REFRAME for Emotional Stress in Critical Illness

This trial explores a new tool called REFRAME, a tablet-based program designed to help individuals manage emotional stress while making medical decisions for loved ones in the ICU. The study aims to determine if REFRAME can reduce emotional suffering and improve decision-making quality. It compares this tool with video-based informational support. Suitable participants are those who regularly make medical decisions for ICU patients and can use a tablet to view content. As an unphased trial, this study offers participants the chance to contribute to innovative research that could enhance support for ICU decision-makers.

The trial information does not specify whether you need to stop taking your current medications.

Research has shown that cognitive reframing, a technique similar to the REFRAME tool under study, is generally safe and positively impacts managing stress, anxiety, and depression. Studies indicate that it can help people handle these issues without major side effects. For example, one study found that cognitive reframing helps people manage stress and anxiety, suggesting it is safe for most participants.

Unlike traditional therapies for emotional stress in critical illness, which often include medications and in-person counseling, the REFRAME treatment is unique due to its digital and self-guided approach. This experimental tool is a tablet-based emotion regulation system, allowing patients to engage with therapy at their own pace and convenience, potentially improving accessibility and adherence. Researchers are excited about this innovation because it offers a new way to manage stress without the need for constant clinical oversight, making it especially valuable for individuals undergoing critical care. Additionally, the video-based psychoeducational component provides informational support, helping patients understand and manage their stress through easy-to-access resources.

Research has shown that the REFRAME program, a tablet-based tool, can assist people in managing emotions during difficult medical decisions in the ICU. In this trial, some participants will use REFRAME, which provides short lessons on emotion management, to better cope with stress. This tool is based on the Process Model of Emotion Regulation, which focuses on altering thoughts about a situation. This approach has been associated with reduced stress and improved emotional outcomes in challenging situations. Overall, early evidence suggests that REFRAME may help reduce emotional stress and enhance decision-making for families in crisis.³⁶⁷⁸⁹