NCT02920086

Improving Partnerships With Family Members of ICU Patients

Improving Partnerships With Family Members of ICU Patients: The IMPACT Trial

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 150 (estimated)
• Sponsor: Clinical Evaluation Research Unit at Kingston General Hospital · Academic / Other
• Sex: All
• Age: 55 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to improve the outcomes of critically ill older patients and the health outcomes of their families by capacitating and partnering with families in optimizing patient/family centered care.

Detailed description

There is a pressing need to improve the care of critically ill older patients. For critically ill patients who are frequently unable to participate in their own care and decision-making, partnering with their family members is particularly important for improving experiences and outcomes of care for both patients and families. However, the optimal means by which families engage in the role they play, and how best to capacitate them as advocates and partners in care while helping them maintain their own wellbeing, is not known. The IMPACT trial will evaluate two interventions, each with a separate context, but similar in that they empower and support families; one focused on involvement in care, and the other focused on involvement in decision-making. The first is a nutrition intervention The OPTimal nutrition by Informing and Capacitating family members of best practices (OPTICs) intervention, a multi-faceted strategy to engage and empower family members to advocate for and audit best nutrition practices in their family members. The second is a decision support intervention. The REALISTIC-80 Decision Support Intervention, is a web-based tool (www.myicuguide.com) to support families in shared decision-making about goals of medical treatments. The investigators propose to conduct a mixed methods multi-centre, open-label, randomized, clinical trial involving 3 groups (2 active interventions and a usual care group). The overall goal of this study is to demonstrate that the multi-faceted nutritional strategies that engage families in care of their family member tested in this trial will increase nutritional intake and optimize physical recovery in older critically ill patients at high nutrition risk.

Conditions

• Critical Illness

Interventions

Type	Name	Description
BEHAVIORAL	Nutrition Education Program	* The OPTimal nutrition by Informing and Capacitating family members of best practices (OPTICS) intervention * Nutritional education will be provided to ICU patents' families by a dietitian * Tracking of nutritional information by family * Encouragement for families to advocate for two or more Oral Nutritional Supplements per day for the patients (approximately 400 kcal/day)
OTHER	Decision Support Program	* Families will be provided with a web-based decision support tool (My ICU Guide) * Families will meet with the ICU medical team early in ICU stay to review goals of care

Timeline

• Start date: 2017-05-09
• Primary completion: 2020-12-01
• Completion: 2020-12-01
• First posted: 2016-09-30
• Last updated: 2019-09-09

Locations

10 sites across 3 countries: United States, Australia, Canada