dc.contributor.author | Bates, Andrew | |
dc.contributor.author | Golding, Hannah | |
dc.contributor.author | Rushbrook, Sophie | |
dc.contributor.author | Shapiro, Elan | |
dc.contributor.author | Pattison, Natalie | |
dc.contributor.author | Baldwin, David | |
dc.contributor.author | Grocott, Mike | |
dc.contributor.author | Cusack, Rebecca | |
dc.date.accessioned | 2023-10-02T17:00:00Z | |
dc.date.available | 2023-10-02T17:00:00Z | |
dc.date.issued | 2023-08-30 | |
dc.identifier.citation | Bates , A , Golding , H , Rushbrook , S , Shapiro , E , Pattison , N , Baldwin , D , Grocott , M & Cusack , R 2023 , ' A randomised pilot feasibility study of eye movement desensitisation and reprocessing recent traumatic episode protocol, to improve psychological recovery following intensive care admission for COVID-19 ' , Journal of the Intensive Care Society (JICS) , vol. 24 , no. 3 , pp. 309-319 . https://doi.org/10.1177/17511437221136828 | |
dc.identifier.issn | 1751-1437 | |
dc.identifier.other | ORCID: /0000-0002-6771-8733/work/143863382 | |
dc.identifier.uri | http://hdl.handle.net/2299/26815 | |
dc.description | © 2022 The Intensive Care Society. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.1177/17511437221136828 | |
dc.description.abstract | Background: Approximately 50% of intensive care survivors experience persistent psychological symptoms. Eye-movement desensitisation and reprocessing (EMDR) is a widely recommended trauma-focussed psychological therapy, which has not been investigated systematically in a cohort of intensive care survivors: We therefore conducted a randomised pilot feasibility study of EMDR, using the Recent Traumatic Episode Protocol (R-TEP), to prevent psychological distress in intensive care survivors. Findings will determine whether it would be possible to conduct a fully-powered clinical effectiveness trial and inform trial design. Method: We aimed to recruit 26 patients who had been admitted to intensive care for over 24 h with COVID-19 infection. Consenting participants were randomised (1:1) to receive either usual care plus remotely delivered EMDR R-TEP or usual care alone (controls). The primary outcome was feasibility. We also report factors related to safety and symptom changes in post-traumatic stress disorder, (PTSD) anxiety and depression. Results: We approached 51 eligible patients, with 26 (51%) providing consent. Intervention adherence (sessions offered/sessions completed) was 83%, and 23/26 participants completed all study procedures. There were no attributable adverse events. Between baseline and 6-month follow-up, mean change in PTSD score was −8 (SD = 10.5) in the intervention group versus +0.75 (SD = 15.2) in controls (p = 0.126). There were no significant changes to anxiety or depression. Conclusion: Remotely delivered EMDR R-TEP met pre-determined feasibility and safety objectives. Whilst we achieved group separation in PTSD symptom change, we have identified a number of protocol refinements that would improve the design of a fully powered, multi-centre randomised controlled trial, consistent with currently recommended rehabilitation clinical pathways. Trial registration: ClinicalTrials.gov: NCT04455360. | en |
dc.format.extent | 11 | |
dc.format.extent | 426001 | |
dc.language.iso | eng | |
dc.relation.ispartof | Journal of the Intensive Care Society (JICS) | |
dc.subject | COVID | |
dc.subject | Critical care | |
dc.subject | EMDR | |
dc.subject | PTSD | |
dc.subject | R-TEP | |
dc.subject | anxiety | |
dc.subject | depression | |
dc.subject | early EMDR intervention | |
dc.subject | feasibility | |
dc.subject | intensive care | |
dc.subject | psychology | |
dc.subject | Critical Care and Intensive Care Medicine | |
dc.subject | Critical Care | |
dc.title | A randomised pilot feasibility study of eye movement desensitisation and reprocessing recent traumatic episode protocol, to improve psychological recovery following intensive care admission for COVID-19 | en |
dc.contributor.institution | Centre for Future Societies Research | |
dc.contributor.institution | Department of Adult Nursing and Primary Care | |
dc.contributor.institution | School of Health and Social Work | |
dc.contributor.institution | Centre for Applied Clinical, Health and Care Research (CACHE) | |
dc.description.status | Peer reviewed | |
dc.identifier.url | http://www.scopus.com/inward/record.url?scp=85142362568&partnerID=8YFLogxK | |
rioxxterms.versionofrecord | 10.1177/17511437221136828 | |
rioxxterms.type | Journal Article/Review | |
herts.preservation.rarelyaccessed | true | |