Tokyo, Sept. 25 -- UMIN Clinical Trials Registry (UMIN-CTR) received information related to the study (UMIN000059152) titled 'Effectiveness of Family Involvement Related to Mobilization for Critically Ill Patients on Family Satisfaction: A Multicenter Randomized Controlled Trial' on Sept. 25.
Study Type:
Interventional
Study Design:
Basic Design - Parallel
Randomization - Randomized
Blinding - Open -no one is blinded
Control - No treatment
Primary Sponsor:
Institute - Kyoto University
Condition:
Condition - Post Intensive Care Syndrome-Family
Post Intensive Care Syndrome
Classification by malignancy - Others
Genomic information - NO
Objective:
Narrative objectives1 - This study will investigate whether family participation in mobilization of critically ill patients admitted to the ICU, compared with no family participation, influences family satisfaction after ICU discharge and the incidence of Post intensive care syndrome-family (PICS-F) at 3, 6, and 12 months after randomization. In addition, the study will assess the safety of family participation in mobilization and its potential effects on patient outcomes, including discharge disposition and length of ICU and hospital stay.
Basic objectives2 - Efficacy
Intervention:
Interventions/Control_1 - Participants randomized to the intervention group will receive, in addition to usual ICU care, a complex intervention termed family involvement related to mobilization. In this study, "mobilization" refers to interventions aimed at restoring physical and social functioning in ICU patients, including early mobilization, exercise therapy, and respiratory training, delivered by physiotherapists, occupational therapists, or nurses with at least six months of ICU experience.
Family participants allocated to the intervention arm will be contacted by healthcare providers, typically via telephone, with information regarding the scheduled start time of mobilization sessions. Upon arrival, family participants will be screened by staff to confirm overall good health and absence of infectious disease, and will be required to wear a mask and gloves. They will then participate in the mobilization alongside rehabilitation staff.
Family participation will follow a standardized "Family Involvement in Mobilization Program", developed and shared among rehabilitation staff before trial initiation.
The intervention also includes increased opportunities for family contact, visitation, and communication with healthcare providers, in addition to mobilization participation.
The intervention will continue until 28 days after randomization or ICU discharge, whichever occurs first. After day 28, intervention delivery is optional and outcome measurements are no longer required. Family participants in the intervention arm who do not participate in any mobilization sessions will be considered protocol deviations.
Interventions/Control_2 - The control group will receive usual ICU care as delivered at the participating sites. At the time of trial initiation, structured family participation in mobilization is not part of standard care in these ICUs. Thus, the control group can be considered "no family participation in mobilization." Family participants in the control group will not be intentionally contacted about mobilization schedules. No restrictions will be placed on other treatments for patients or families. If a family participant in the control group engages in mobilization, this will be considered a protocol deviation.
Eligibility:
Age-lower limit - 18
years-old
Gender - Male and Female
Key inclusion criteria -
Age >=18 years
Within the second degree of kinship with the patient participant or partner
Independent in activities of daily living (ADL)
Able to provide informed consent within 72 hours after the patient participant's ICU admission
Age >=18 years
Emergency admission to the ICU
Expected to require mechanical ventilation for >=48 hours
Not expected to die prematurely
The prediction of >=48 hours of ventilation and non-early death will be made by a physician with at least six months of ICU experience.
Key exclusion criteria -
Receiving psychiatric treatment
Native language other than Japanese
Anticipated difficulty visiting the hospital
Anticipated difficulty completing web-based questionnaires
Judged inappropriate by the attending physician
Previous enrollment in this trial
Native language other than Japanese
Target Size - 80
Recruitment Status:
Recruitment status - Preinitiation
Date of protocol fixation - 2025 Year 09 Month 01 Day
Anticipated trial start date - 2025 Year 12 Month 01 Day
Last follow-up date - 2027 Year 03 Month 31 Day
To know more, visit https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067634
Disclaimer: Curated by HT Syndication.