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Trial registered on ANZCTR
Registration number
ACTRN12618001123235
Ethics application status
Approved
Date submitted
29/06/2018
Date registered
9/07/2018
Date last updated
9/07/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Pilot study on feasibility of Intensive care unit bereavement follow-up service for family representatives of patients who die in the Intensive Care Unit (ICU).
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Scientific title
Pilot study on feasibility of intensive care unit bereavement follow-up service for family representatives of patients who die in the Intensive Care Unit (ICU).
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Secondary ID [1]
295367
0
none
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Universal Trial Number (UTN)
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Trial acronym
BFUP (Bereavement Follow-up Project)
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
End-of-life care
308595
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Bereavement
308694
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Condition category
Condition code
Mental Health
307547
307547
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0
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Other mental health disorders
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
4
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Target follow-up type
Weeks
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Description of intervention(s) / exposure
Prospective, single-centre observational study. Nominated family representative is identified at time of patient's death. The representative is contacted at 4 weeks. With his/her consent, a structured telephone interview is completed. Each telephone interview is anticipated to take around 30 minutes. The interview is based on the validated CAESAR tool, focused on care around the end-or-life. The areas covered include care, support and communication with patient and family, medical treatment of patient and discussion around organ donation.
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Intervention code [1]
301690
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To establish the feasibility of delivering a bereavement follow-up service by the ICU defined by the successful follow-up call rate.
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Assessment method [1]
306524
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Timepoint [1]
306524
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4 weeks post death in ICU
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Secondary outcome [1]
348781
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To assess the value of feedback received about the end-of-life care: recorded as Likert scores and qualitative feedback.
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Assessment method [1]
348781
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Timepoint [1]
348781
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4 weeks post death in ICU
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Secondary outcome [2]
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How the bereavement follow-up service is viewed by family members: recorded as qualitative feedback.
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Assessment method [2]
348782
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Timepoint [2]
348782
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4 weeks post death in ICU
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Eligibility
Key inclusion criteria
All adult (age 18 or above) deaths in ICU
Medical consensus of end-of-life care
family representative contactable at time of patient's death
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Next-of-kin not contactable at time of death
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Study design
Purpose
Psychosocial
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Data recorded as Likert scores and qualitative data.
Study to be conducted for a year and review for feasibility to be continued beyond that
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
1/02/2018
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Date of last participant enrolment
Anticipated
1/02/2020
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Actual
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Date of last data collection
Anticipated
29/02/2020
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Actual
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Sample size
Target
360
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Accrual to date
35
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
11278
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The Royal Adelaide Hospital - Adelaide
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Recruitment postcode(s) [1]
23165
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5000 - Adelaide
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Funding & Sponsors
Funding source category [1]
299963
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Government body
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Name [1]
299963
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Donate Life
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Address [1]
299963
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Level 6, 45 Grenfell Street, Adelaide SA 5000.
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Country [1]
299963
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Australia
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Primary sponsor type
Individual
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Name
Nikki Yeo
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Address
Intensive Care Unit,
Royal Adelaide Hospital,
Port Road,
Adelaide
SA 5000.
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Country
Australia
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Secondary sponsor category [1]
299341
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Individual
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Name [1]
299341
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Benjamin Reddi
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Address [1]
299341
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Intensive Care Unit,
Royal Adelaide Hospital,
Port Road,
Adelaide
SA 5000.
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Country [1]
299341
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300825
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CALHN Human Research Ethics
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Ethics committee address [1]
300825
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Royal Adelaide Hospital Clinical Trial Centre Wayfinder 3D460.02 Level 3 Royal Adelaide Hospital, Port Road, Adelaide SA 5000.
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Ethics committee country [1]
300825
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Australia
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Date submitted for ethics approval [1]
300825
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14/05/2018
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Approval date [1]
300825
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05/06/2018
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Ethics approval number [1]
300825
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R20180526
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Summary
Brief summary
Around 30% of deaths at the Royal Adelaide Hospital (300 per annum) occur in the ICU or shortly after leaving ICU. The importance of reviewing end-of-life care in the ICU is well recognised. Benefits include assisting family members to process their grief and the opportunity to improve the care delivered to dying patients. Primary aim of this study is to establish the feasibility of delivering a bereavement service by the intensive care unit. Secondary aims are to assess the value of feedback received about the end-of-life care and how the service is viewed by family members. This is a prospective, observational study. All family representatives of patients who die in ICU are included in the study. They are excluded if a family representative is not contactable or declines participation.. Patients are referred to the bereavement follow-up service at medical consensus of end-of-life. After the patient's death, the appropriate family representative will be given a brochure providing bereavement information and a letter outlining the follow-up service. The 30 minute interview is based on the validated CAESAR tool, focused on care around the end-of-life. The responses will be recorded as Likert scores with the option to provide qualitative feedback. The bereavement calls will be made at 4 weeks, by clinicians who are experienced intensive care clinicians. The telephone interview questionnaire consists of 16 questions in 4 sections. The first section of the questionnaire relates to the care of the patient and support for the family. The second section relates to the communication between ICU and the family. The care of the patient and the discussion around organ donation are covered in the next two sections. The last section consists of open-ended question relating to how the family member feel the end-of-life care can be improved.
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Trial website
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Trial related presentations / publications
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Public notes
This project was initially conducted as a quality assurance project, hence the project commencement date preceded the ethics approval date.
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Attachments [1]
2845
2845
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/AnzctrAttachments/375469-Protocol - Bereavement Follow-up Project version 2.docx
(Protocol)
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Attachments [2]
2846
2846
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/AnzctrAttachments/375469-R20180526 Approval Letter.pdf
(Ethics approval)
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Contacts
Principal investigator
Name
84934
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Dr Nikki Yeo
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Address
84934
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Intensive Care Unit,
Royal Adelaide Hospital,
Port Road,
Adelaide.
SA 5000.
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Country
84934
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Australia
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Phone
84934
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+61414203246
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Fax
84934
0
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Email
84934
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[email protected]
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Contact person for public queries
Name
84935
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Nikki Yeo
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Address
84935
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Intensive Care Unit,
Royal Adelaide Hospital,
Port Road,
Adelaide,
SA 5000.
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Country
84935
0
Australia
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Phone
84935
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+61414203246
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Fax
84935
0
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Email
84935
0
[email protected]
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Contact person for scientific queries
Name
84936
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Nikki Yeo
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Address
84936
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Intensive Care Unit,
Royal Adelaide Hospital,
Port Road,
Adelaide
SA 5000.
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Country
84936
0
Australia
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Phone
84936
0
+61414203246
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Fax
84936
0
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Email
84936
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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