OBJECTIVE: The study aim was to evaluate the psychological impact on parents of the provision of a paediatric intensive care follow-up clinic. DESIGN: Exploratory randomised controlled trial. Families were allocated to intervention (follow-up clinic appointment two months after discharge) or control (no appointment) condition. SETTING:An eight-bed Paediatric Intensive Care Unit (PICU) in an inner city teaching hospital. MEASUREMENTS: Parents' baseline stress was assessed using the Parental Stressor Scale: PICU. Post-traumatic stress, anxiety and depression were assessed at five months using the Impact of Event Scale and the Hospital Anxiety and Depression Scale. RESULTS: Only 18/72 families (25%) in the intervention group chose to attend the clinic. Outcome data were provided by 55/82 parents in the intervention group and 50/72 in the control group. Although no significant differences were found between the groups as a whole, parents with higher baseline stress reported lower rates of post-traumatic stress (n=8/32(25%) vs. n=13/23(57%), p=0.018) and depression (n=6/32(19%) vs. n=12/23(52%), p=0.009) at five months if they had been offered an appointment than if they had not. CONCLUSIONS: Whilst these results do not justify routine follow-up for all, they suggest that, for the most traumatised parents, rates of long-term distress could be reduced by this intervention. Copyright 2010 Elsevier Ltd. All rights reserved.
RCT Entities:
OBJECTIVE: The study aim was to evaluate the psychological impact on parents of the provision of a paediatric intensive care follow-up clinic. DESIGN: Exploratory randomised controlled trial. Families were allocated to intervention (follow-up clinic appointment two months after discharge) or control (no appointment) condition. SETTING: An eight-bed Paediatric Intensive Care Unit (PICU) in an inner city teaching hospital. MEASUREMENTS: Parents' baseline stress was assessed using the Parental Stressor Scale: PICU. Post-traumatic stress, anxiety and depression were assessed at five months using the Impact of Event Scale and the Hospital Anxiety and Depression Scale. RESULTS: Only 18/72 families (25%) in the intervention group chose to attend the clinic. Outcome data were provided by 55/82 parents in the intervention group and 50/72 in the control group. Although no significant differences were found between the groups as a whole, parents with higher baseline stress reported lower rates of post-traumatic stress (n=8/32(25%) vs. n=13/23(57%), p=0.018) and depression (n=6/32(19%) vs. n=12/23(52%), p=0.009) at five months if they had been offered an appointment than if they had not. CONCLUSIONS: Whilst these results do not justify routine follow-up for all, they suggest that, for the most traumatised parents, rates of long-term distress could be reduced by this intervention. Copyright 2010 Elsevier Ltd. All rights reserved.
Authors: Cydni N Williams; Mary E Hartman; Kristin P Guilliams; Rejean M Guerriero; Juan A Piantino; Christopher C Bosworth; Skyler S Leonard; Kathryn Bradbury; Amanda Wagner; Trevor A Hall Journal: Curr Treat Options Neurol Date: 2019-09-27 Impact factor: 3.598
Authors: Mary E Hartman; Cydni N Williams; Trevor A Hall; Christopher C Bosworth; Juan A Piantino Journal: Pediatr Neurol Date: 2020-02-20 Impact factor: 3.372