Provision Of Psychological support to People in Intensive care (POPPI): feasibility study

ISRCTN ISRCTN61088114
DOI https://doi.org/10.1186/ISRCTN61088114
Secondary identifying numbers 16479
Submission date
05/06/2014
Registration date
05/06/2014
Last edited
13/09/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
It is known that patients may suffer from stress and panic in intensive care. Many patients become fearful and some even see or hear things that are not really happening (hallucinations). Doctors believe these frightening effects are caused by illness, medicine or stressful treatments in intensive care. Research shows that these worries and fears may increase the time it takes for patients to get better. The stress could also lead to future problems like flashbacks or nightmares. The idea of this study is to give intensive care staff special training to help patients who are worried or distressed. All the staff will learn how to make intensive care a calmer, less stressful place. Some nurses will also have training to give patients extra support to help lower their stress. The trialists believe this will improve patientsÂ’ well-being after leaving intensive care.

Who can participate?
Adult patients receiving treatment in the intensive care can take part.

What does the study involve?
This study consists of two separate parts. Part one is to check that patients are happy to take part and complete a short questionnaire. If it is shown that patients are happy to do this, they move on to part two. Part two of the study tests whether training intensive care staff to give stress support can improve patients' future well-being. Patients taking part in part one of the study receive a short questionnaire 5 months after their stay in intensive care by email or post. Patients taking part in part two of the study are given a short questionnaire about stress and mood in intensive care. It only takes a few minutes to answer the questions. If the stress score is low, they continue to receive normal care from the intensive care staff. If they have a high score, a specially trained nurse offers three sessions of stress support. These sessions are to discuss any worries they may have and to help them cope with being in intensive care. They also receive music and relaxation tapes, and a booklet.

What are the possible benefits and risks of participating?
The trialists cannot promise the study will help patients right now. They will be part of an important study aiming to improve the well-being of intensive care patients. If nurses like the training and patients find the stress support helpful, the study will be held in another 24 hospitals.

Where is the study run from?
The study is being run at four sites in the UK: Bristol Royal Infirmary, Medway Maritime Hospital, University College Hospital, and Watford General Hospital.

When is the study starting and how long is it expected to run for?
June 2014 to June 2015

Who is funding the study?
National Institute for Health Research (NIHR) (UK)

Who is the main contact?
Mr Paul Mouncey
paul.mouncey@icnarc.org

Contact information

Mr Paul Mouncey
Scientific

Napier House
24 High Holborn
London
WC1V 6AZ
United Kingdom

Email paul.mouncey@icnarc.org

Study information

Study designNon-randomised; Both; Design type: Prevention, Screening, Treatment
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titlePsychological Outcomes following a nurse-led Preventative Psychological Intervention for critically ill patients (POPPI): a feasibility study
Study acronymPOPPI
Study objectivesThe overall aim of the study is to develop and test the feasibility of a complex psychological intervention and to test the feasibility of the processes and procedures for the POPPI cluster randomised controlled trial.
Ethics approval(s)NRES Committee South Central - Oxford B, 23/04/2014, ref: 14/SC/0149
Health condition(s) or problem(s) studiedTopic: Critical Care, Mental Health; Subtopic: Critical Care, Anxiety; Disease: All Critical care, Anxiety
InterventionThe intervention to be assessed is a complex psychological intervention comprising four related elements:
1. An education package (two training courses and associated materials) to train critical care unit staff to carry out elements 2-4
2. Creating a therapeutic environment to promote calm and minimise stress in critical care (all critical care staff)
3. Screening for acute psychological stress and psychosis-like symptoms in critical care patients using the IPAT (all critical care staff)
4. Carrying out three, one-to-one CBT-inspired stress support sessions, for patients screened as distressed and at high risk of psychological morbidity (delivered by specially trained POPPI nurses)
Intervention typeBehavioural
Primary outcome measureThe main outcomes of the Intervention Feasibility Study will be the feasibility and acceptability of the intervention for the POPPI nurses and for patients, which will be assessed quantitatively and qualitatively. The main outcomes of the RCT Processes Feasibility Pilot Study are feasibility of estimated recruitment and retention rates.
Secondary outcome measuresNot provided at time of registration
Overall study start date01/06/2014
Completion date01/06/2015

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsPlanned Sample Size: 110; UK Sample Size: 110
Key inclusion criteria1. Age 18 years or greater
2. Receipt of Level 2 or Level 3 critical care for 48 hours or more
3. Between +1 and -1 on the Richmond Agitation Sedation Scale
4. English-speaking and ability to communicate
Key exclusion criteria1. Glasgow Coma Score of less than 15
2. Pre-existing chronic cognitive impairment, such as dementia
3. Pre-existing psychotic illness
4. Pre-existing chronic PTSD
5. Terminal illness/receiving end-of-life care
Date of first enrolment11/06/2014
Date of final enrolment30/03/2015

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centres

Bristol Royal Infirmary
Upper Maudlin St
Bristol
BS2 8HW
United Kingdom
Medway Maritime Hospital
Windmill Rd
Gillingham
ME7 5NY
United Kingdom
University College Hospital
235 Euston Rd
Fitzrovia
London
NW1 2BU
United Kingdom
Watford General Hospital
Vicarage Rd
Watford
WD18 0HB
United Kingdom

Sponsor information

Intensive Care National Audit & Research Centre (UK)
Research organisation

Napier House
24 High Holborn
London
WC1V 6AZ
United Kingdom

ROR logo "ROR" https://ror.org/057b2ek35

Funders

Funder type

Government

Health Services and Delivery Research Programme (Grant Codes: 12/64/124)
Government organisation / National government
Alternative name(s)
Health Services and Delivery Research (HS&DR) Programme, NIHR Health Services and Delivery Research (HS&DR) Programme, NIHR Health Services and Delivery Research Programme, HS&DR Programme, HS&DR
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 23/07/2018 Yes No
Results article results 01/08/2019 13/09/2019 Yes No
HRA research summary 28/06/2023 No No

Editorial Notes

13/09/2019: Publication reference added.
27/07/2018: Publication reference added.
10/12/2014: The overall trial end date was changed from 15/12/2014 to 01/06/2015.