University of Rochester
Survivors of Pediatric Intensive Care Unit (PICU) admissions often experience adverse mental health consequences, either as a result of, or associated with, their intensive care stay. Evidence-based digital cognitive behavioral therapy (dCBT) tools exist for both children and parents to learn cognitive behavioral strategies. In this feasibility study, we aim to measure the adoption and acceptability of a dCBT tool among PICU survivors and their parents. We hypothesize that \>50% of subjects will meet completion criteria for these programs, and that we will observe a trend toward improved anxiety scores.
Childhood critical illness is common and impacts nearly 1 in 6 hospitalized children. Although overall pediatric intensive care unit (PICU) mortality is decreasing, survivors are experiencing longer stays, greater symptom severity, and greater morbidity. Outcomes reflected in the post-intensive care syndrome in pediatrics (PICS-p) framework are expressed across several domains, including cognitive, physical, and emotional health. Survivor emotional health is often negatively impacted in both the short and long term, with rates of acute posttraumatic stress and posttraumatic stress disorder amo…
Inclusion Criteria: * Age ≥ 7 and ≤ 13 (the dCBT program is only validated for patients within this age range) * Admitted to the GCH PICU and have an anticipated discharge date in the subsequent 1 - 3 days * Be able to interact with an iPad or computer device, as assessed by caregivers * English speaking subjects due to the lack of translated versions of the dCBT tool Exclusion Criteria: * No specific exclusion criteria
Subjects in the intervention arm will receive access to a commercially available, digital cognitive behavioral therapy (dCBT) tool. This dCBT tool is specifically designed for children and their caregivers, and has been validated in other care settings.
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