160 Participants NeededMy employer runs this trial

"What Is Important to Us" Communication for Neurological Impairment

JB
Overseen ByJori Bogetz, MD
Age: Any Age
Sex: Any
Trial Phase: Phase 2
Sponsor: Seattle Children's Hospital
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

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.12

Why 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?

JB

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

I am a licensed clinician working in the pediatric ICU at Seattle Children's.
I am 3 months to 25 years old with severe neurological impairment and have been in the ICU before.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 week
1 visit (in-person)

Intervention

Parents and clinicians complete the 'What Is Important to Us' communication intervention

Up to 4 weeks
Ongoing interaction during ICU stay

Control

Control-arm parents receive usual care including standard psychosocial supports

Up to 4 weeks
Ongoing interaction during ICU stay

Follow-up

Participants are monitored for feasibility, acceptability, and early efficacy after intervention

Up to 4 weeks
Post-intervention surveys and interviews

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

Group I: "What Is Important to US" Communication InterventionExperimental Treatment1 Intervention
Group II: Usual CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Seattle Children's Hospital

Lead Sponsor

Trials
319
Recruited
5,232,000+

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.

Jori Bogetz | Publications

Methods: To address this, we created a photo-narrative intervention designed to facilitate parent-clinician communication. The intervention asks parents/ ...

(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 ...