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Intensive Care Unit (ICU) Diaries as a Therapeutic Intervention for Post Traumatic Stress Disorder (PTSD) Following Critical Illness (RACHEL II)

Primary Purpose

Post-Traumatic Stress Disorder

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
ICU Diary
Sponsored by
University of Liverpool
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Post-Traumatic Stress Disorder focused on measuring Critical illness, ICU Diaries, Post Traumatic Stress Disorder, Incidence

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients staying on the ICU for at least 72 hours (with greater than 24 hours of artificial ventilation)

Exclusion Criteria:

  • ICU stay < 72 hours
  • Too confused for informed consent
  • Pre-existing psychotic illness

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    No Intervention

    Experimental

    Arm Label

    Discussion with nurse

    ICU Diary

    Arm Description

    Brief discussion with ICU follow-up nurse about the patients' critical illness

    Receipt of ICU Diary at 1 month post critical illness

    Outcomes

    Primary Outcome Measures

    Diagnosis of Post Traumatic Stress Disorder

    Secondary Outcome Measures

    Full Information

    First Posted
    June 1, 2009
    Last Updated
    June 1, 2009
    Sponsor
    University of Liverpool
    Collaborators
    St Helens & Knowsley Teaching Hospitals NHS Trust, Vrinnevishuset, Sweden, Università degli Studi di Ferrara, University of Copenhagen, Haukeland University Hospital, Hospital Pedro Hispano, Sahlgrenska University Hospital, Sweden, General Hospital of Santo António
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00912613
    Brief Title
    Intensive Care Unit (ICU) Diaries as a Therapeutic Intervention for Post Traumatic Stress Disorder (PTSD) Following Critical Illness
    Acronym
    RACHEL II
    Official Title
    ICU Diaries as a Therapeutic Intervention for Post Traumatic Stress Disorder Following Critical Illness
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2009
    Overall Recruitment Status
    Completed
    Study Start Date
    July 2007 (undefined)
    Primary Completion Date
    December 2008 (Actual)
    Study Completion Date
    December 2008 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    University of Liverpool
    Collaborators
    St Helens & Knowsley Teaching Hospitals NHS Trust, Vrinnevishuset, Sweden, Università degli Studi di Ferrara, University of Copenhagen, Haukeland University Hospital, Hospital Pedro Hispano, Sahlgrenska University Hospital, Sweden, General Hospital of Santo António

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The incidence of PTSD post ICU varies from unit to unit, however a significant number of patients have been shown to develop this disorder. Many patients do not recall their stay in ICU properly and yet can clearly recall nightmares, hallucinations or paranoid delusions, which may be very frightening for the patient to recall at a later stage. As yet, no interventional studies have had an impact on the development of PTSD in this population of patients. However, a recent observational multi-centre study suggested that those patients receiving a diary of their time in ICU had lower levels of symptoms of PTSD than those who did not. These results need to be verified in the form of a randomized study.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Post-Traumatic Stress Disorder
    Keywords
    Critical illness, ICU Diaries, Post Traumatic Stress Disorder, Incidence

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    352 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Discussion with nurse
    Arm Type
    No Intervention
    Arm Description
    Brief discussion with ICU follow-up nurse about the patients' critical illness
    Arm Title
    ICU Diary
    Arm Type
    Experimental
    Arm Description
    Receipt of ICU Diary at 1 month post critical illness
    Intervention Type
    Other
    Intervention Name(s)
    ICU Diary
    Intervention Description
    ICU Diary containing daily information of patients condition and treatment with appropriate photographs
    Primary Outcome Measure Information:
    Title
    Diagnosis of Post Traumatic Stress Disorder
    Time Frame
    3 months post critical illness

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients staying on the ICU for at least 72 hours (with greater than 24 hours of artificial ventilation) Exclusion Criteria: ICU stay < 72 hours Too confused for informed consent Pre-existing psychotic illness
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Richard D Griffiths, MD
    Organizational Affiliation
    University of Liverpool
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    20843344
    Citation
    Jones C, Backman C, Capuzzo M, Egerod I, Flaatten H, Granja C, Rylander C, Griffiths RD; RACHEL group. Intensive care diaries reduce new onset post traumatic stress disorder following critical illness: a randomised, controlled trial. Crit Care. 2010;14(5):R168. doi: 10.1186/cc9260. Epub 2010 Sep 15.
    Results Reference
    derived

    Learn more about this trial

    Intensive Care Unit (ICU) Diaries as a Therapeutic Intervention for Post Traumatic Stress Disorder (PTSD) Following Critical Illness

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