The DOI matches its Crossref record; 35 of the 36 references it cites were found in a registry or an index.
Randomized Trial of Communication Facilitators to Reduce Family Distress and Intensity of End-of-Life Care
Open accessAbstract
Rationale Communication with family of critically ill patients is often poor and associated with family distress. Objectives To determine if an intensive care unit (ICU) communication facilitator reduces family distress and intensity of end-of-life care. Methods We conducted a randomized trial at two hospitals. Eligible patients had a predicted mortality greater than or equal to 30% and a surrogate decision maker. Facilitators supported communication between clinicians and families, adapted communication to family needs, and mediated conflict. Measurements and main results Outcomes included depression, anxiety, and post-traumatic stress disorder (PTSD) among family 3 and 6 months after ICU and resource use. We identified 488 eligible patients and randomized 168. Of 352 eligible family members, 268 participated (76%). Family follow-up at 3 and 6 months ranged from 42 to 47%. The intervention was associated with decreased depressive symptoms at 6 months (P = 0.017), but there were no significant differences in psychological symptoms at 3 months or anxiety or PTSD at 6 months. The intervention was not associated with ICU mortality (25% control vs. 21% intervention; P = 0.615) but decreased ICU costs among all patients (per patient: $75,850 control, $51,060 intervention; P = 0.042) and particularly among decedents ($98,220 control, $22,690 intervention; P = 0.028). Among decedents, the intervention reduced ICU and hospital length of stay (28.5 vs. 7.7 d and 31.8 vs. 8.0 d, respec…
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“Family support interventions may help to reduce these psychological impacts, as suggested by four systematic reviews, 37,71,72,83 and two recent studies. 84,85”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [85]
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Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910
Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2010) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2010.03.006 · Cited by 4,057
A Controlled Trial to Improve Care for Seriously III Hospitalized Patients
Connors, A. F. (1995) · JAMA · doi:10.1001/jama.274.20.1591 · Cited by 3,448
Generalist plus Specialist Palliative Care — Creating a More Sustainable Model
Quill, T. E., & Abernethy, A. P. (2013) · New England Journal of Medicine · doi:10.1056/nejmp1215620 · Cited by 1,464
Monitoring Depression Treatment Outcomes With the Patient Health Questionnaire-9
L??we, B., Un??tzer, J., Callahan, C. M., Perkins, A. J., & Kroenke, K. (2004) · Medical Care · doi:10.1097/00005650-200412000-00006 · Cited by 1,354
A communication strategy and brochure for relatives of patients dying in the ICU.
Lautrette, A., Darmon, M., Megarbane, B., Joly, L. M., Chevret, S., Adrie, C., Barnoud, D., Bleichner, G., Bruel, C., Choukroun, G., et al. (2007) · New England Journal of Medicine · doi:10.1056/nejmoa063446 · Cited by 1,279
Self-citationUse of intensive care at the end of life in the United States: An epidemiologic study*
Angus, D. C., Barnato, A. E., Linde‐Zwirble, W. T., Weissfeld, L. A., Watson, R. S., Rickert, T., & Rubenfeld, G. D. (2004) · Critical Care Medicine · doi:10.1097/01.ccm.0000114816.62331.08 · Cited by 1,157
LOWE, B. (2004) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00237-9 · Cited by 1,060
Enders, C. K. (2001) · Psychological Methods · doi:10.1037/1082-989x.6.4.352 · Cited by 942
Schneiderman, L. J., Gilmer, T., Teetzel, H. D., Dugan, D. O., Blustein, J., Cranford, R., Briggs, K. B., Komatsu, G. I., Goodman-Crews, P., Cohn, F., et al. (2003) · JAMA · doi:10.1001/jama.290.9.1166 · Cited by 661
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Uyeda, A. M., Curtis, J. R., Engelberg, R. A., Brumback, L. C., Guo, Y., Sibley, J., Lober, W. B., Cohen, T., Torrence, J., Heywood, J., et al. (2022) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2022.02.006 · Cited by 19
Self-citationCurtis, J. R., Lee, R. Y., Brumback, L. C., Kross, E. K., Downey, L., Torrence, J., Heywood, J., LeDuc, N., Mallon Andrews, K., Im, J., et al. (2022) · Contemporary Clinical Trials · doi:10.1016/j.cct.2022.106879 · Cited by 12
Self-citationFamily-Support Intervention in the ICU
(2018) · New England Journal of Medicine · doi:10.1056/nejmc1809967 · Cited by 8
Piloting Group-Based Behavioral Activation Therapy for Families of Deceased COVID-19 Patients
England, A. E., Lietzau, S., Vu, J., Hebert, C., Banayan, D., Greenberg, J. A., & Gerhart, J. (2022) · Critical Care Explorations · doi:10.1097/cce.0000000000000803 · Cited by 6
Metadata
- Authors
- Curtis, J. R., Treece, P. D., Nielsen, E. L., Gold, J., Ciechanowski, P. S., Shannon, S. E., Khandelwal, N., Young, J. P., & Engelberg, R. A.
- Affiliations
- Cambia (AU)
- School of Law
- Department of Psychiatry and Behavioral Sciences, and
- Department of Biobehavioral Nursing and Health Systems, School of Nursing
- University of Washington (US)
- Corresponding author
- Curtis, J. Randall
- ORCID
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-01
- Volume
- 193
- Issue
- 2
- Pages
- 154-162
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- PMC
- PMC4731711
- OpenAlex
- W2128195581
- Cited by
- 398
- References
- 36
- Citations by year
- 2026: 34 · 2025: 29 · 2024: 39 · 2023: 32 · 2022: 49 · 2021: 40 · 2020: 35 · 2019: 40 · 2018: 38 · 2017: 33 · 2016: 23
- FWCI
- 66.27
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Respiratory and Critical Care Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Nursing Research (R01 NR05226)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Family and Patient Care in Intensive Care Units
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
- Keywords
- family communication, communication facilitators, family distress, end-of-life care, intensive care unit, critically ill patients, surrogate decision makers, family depression, post-traumatic stress disorder, anxiety, ICU costs, length of hospital stay, family conflict mediation
- MeSH terms
- Aged, 80 and over, Communication, Costs and Cost Analysis, Decision Making, Depression, Family, Female, Follow-Up Studies, Humans, Intensive Care Units, Length of Stay, Male, Middle Aged, Palliative Care, Professional-Family Relations, Stress, Psychological, Terminal Care, Negotiating, Withholding Treatment
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