilator monitoring and alarm management. An educational booklet summarizing all essential topics will be provided to support ongoing adherence and self-management.

Treatment:

Other: SYNC-NIV

Control Group

No Intervention group

Description:

Standard care will include regular education on the ICU environment, basic intensive care processes, the use of monitoring devices, ICU rules, effective communication with critically ill patients, and basic principles of patient care.