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Delivering Cognitive Behavioral Therapy for Post-Intensive Care Syndrome-Family via a Mobile Health App.

Authors :
Petrinec A
Wilk C
Hughes JW
Zullo MD
Chen YJ
Palmieri PA
Source :
American journal of critical care : an official publication, American Association of Critical-Care Nurses [Am J Crit Care] 2021 Nov 01; Vol. 30 (6), pp. 451-458.
Publication Year :
2021

Abstract

Background: Family members of intensive care unit (ICU) patients are at risk for post-intensive care syndrome- family (PICS-F), including symptoms of anxiety, depression, and posttraumatic stress. Cognitive behavioral therapy is the first-line nonpharmacologic treatment for many psychological symptoms and has been successfully delivered by use of mobile technology for symptom self-management.<br />Objectives: To determine the feasibility of delivering cognitive behavioral therapy through a smartphone app to family members of critically ill patients.<br />Methods: This was a prospective longitudinal cohort study with a consecutive sample of patients admitted to 2 adult ICUs and their family members. The control group period was followed by the intervention group period. The intervention consisted of a mobile health app preloaded on a smartphone provided to family members. The study time points were enrollment (within 5 days of ICU admission), 30 days after admission, and 60 days after admission. Study measures included demographic data, app use, satisfaction with the app, mental health self-efficacy, and measures of PICS-F symptoms.<br />Results: The study sample consisted of 49 predominantly White (92%) and female (82%) family members (24 intervention, 25 control). Smartphone ownership was 88%. Completion rates for study measures were 92% in the control group and 79% in the intervention group. Family members logged in to the app a mean of 18.58 times (range 2-89) and spent a mean of 81.29 minutes (range 4.93-426.63 minutes) using the app.<br />Conclusions: The study results confirm the feasibility of implementing app-based delivery of cognitive behavioral therapy to family members of ICU patients.<br /> (©2021 American Association of Critical-Care Nurses.)

Details

Language :
English
ISSN :
1937-710X
Volume :
30
Issue :
6
Database :
MEDLINE
Journal :
American journal of critical care : an official publication, American Association of Critical-Care Nurses
Publication Type :
Academic Journal
Accession number :
34719716
Full Text :
https://doi.org/10.4037/ajcc2021962