Communication Tool Evaluation on Intensive Care Patients.

Study Overview
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Brief Summary
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PICTREA is a study evaluating the impact of a communication tool PICT'REA on patients in reanimation units, equipped with ventilation systems, preventing them from speaking. The app consists of simple pictograms allowing simple communication between patients and the reanimation care team. The study will assess the quality of communication before and after the introduction of the communication tool in the reanimation unit.

Detailed Description
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Invasive mechanical ventilation is commonly used in intensive care, in sedated patients but also in perfectly conscious patients, and this on a daily basis. For these patients, the resulting deprivation of oral expression is a major source of stress and discomfort. On the side of the caregivers, the difficulty of comprehension is a source of frustration on a daily basis. Thus PICT'REA has been developped in order to help patients and caregivers to better understand each other during invasive ventilation. PICT'REA is a tool in the form of a mobile app with simple pictograms allowing simple communication (YES/NO/PAIN chart...). The study will analyze the quality of communication between patients and caregivers before and after the introduction of the application: Before setting up the tool: control group Over a period of 6 months In the multi-purpose resuscitations of Rangueil and Purpan, Cardio Vascular Surgery and Neurosurgery. After setting up the tool: Over a period of 6 months In the same departments The analyses consists of various questionnaires : the modified Ease of Communication Scale a Short questionnaire in 3 questions for caregivers IPREA questionnaire for patients Evaluation of the usability of the system by System Usability Scale questionnaire Evaluation of the attractiveness of the system by Attrackdiff questionnaire

Official Title
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A Communication Tool's Evaluation on Intensive Care Patients Equipped With Ventilation Systems.

Conditions
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Communication, Nonverbal

Intervention / Treatment
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* Other: communication tool PICT'REA


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hospitalized in intensive care or intensive care ventilated on a tracheostomy or an orotracheal intubation tube for> 24 hours not too agitated or too sedated (RASS -1 to +2) for> 24 hours CAM ICU negative Speak or read French Exclusion Criteria: Inability to use the device: Blind or visually impaired Severe paresis of the upper limbs No understanding of the tool.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: BEFORE PICT'REA introduction<br>Patients will have the usual communication tools (pen and paper, hands gestures...) | |
| Experimental: AFTER PICT'REA introduction<br>Patients will be given a tablet to communicate with the caregivers whenever needed | Other: communication tool PICT'REA<br>* The pictograms communication tool PICT'REA will be available to patients with invasive ventilation systems preventing them from speaking<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ease of Communication | The modified Ease of Communication Scale (ECS), comprising 8 questions of 1 to 5 points, for a maximum total of 40 points. The lower the score, the easiest the communication is. This is regarding patients using traditional communication methods (slate, alphabet, lip reading, etc.) | before PICT'REA introduction (Baseline) | 
| Ease of Communication | The modified Ease of Communication Scale (ECS), comprising 8 questions of 1 to 5 points, for a maximum total of 40 points. The lower the score, the easiest the communication is. This is regarding patients using the PICT REA application. | after PICT'REA introduction (6 months) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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intensive care, communication tool, invasive ventilation, speaking impairment, technology