一个数字工具，以提高家庭参与急性护理：NGAGE随机试点可行性试验

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

CJC Open Pub Date : 2025-06-01 DOI:10.1016/j.cjco.2025.03.007

Jean Pierre Abdallah BSc , Sara B.A. Morel DEC , Nataliya Soboleva BSc, MSc, NP , Jessica Quan BSN , Chella Price BSc , Michael Goldfarb MD, MSc

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引用次数: 0

摘要

背景让家庭参与护理是医疗保健服务的一个重要方面。我们的跨学科团队设计了NGAGE（“家庭参与”）工具，使家庭成员能够增加他们对患者护理的参与。本研究的目的是评估使用NGAGE工具的可行性。方法在某三级专科医院急性心脏科进行单中心、先导、可行性随机对照试验。入院患者的家庭成员以1:1的比例随机分为干预组（使用NGAGE工具）和常规护理组。干预组参与者可以使用NGAGE工具请求参与活动，并将此请求传递给治疗医疗团队。在入学时，统计数据和家庭参与得分被记录下来。出院时，收集护理满意度、心理健康和敬业度的数据。招募率、介入率、工具使用率、请求完成率和随访率用于评估可行性结果。结果共纳入88例受试者，其中干预组45例，对照组43例。平均招募率为每周2.9名参与者。在干预组中，69%的参与者使用了NGAGE工具（每位参与者使用1.5±0.9次）。大多数订婚请求(47个中的39个；83.0%)。76%的参与者（88人中67人）可获得随访数据。使用NGAGE工具的家庭成员提高了他们的家庭参与度得分。在心理健康或随访满意度方面，组间无差异(P >；0.05)。结论我们发现证据表明NGAGE工具的实施是可行的。结果将为设计使用NGAGE工具的多中心有效性试验提供信息。临床试验注册编号：nct05528185。

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A Digital Tool to Improve Family Engagement in Acute Care: The NGAGE Randomized Pilot Feasibility Trial

Background

Engaging families in care is an important aspect of healthcare delivery. Our interdisciplinary team designed the NGAGE (for “family eNGAGEment”) tool to empower family members to increase their engagement in patient care. The objective of this study was to assess the feasibility of use of the NGAGE tool.

Methods

We conducted a single-centre, pilot, feasibility randomized controlled trial in the acute cardiac unit of a tertiary-care academic hospital. Family members of admitted patients were randomized in a 1:1 manner to the intervention (use of the NGAGE tool) or usual-care group. Intervention group participants could request engagement activities using the NGAGE tool and this request was transmitted to the treating healthcare team. At enrollment, demographics and family engagement scores were captured. At discharge, data on care satisfaction, mental health, and engagement were collected. Recruitment rate, intervention uptake, tool use, requests fulfilled, and follow-up rate were used to assess feasibility outcomes.

Results

A total of 88 participants (45 intervention, 43 control) were included in the analysis. The mean recruitment rate was 2.9 participants per week. In the intervention group, 69% of participants used the NGAGE tool (1.5 ± 0.9 uses per participant). Most engagement requests (39 of 47; 83.0%) were fulfilled. Follow-up data were available for 76% of participants (67 of 88). Family members who used the NGAGE tool improved their family engagement score. No between-group differences occurred in mental health or satisfaction at follow-up (all P > 0.05).

Conclusions

We found evidence to suggest that implementation of the NGAGE tool was feasible. The results will inform the design of a multicentre effectiveness trial of use of the NGAGE tool.