Intensive Care Syndrome: Promoting Independence and Return to Employment (InS:PIRE). Early evaluation of a complex intervention

McPeake, Joanne; Shaw, Martin; Iwashyna, Theodore J.; Daniel, Malcolm; Devine, Helen; Jarvie, Lyndsey; Kinsella, John; MacTavish, Pamela; Quasim, Tara

doi:10.1371/journal.pone.0188028

Cited by 69 publications

(49 citation statements)

References 34 publications

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“…Therefore, our results regarding self-efficacy were inconclusive. 28 However, it is clear that we did not achieve a difference in depressive symptoms between the study groups, as was found with a previous motivational interviewing face-to-face intervention. 3 All participants improved their scores for self-efficacy, depression, and fear of partner over time.…”

Section: Discussionmentioning

confidence: 51%

An online healthy relationship tool and safety decision aid for women experiencing intimate partner violence (I-DECIDE): a randomised controlled trial

Hegarty

Tarzia

Valpied

et al. 2019

The Lancet Public Health

118

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Background Evidence for online interventions to help women experiencing intimate partner violence is scarce. We assessed whether an online interactive healthy relationship tool and safety decision aid (I-DECIDE) would increase women's self-efficacy and improve depressive symptoms compared with an intimate partner violence information website. Methods In this two-group pragmatic randomised controlled trial, we enrolled women who had screened positive for any form of intimate partner violence or fear of a partner in the 6 months before recruitment. Women aged 16-50 years currently residing in Australia, who had safe access to a computer and an internet connection, and who answered positively to one of the screening questions in English were eligible for inclusion. Participants were randomly assigned (1:1) by computer to receive either the intervention or control website. The intervention website consisted of modules on healthy relationships, abuse and safety, and relationship priority setting, and a tailored action plan. The control website was a static intimate partner violence information website. As the initial portion of the website containing the baseline questions was identical for both groups, there was no way for women to tell which group they had been allocated to, and the research team were also masked to participant allocation until after analysis of the 12-month data. Data were collected at baseline, immediately after completion of the website, at 6 months, and 12 months. Primary outcomes were mean general self-efficacy score (immediately after website completion, and at 6 months and 12 months) and mean depression score (at 6 months and 12 months). Data analyses were done according to intention-to-treat principles, accounting for missing data, and adjusted for outcome baseline scores. This trial was registered with the Australian New Zealand Clinical Trials Registry, ACTRN 12614001306606. Findings Between Jan 16, and Aug 28, 2015, 584 patients registered for the study and were assessed for eligibility. 422 eligible participants were randomly allocated to the intervention group (227 patients) or control group (195 patients). 179 (79%) participants in the intervention group and 156 (80%) participants in the control group completed 12-month follow-up. Mean self-efficacy at 6 months and 12 months was lower for participants in the intervention group than for participants in the control group, although this did not meet the prespecified mean difference (6 months: 27•5 [SD 5•1] vs 28•1 [4•4], imputed mean difference 1•3 [95% CI 0•3 to 2•3]; 12 months: 27•8 [SD 5•4] vs 29•0 [5•0], imputed mean difference 1•6 [95% CI 0•5 to 2•7]). We found no difference between groups in depressive symptoms at 6 months or 12 months (6 months: 22•5 [SD 17•1] vs 24•2 [17•2], imputed mean difference-0•3 [95% CI-3•5 to 3•0]; 12 months: 21•9 [SD 19•3] vs 21•5 [19•3], imputed mean difference-1•9 [95% CI-5•6 to 1•7]). Qualitative findings indicated that participants found the intervention supportive and a motivation for action. Interpr...

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Section: Discussionmentioning

confidence: 51%

An online healthy relationship tool and safety decision aid for women experiencing intimate partner violence (I-DECIDE): a randomised controlled trial

Hegarty

Tarzia

Valpied

et al. 2019

The Lancet Public Health

118

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“…Data were collected between September 2014 and June 2015. Complementary data from the InS:PIRE programme has been published elsewhere (10)(11)(12).…”

Section: Patientsmentioning

confidence: 99%

Chronic pian in intensive care unit surviviors: incidence, characteristics and side-effects up to one-year post-discharge

Devine¹,

Quasim²,

McPeake³

et al. 2019

J Rehabil Med

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The sickest patients in a hospital often need treatment in an intensive care unit. When these patients eventually go home they often experience continuing psychological and physical problems, including pain. The aim of this study was to look at how often pain occurred in this group of patients, where the pain occurred, and if the pain was interfering with patient's lives. We studied 47 patients after discharge from hospital and found that two-thirds of them had pain that they did not have before their stay in the intensive care unit. We followed up these patients over a 1-year period and found that the level of pain they experienced did not change over time. However, it did not interfere with their lives as much. Further studies are needed to find out why pain is such a major problem for intensive care unit survivors. Background: Intensive care unit survivors experience significant physical and psychological problems, including chronic pain following discharge. The aim of this study was to observe the incidence, anatomical sites, intensity, and interference of chronic pain in intensive care unit survivors over a 1-year period. In addition, potential predictors of chronic pain were analysed. Methods: Data were collected during an intensive care unit follow-up programme as part of a quality improvement initiative. Data from the Brief Pain Inventory and from musculoskeletal assessment were examined, alongside demographic data from the patient. Data were collected from patients at baseline and at a 1-year follow-up appointment. Results: Data from 47 intensive care unit survivors were included in this study. In 66% (n = 31) of the patients a "new" chronic pain that did not exist before their stay in the intensive care, was reported. Pain intensity in this patient group was "moderate"' and did not improve significantly over the 1-year period. Although pain interference with life decreased over the study period, it was still the most common cause of reduced enjoyment of life and reduced employment at 1-year follow-up. Conclusion: Chronic pain is associated with morbidity in intensive care unit survivors. Pain interference, but not pain intensity, improved significantly in the first year after discharge. Further multi-centre research is required to elucidate the chronic pain experience.

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“…InS:PIRE, which runs on a cohort basis, aims to provide individualized health and social care resources, which patients and their caregivers need to make a safe and effective recovery. This program has been piloted in one site thus far and has demonstrated a signal of improved quality of life for the participants involved (69)(70).…”

Section: Health and Social Integrationmentioning

confidence: 99%

Acute Respiratory Distress Syndrome as a Precursor to Post–Intensive Care Syndrome

McPeake

Veith

Maley

et al. 2019

Clinical Pulmonary Medicine

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Intensive Care Syndrome: Promoting Independence and Return to Employment (InS:PIRE). Early evaluation of a complex intervention

Cited by 69 publications

References 34 publications

An online healthy relationship tool and safety decision aid for women experiencing intimate partner violence (I-DECIDE): a randomised controlled trial

An online healthy relationship tool and safety decision aid for women experiencing intimate partner violence (I-DECIDE): a randomised controlled trial

Chronic pian in intensive care unit surviviors: incidence, characteristics and side-effects up to one-year post-discharge

Acute Respiratory Distress Syndrome as a Precursor to Post–Intensive Care Syndrome

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