Frequently Asked Questions for ICU Patients' Families

Study Overview
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Brief Summary
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The intervention consists of the delivery of a list of 21 questions to the relative of each patient admitted in ICU, intubated and mechanically ventilated during the first 48 hours of the stay. A formal interview is scheduled for relatives at Day 3 of inclusion. The information comprehension at Day 5 (± 1) will be compared between families that received the list of FAQ and families that received information as usual (without providing the list of FAQ

Detailed Description
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Half of the families of ICU patients do not understand the information provided by doctors and nurses. Receiving clear, loyal and appropriate information is one of their main expectations. We have previously reported that relatives had difficulty asking questions that allow them to improve their understanding regarding ICU issues. In a preliminary study, we developed a list of questions considered as important by families, ICU doctors and nurses. The aim of this prospective, randomized and controlled trial is to test the effectiveness of a list of frequently asked questions to relatives of ICU patients on their understanding of the provided information. The intervention consists of the delivery of a list of 21 questions to the relative of each patient admitted in intensive care, intubated and mechanically ventilated in the first 48 hours of ICU stay. A formal interview is scheduled for relatives at Day 3 of inclusion. The information comprehension at Day 5 (± 1) will be compared between families that received the list of FAQ and families that received information as usual (without providing the list of FAQ).

Official Title
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Frequently Asked Questions as an Help to Improve the Information of ICU Patients' Families.

Conditions
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Improve the Understanding of the Diagnosis the Treatment and the Prognosis by One Member of the Family

Intervention / Treatment
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* Other: list of FAQ


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The subjects that will be included are relatives of patients. The patients must be Adults Receiving invasive mechanical ventilation Intubated in the first 48 hours of ICU admission For an expected duration of mechanical ventilation > 48 hours With a life expectancy of at least 5 days and a SAPS 2 at baseline < 75 Who received a visit within 24 hours after intubation. Only one relative will be included. Exclusion Criteria: person unable to read French

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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| families that received the list of FAQ<br>The intervention consists of the delivery to the relatives of ICU patients a list of 21 key issues in intensive care during the first 48h period of ICU stay, only for intubated and mechanically ventilated patients A formal interview is scheduled to relatives of ICU patients on D3 of inclusion | Other: list of FAQ<br> <br> |
| families that received information as usual<br>A formal interview is scheduled relatives of ICU patients on D3 inclusion | Other: list of FAQ<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of understanding at day 5 by a method of reformulation questionnaire | The physician in charge of the patient provides the diagnosis, the treatment and the prognosis to the investigator prior to meet the relative. After the meeting, the relative gives to the investigator the diagnosis, main treatements and the prognosis as they have undestood them. In a final step, the investigator will indicate whether similar responses are consistent or not consistent. | 5th day after inclusion | 
| Scale of satisfaction out of intensive care. | HADS scores and IES-R at day 5 to day 10. | 3 months and at one yearfter inclusion |