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- Title
Feasibility and Acceptability: Narrative Writing with Caregivers in Pediatric Critical Care.
- Authors
Grossoehme, Daniel H.; Robinson, Nicole; Aultman, Julie M.; Forbes, Michael L.; Gerak, Laura; Friebert, Sarah
- Abstract
Background: Pediatric intensive care unit (PICU) admissions are caregiver stressors with potential long-term impact. Writing interventions have shown health benefits, although not yet with parents writing during their child's PICU admission. Objective: The study objective was to quantify intervention acceptability and feasibility and to qualitatively examine written texts. Design: This is a proof-of-concept three-arm randomized trial. Setting and Subjects: Subjects were legal caregivers ≥18 years, able to read and write English, and of children ≤18 years in a U.S. PICU for ≥1 day. Measurements: Treatment Acceptability Questionnaire, enrollment rates, completed encounters, and qualitative thematic analysis. Results: Acceptability was high (49% enrollment; mean [standard deviation] Treatment Acceptability Questionnaire scores: M = 24.8 [2.4]). Feasibility was 100% scheduled-to-completed sessions. Thematic analysis revealed two themes (people and relationships); texts were more cognitive than emotional. Conclusions: Caregivers, provided resources and supported by a narrative medicine facilitator, are likely to engage in expressive writing. The intervention warrants subsequent development.
- Subjects
UNITED States; CAREGIVER attitudes; INTENSIVE care units; ENGLISH language; PEDIATRICS; COGNITION; TREATMENT effectiveness; QUALITATIVE research; RANDOMIZED controlled trials; PRE-tests &; post-tests; CRITICAL care medicine; RESEARCH funding; DESCRIPTIVE statistics; QUESTIONNAIRES; WRITTEN communication; STATISTICAL sampling; THEMATIC analysis; EMOTIONS
- Publication
Journal of Palliative Medicine, 2023, Vol 26, Issue 1, p114
- ISSN
1096-6218
- Publication type
Article
- DOI
10.1089/jpm.2022.0207