Does a Follow-up Appointment Help Parents of Children on PICU?
Does a Follow-up Appointment Help Parents of Children on PICU?
The aim of our study is to determine the feasibility of carrying out a randomized controlled
 trial (RCT) to investigate whether screening parents of children admitted to pediatric
 intensive care unit (PICU) so as to target follow-up at those most at risk of developing
 posttraumatic stress disorder (PTSD), is effective at reducing adverse psychological
 sequelae.
The study will assess the feasibility of offering a follow up clinic to parents identified to
 be vulnerable for future psychological difficulties after their child's admission to the
 Paediatric Intensive Care Unit (PICU) at Bristol Children's Hospital. Both mothers and
 fathers of children admitted to PICY for a duration of at least 12 hours will be invited to
 participate in this study. Screening measures will be used to identify vulnerability to
 future post-traumatic stress disorder (PTSD) and depression. Where one or both of the parents
 has been scored as high risk they will be randomised to receive the intervention or the
 control arm of the study (ratio 1:1). The intervention involves a follow-up clinic two months
 pots admission, staffed by the unit Clinical Psychologist, a PICU doctor and PICU nurse. In
 the control arm no follow-up clinic will be offered (i.e. current standard care).

 Objectives:

 i) To investigate the recruitment rates, clinic attendance and follow-up rates in order to
 perform an accurate sample size calculation for a larger study.

 ii) To carry out initial statistical analysis to estimate the odds ratio and 95% confidence
 interval of developing PTSD, anxiety and depression after being offered the follow-up
 intervention as opposed to not being offered it.

 iii) To assess the acceptability of providing targeted follow-up both to those who receive it
 and those who are excluded due to low risk.

 The study is of importance to the public because not only does PTSD negatively affect quality
 of life, it is also associated with increased use of health care services and resources.
Inclusion Criteria:

 -  All parents of children admitted to paediatric intensive care for over 12 hours.

 Exclusion Criteria:

 -  Parents deemed unsuitable for the study by the responsible consultant. This will
 include families where a child's condition is suspected to result from non-accidental
 injury or where withdrawal of care is being discussed due to a child's critical
 condition. Families will be excluded if their child died during or after admission, as
 these families are already followed up routinely.