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| Name | Class |
|---|---|
| Ministry of Health, Italy | OTHER_GOV |
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When children become very sick and need to stay in a Pediatric Intensive Care Unit (PICU), it can have a big impact on their recovery and their family's well-being. Sometimes kids and their families feel worried or sad even after they leave the hospital. This can have an impact on the quality of their life after hospital discharge.
To help understand and improve these experiences, the investigators want to study the "PICU diaries." These are journals that families and hospital staff can write in during the child's time in the hospital. Parents, other visitors and healthcare professionals can share thoughts, experiences, and even drawings or photos related to the child's admission. The content is a narrative account of what happens during the child's hospital stay, for the family to take home at PICU discharge.
The investigators believe that writing in these diaries might help children and their families feel better after leaving the hospital. It might help kids feel less worried or sad, and it might also help their parents or caregivers feel better too.
The study will include children who have been in the PICU and their families. Some families will receive these special diaries to use during their time in the hospital, while others won't. We'll then see how everyone feels after they leave the hospital and compare the two groups to see if the diaries make a difference.
The investigators hope that by understanding how these diaries can help, healthcare professionals can make hospital experiences better for everyone involved.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PICU diary | Experimental | The "PICU diary" arm, will receive a PICU diary at the patient bedside. |
|
| Control arm | No Intervention | The control arm will receive standard care (no PICU diary). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PICU diary | Other | .The PICU diary is a notebook with lined sheets located at the patient's bedside. In this diary parents, other caregivers, family members, healthcare professionals or other visitors can write thoughts, report events related to the child/adolescent's admission, attach drawings or photographs for the patient or related to the PICU admission. |
| Measure | Description | Time Frame |
|---|---|---|
| Parent's Post Traumatic Stress Disease (PTSD) | The PTSD Checklist according to the Diagnostic and Statistical Manual of Mental Disorders (PCL-5) will be used to measure parent's post traumatic stress after PICU discharge. | Through study completion, an average of 3 year |
| Parent's Anxiety | The Generalized Anxiety Disorder - 7 scale (GAD-7) will be used to measure parent's anxiety. | Through study completion, an average of 3 year |
| Child's Strengths and difficulties | The Strengths and Difficulties Questionnaire (SDQ), a brief behavioural screening questionnaire about 2-17 year olds wukk be used. | Through study completion, an average of 3 year |
| Child's Post Traumatic Stress Disease (PTSD) | The child's PTSD will be measured using the Revised Child Impact of Event Scale - (R CRIES 8) | Through study completion, an average of 3 year |
| Child's Anxiety | The Generalized Anxiety Disorder - 7 scale (GAD-7) will be used to measure the child's anxiety disorder. | Through study completion, an average of 3 year |
| Child's Depression | The Patient Health Questionnaire-9 (PHQ-9) will be used to measure the child's depression. | Through study completion, an average of 3 year |
| Measure | Description | Time Frame |
|---|---|---|
| Satisfaction with PICU care | Satisfaction with PICU care will be measured using The EMpowerment of PArents in The Intensive Care (EMPATHIC-P). | Through study completion, an average of 3 year |
| Patient's Quality of Life |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Orsola Gawronski, PhD | Contact | +393286011479 | orsola.gawronski@opbg.net |
| Name | Affiliation | Role |
|---|---|---|
| Orsola Gawronski, PhD | Bambino Gesù Children's Hospital IRCCS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bambino Gesù Children's Hospital IRCCS | Recruiting | Rome | 00165 | Italy |
Limited dataset, pilot study.
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| ID | Term |
|---|---|
| C000657744 | postintensive care syndrome |
| D000073935 | Narrative Medicine |
| D013313 | Stress Disorders, Post-Traumatic |
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| ID | Term |
|---|---|
| D033262 | Narration |
| D003142 | Communication |
| D001519 | Behavior |
| D040921 | Stress Disorders, Traumatic |
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The Quality of Life will be measured using the Pediatric Quality of Life Inventory (PedsQL).
| Through study completion, an average of 3 year |
| D000068099 |
| Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |