| Title: |
The Caring Intensively Study: Three-Year Follow-Up Findings From a Mixed Methods Study of Children’s Psychological and Behavioral Responses After PICU Hospitalization |
| Authors: |
Rennick, Janet E.; Dougherty, Geoffrey; Dryden-Palmer, Karen; Campbell-Yeo, Marsha; Knox, Alyssa M.; Chambers, Christine T.; Stack, Dale M.; Treherne, Stephanie; Stremler, Robyn |
| Source: |
Pediatric Critical Care Medicine ; volume 26, issue 4, page e516-e530 ; ISSN 1529-7535 1947-3893 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2025 |
| Description: |
OBJECTIVES: To report the 3-year follow-up results of the “Caring Intensively” study, which examined children’s psychological and behavioral responses after PICU hospitalization. DESIGN: Prospective mixed methods, concurrent triangulation design. In the quantitative arm, study group (SG) and comparison group (CG) children and their parents were administered a battery of measures assessing psychological and behavioral outcomes, and telephone survey data were collected 6 weeks, 6 months, 1, 2, and 3 years post-discharge. In the qualitative arm, SG interviews were conducted 1 and 3 years post-discharge. Recruitment 2014–2018, with follow-up completed 2021. SETTING: SG recruited from PICUs of three Canadian quaternary care pediatric hospitals; CG from two hospitals’ ear, nose, and throat (ENT) day surgery units. PATIENTS: Age (3–12 yr) and gender-matched PICU children (SG, 158) or day surgery ENT children (CG, 169) and their parents were recruited; 62% of families completed the study (SG, 97; CG, 106). Selected SG families were interviewed at year 1 (17 families, 30 participants) and year 3 (14 families, 27 participants). INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: No group differences on primary or secondary outcomes. Both groups reported emotional and behavioral changes in children via telephone survey; however, group findings diverged on their nature and attribution. SG parents attributed changes primarily to PICU hospitalization; CG parents attributed changes to other life events. At year 3, 40.3% of SG parents still reported negative emotional and behavioral changes in children suggesting a chronic trajectory of recovery. Qualitative interview findings converged with SG survey responses, reflecting the adaptive and relational challenges confronting children and families. CONCLUSIONS: This study highlights children’s emotional and behavioral responses over the 3 years post-PICU and the need to study child recovery within the family. These findings contribute to our understanding of the nature and ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1097/pcc.0000000000003701 |
| DOI: |
10.1097/PCC.0000000000003701 |
| Availability: |
https://doi.org/10.1097/pcc.0000000000003701; https://journals.lww.com/10.1097/PCC.0000000000003701 |
| Rights: |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Accession Number: |
edsbas.E6B20BA5 |
| Database: |
BASE |