Provision Of Psychological support to People in Intensive care (v1.0)
Research type
Research Study
Full title
Psychological Outcomes following a nurse-led Preventative Psychological Intervention for critically ill patients (POPPI) cluster-randomised controlled trial
IRAS ID
173772
Contact name
Kathryn Rowan
Contact email
Sponsor organisation
Intensive Care National Audit and Research Centre
Duration of Study in the UK
1 years, 5 months, 1 days
Research summary
POPPI - Provision Of Psychological support to People in Intensive care
Many patients suffer distress whilst in an intensive care unit (ICU) and can have a poor psychological recovery after leaving hospital. This could include suffering from frightening flashbacks to intensive care - a symptom of post-traumatic stress disorder (PTSD). POPPI aims to assess whether implementing a nurse-led psychological intervention can improve patients’ psychological recovery after a stay in an ICU and see if this approach is cost-effective. There are four parts to the intervention:
1. An education package to train ICU staff to carry out parts 2-4;
2. Creating a less stressful environment in the ICU;
3. Assessing patients’ psychological distress in the ICU using the Intensive care Psychological Assessment Tool; and
4. Carrying out three stress support sessions for very distressed patients (delivered by specially trained POPPI nurses).POPPI is a ‘cluster randomised controlled trial’ to be conducted in 2,904 patients recruited from 24 adult ICUs. ICUs will be randomly allocated to either delivering the intervention or their usual care (control group) for 11 months. For the first five months, all sites will deliver usual care. The Intervention group will undergo training and then deliver the intervention, whilst the control group will continue to deliver usual care for the remaining six months.
At the end of the trial, the psychological recovery of patients in the two groups (intervention and control) will be compared by measuring patient-reported PTSD symptom severity six months after recruitment onto the study. The costs of the intervention and patients’ quality of life will also be compared to measure the cost-effectiveness.POPPI in funded by the National Institute for Health Research Health Services and Delivery Research Programme. For more information contact the Intensive Care National Audit & Research Centre Clinical Trials Unit (www.icnarc.org).
REC name
South Central - Oxford B Research Ethics Committee
REC reference
15/SC/0287
Date of REC Opinion
15 May 2015
REC opinion
Favourable Opinion