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Sanftenberg, Linda; Beutel, Antina; Friemel, Chris Maria; Kosilek, Robert Philipp; Schauer, Maggie; Elbert, Thomas; Reips, Ulf-Dietrich; Gehrke-Beck, Sabine; Schubert, Tomke; Schmidt, Konrad; Gensichen, Jochen; Adrion, Christine; Angstwurm, Matthias; Bergmann, Antje; Bielmeier, Gerhard; Bischhoff, Andrea; Bogdanski, Ralph; Brettner, Franz; Brettschneider, Christian; Briegel, Josef; Bürkle, Martin; Dohmann, Johanna; Falkai, Peter; Felbinger, Thomas; [...]

Barriers and opportunities for implementation of a brief psychological intervention for post-ICU mental distress in the primary care setting – results from a qualitative sub-study of the PICTURE trial

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  • Media type: E-Article
  • Title: Barriers and opportunities for implementation of a brief psychological intervention for post-ICU mental distress in the primary care setting – results from a qualitative sub-study of the PICTURE trial
  • Contributor: Sanftenberg, Linda; Beutel, Antina; Friemel, Chris Maria; Kosilek, Robert Philipp; Schauer, Maggie; Elbert, Thomas; Reips, Ulf-Dietrich; Gehrke-Beck, Sabine; Schubert, Tomke; Schmidt, Konrad; Gensichen, Jochen; Adrion, Christine; Angstwurm, Matthias; Bergmann, Antje; Bielmeier, Gerhard; Bischhoff, Andrea; Bogdanski, Ralph; Brettner, Franz; Brettschneider, Christian; Briegel, Josef; Bürkle, Martin; Dohmann, Johanna; Falkai, Peter; Felbinger, Thomas; [...]
  • Published: Springer Science and Business Media LLC, 2023
  • Published in: BMC Primary Care, 24 (2023) 1
  • Language: English
  • DOI: 10.1186/s12875-023-02046-0
  • ISSN: 2731-4553
  • Origination:
  • Footnote:
  • Description: Abstract Background The results of critical illness and life-saving invasive measures during intensive care unit treatment can sometimes lead to lasting physical and psychological impairments. A multicentre randomized controlled trial from Germany (PICTURE) aims to test a brief psychological intervention, based on narrative exposure therapy, for post-traumatic stress disorder symptoms following intensive care unit treatment in the primary care setting. A qualitative analysis was conducted to understand feasibility and acceptance of the intervention beyond quantitative analysis of the main outcomes in the primary study. Methods Qualitative explorative sub-study of the main PICTURE trial, with eight patients from the intervention group recruited for semi-structured telephone interviews. Transcriptions were analysed according to Mayring's qualitative content analysis. Contents were coded and classified into emerging categories. Results The study population was 50% female and male, with a mean age of 60.9 years and transplantation surgery being the most frequent admission diagnosis. Four main factors were identified as conducive towards implementation of a short psychological intervention in a primary care setting: 1) long-term trustful relationship between patient and GP team; 2) intervention applied by a medical doctor; 3) professional emotional distance of the GP team; 4) brevity of the intervention. Conclusion The primary setting has certain qualities such as a long-term doctor-patient relationship and low-threshold consultations that offer good opportunities for implementation of a brief psychological intervention for post-intensive care unit impairments. Structured follow-up guidelines for primary care following intensive care unit treatment are needed. Brief general practice-based interventions could be part of a stepped-care approach. Trial registration The main trial was registered at the DRKS (German Register of Clinical Trials: DRKS00012589) on 17/10/2017.
  • Access State: Open Access