A recovery program to improve quality of life, sense of coherence and psychological health in ICU survivors: a multicenter randomized controlled trial, the RAPIT study

Abstract

The trial is registered at Clinicaltrials.gov, identification no. NCT01721239.

Structured nurse‐led follow‐up for patients after discharge from the intensive care unit: Prospective quasi‐experimental study

“…A prospective study comparing the effect of the intervention over time with usual care is also a novelty in this research area. Compared with usual care the intervention did not improve health status over time which is consistent with the few existing comparative studies of ICU nurse‐led follow‐up (Cuthbertson et al., ; Jensen et al., ). The bodily pain score is of particular interest because at all time points, the experimental group had on average more bodily pain than the control group.…”

Intervention fidelity in postintensive care follow‐up consultations at ten sites in the RAPIT‐trial: A mixed‐methods evaluation

“…We found no difference in health-related quality of life, sense of coherence, anxiety, depression, and posttraumatic stress disorder at 12 months after ICU discharge (Jensen et al, 2016). But an exploratory analysis revealed a significant difference in severe anxiety at 3 months favouring the intervention (Jensen et al, 2016). Existing trials of psychological post-ICU rehabilitation lack evaluation of intervention fidelity limiting their generalizability and acceptability (Jensen et al, 2015;Jonasdottir et al, 2016;Lasiter, Oles, Mundell, London, & Khan, 2016).…”

“…The effectiveness of this complex intervention was evaluated in a multicenter randomized controlled trial (RCT) at ten Danish ICUs (Jensen et al, 2016). We found no difference in health-related quality of life, sense of coherence, anxiety, depression, and posttraumatic stress disorder at 12 months after ICU discharge (Jensen et al, 2016).…”

“…Physical training was initiated in the ICU and physical rehabilitation was offered to all patients (Jensen et al, 2016). The intervention was delivered by specially trained ICU-nurses.…”

“…This study is set in the context of the Recovery and Aftercare in Post Intensive care Therapy patient (RAPIT) trial (Jensen et al, 2016). The 1-year trial aimed to evaluate the effectiveness of a program empowering patients as a means to improve psychological recovery post-ICU compared with standard care.…”