Impacts of the Letter of Condolence to the Bereaved Families Experience After a Death in ICU  - Study Famirea 22

Study Overview
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Brief Summary
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After the death of a patient in the hyper-technical context of intensive care, his relatives are particularly vulnerable and often exhibit symptoms of anxiety, depression, post traumatic stress and complicated grief. The first results of a qualitative study Famiréa current (CAESAR) support the idea that the bereaved relatives suffer from persistent misunderstandings and a feeling of abandonment of the resuscitation team. Many families suggest the need for contact with the team after the patient's death. The letter of condolence received by some families allowed them to feel recognized in their pain resuscitation teams. This has led us to ask the question of post-death monitoring and interest to send to bereaved relatives a letter of condolence, as recommended by the American consensus conference in 2004 on good palliative care. This strategy would allow the recognition of both close to the pain but also the strong bond that united the resuscitation team. The hypothesis of the study is that the post-death followed in the form of a letter of condolence sent by the intensive care physician who was in charge of the patient, could reduce the risk of having symptoms of anxiety / depression and post-traumatic stress and reduce the rate of complicated grief. Famirea 22 is randomized clinical trial aimin to compare two bereaved groups: one group who did not receive a letter of condolence and a group that received a letter of condolence 15 days after the death.

Official Title
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Impacts of the Letter of Condolence to the Bereaved Families Experience After a Death in ICU  - Study Famirea 22

Conditions
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Death, Mourning

Intervention / Treatment
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* Other: Letter of condolence


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: death of a relative patient in intensive care whose relatives were interviewed at least once by resuscitation team death of an adult relative patient ICU stay of the relative patient more than 2 days Exclusion Criteria: death of a pregnant woman opposition to the use of its data by the patient relative does not speak French refusal of the relative

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

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Letter of condolence<br>Letter of condolence 15 days after the death of the relative. | Other: Letter of condolence<br> <br> |
| No Intervention: No letter of condolence<br>No letter of condolence | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HADS (Hospital Anxiety and Depression Scale) |  | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Caesar scale | a questionnaire describing ICU end-of-life practices and satisfaction with the patient's care, communication, and symptom management during the dying process. | 1 month | 
| IES-R (Impact of Event Scale, Revised) |  | 6 months | 
| ICG (Inventory of Complicated grief) |  | 6 months | 
| HADS (Hospital Anxiety and Depression Scale) |  | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Intensive care unit