"What Is Important to Us" Communication for Neurological Impairment
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new method to enhance communication between parents and doctors regarding children with severe neurological impairment (SNI). The experimental treatment, known as the "What Is Important to Us Communication Intervention," involves parents selecting photos that represent significant aspects of their family and child. These photos are then discussed with the child's healthcare team. The trial will compare this photo-narrative approach to usual care practices to determine if it improves interactions and decision-making. Eligible participants must have a child who has lived with SNI for more than six months and is currently hospitalized. As a Phase 2 trial, this research focuses on assessing the treatment's effectiveness in an initial, smaller group of participants.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.
What prior data suggests that this communication intervention is safe for patients with severe neurological impairment?
Research shows that the "What Is Important to Us" Communication Intervention is a non-drug approach. It uses photos and stories to facilitate conversations between families and doctors in the pediatric intensive care unit (PICU). Since it is neither a drug nor a medical procedure, typical safety concerns like side effects do not apply.
Previous studies on similar communication tools have found them to be generally well-received. Participants often find these tools helpful and supportive, without reporting any negative effects. This suggests that the "What Is Important to Us" intervention is safe for families to use in the PICU.12Why are researchers excited about this trial?
Researchers are excited about the "What Is Important to Us" Communication Intervention because it offers a unique approach to supporting families with children experiencing neurological impairment. Unlike traditional methods that focus solely on medical treatment, this intervention uses a photo-narrative technique to facilitate communication between parents and clinicians. By encouraging parents to share meaningful photos and stories about their child, the intervention aims to strengthen the emotional and communicative connection, potentially improving the overall hospital experience for both families and healthcare providers. This approach is innovative because it prioritizes personal and emotional insights, which are often overlooked in standard care.
What evidence suggests that the "What Is Important to Us" communication intervention is effective for severe neurological impairment?
Research shows that the "What Is Important to Us" Communication Intervention, using photos and stories, is being tested in this trial to enhance communication between parents and doctors. Participants may receive this intervention, which early studies suggest personalizes care by enabling parents to share significant aspects of their child's life through pictures. This approach aims to reduce caregiver stress and improve communication in the pediatric intensive care unit. Although data collection on its direct impact on health outcomes for children with severe neurological issues continues, early signs indicate it fosters better understanding between parents and healthcare providers.34567
Who Is on the Research Team?
Jori Bogetz, MD
Principal Investigator
Seattle Children's Hospital
Are You a Good Fit for This Trial?
This trial is for children and young adults (ages 3 months to 25 years) with severe neurological impairment who are staying in the pediatric ICU at Seattle Children's Hospital, expected to stay over a week, have a life expectancy of more than four weeks, and have previously been discharged home. It also includes their PICU clinicians.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Parents and clinicians complete the 'What Is Important to Us' communication intervention
Control
Control-arm parents receive usual care including standard psychosocial supports
Follow-up
Participants are monitored for feasibility, acceptability, and early efficacy after intervention
What Are the Treatments Tested in This Trial?
Interventions
- What Is Important to Us Communication Intervention
Trial Overview
The study is testing a new communication method called the 'What Is Important to Us' photo-narrative intervention. Patients/parents and their care team use photos and stories to improve understanding during critical illness. Participants are randomly assigned to either receive this intervention or usual care.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
The "What Is Important to Us" intervention is a photo-narrative invention that prompts parents to select a total of 1-3 photos that are then displayed at their child's ICU bedside representing: 1) who is important in our family; 2) what strengthens us as parents; 3) how we know our child is feeling well; and 4) what makes our child's hospitalization easier. Parents are encouraged to discuss the pictures with clinicians caring for their child. Clinicians caring for the child are sent the photos electronically along with suggested discussion prompts to use with parents.
Usual supportive care
Find a Clinic Near You
Who Is Running the Clinical Trial?
Seattle Children's Hospital
Lead Sponsor
Citations
A photo-narrative intervention protocol for clinicians ... - PMC
This study will evaluate the feasibility and acceptability of a novel photo-narrative intervention designed to improve caregiver stress and communication.
A Photo-Narrative Intervention for Children With Severe ...
This qualitative study successfully adapted and refined a photo-narrative intervention for children with SNI in the PICU to further humanistic care.
A Photo-Narrative Intervention for Children With Severe ...
This study describes the iterative refinement and lessons learned in adapting a photo-narrative intervention for children with SNI in the PICU.
4.
researcherprofiles.seattlechildrens.org
researcherprofiles.seattlechildrens.org/Jori.Bogetz/publicationsJori Bogetz | Publications
Methods: To address this, we created a photo-narrative intervention designed to facilitate parent-clinician communication. The intervention asks parents/ ...
5.
researchgate.net
researchgate.net/publication/388896246_A_Photo-Narrative_Intervention_Protocol_for_Children_with_Severe_Neurological_Impairment_in_the_PICU(PDF) A Photo-Narrative Intervention Protocol for Children ...
Discussion This study will evaluate the feasibility and acceptability of a novel photo-narrative intervention designed to improve caregiver ...
Trials Today
The "What Is Important to Us" Communication Intervention Pilot Clinical Trial. Seattle Children's Hospital Critical Illness Neurologic Disorder. The objective ...
Trials Today
The "What Is Important to Us" Communication Intervention Pilot Clinical Trial. Seattle Children's Hospital Critical Illness Neurologic Disorder. The objective ...
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