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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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A Randomized Comparative Trial to Evaluate a PICU Navigator-Based Parent Support Intervention.

Kelly N Michelson1,2,3, Joel Frader2,4, Elizabeth Charleston1

  • 1Division of Pediatric Critical Care Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
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Summary
This summary is machine-generated.

A navigator-based parent support intervention in pediatric intensive care units (PICUs) did not significantly improve parental decision-making satisfaction compared to a brochure. However, most parents found the navigator support helpful.

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Area of Science:

  • Pediatric critical care medicine
  • Healthcare communication
  • Parental support interventions

Background:

  • Communication breakdowns in pediatric intensive care units (PICUs) negatively impact parent support and outcomes.
  • Existing interventions have not improved parental satisfaction or psychological well-being.
  • There is a need for effective strategies to support parents in the PICU environment.

Purpose of the Study:

  • To compare parent-reported outcomes between a navigator-based parent support intervention (PICU Supports) and an informational brochure.
  • To evaluate the impact of the PICU Supports intervention on parental satisfaction with decision-making.
  • To assess secondary outcomes including parental psychological and physical morbidity and communication perceptions.

Main Methods:

  • A patient-level, randomized trial was conducted in two university-based, tertiary-care children's hospital PICUs.
  • Parents of patients requiring more than 24 hours in the PICU were enrolled.
  • The intervention involved trained navigators addressing parental needs, while the control group received an informational brochure.

Main Results:

  • No statistically significant difference was found in the primary outcome (Pediatric Family Satisfaction in the ICU 24 decision-making domain) between the PICU Supports group (60.4%) and the brochure group (56.1%).
  • Secondary outcomes, including parental psychologic and physical morbidity and communication perceptions, also showed no significant differences.
  • A high percentage of parents (91.1%) receiving PICU Supports found the intervention helpful.

Conclusions:

  • While the navigator-based intervention did not significantly improve decision-making satisfaction scores, parents rated the support positively.
  • Larger studies with enhanced recruitment and retention are recommended to further evaluate interventions like PICU Supports.
  • The findings highlight the importance of parental support in PICUs, even if statistical significance was not achieved in this trial.