Division of Pediatric Critical Care Medicine, Department of Pediatrics, Washington University in St. Louis, St. Louis, MO.
Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, MO.
Pediatr Crit Care Med. 2024 Oct 1;25(10):947-952. doi: 10.1097/PCC.0000000000003573. Epub 2024 Jul 17.
Parents experience psychologic distress during their child's admission to a PICU, but effective screening for parental mental health symptoms is not the standard of care. We aimed to test the feasibility and acceptability of a mobile phone-based mental health survey for parents/guardians of PICU patients to facilitate their support by the PICU team.
Post hoc analysis of a single-institution pilot study conducted in 2022. Mental health surveys were delivered by text message to parents/guardians of PICU patients over 1 month, beginning 3 days after their child's PICU admission. In-person interviews 1 month after hospital discharge were used to solicit participants' opinions on the survey platform and content.
A quaternary U.S. academic medical center.
Parents/guardians of PICU patients.
None.
Of the 53 participants who consented, 31 (58%) completed the study. Symptoms of acute stress (ASS) were the most common and most severe: 21 participants screened positive for ASS, and 20 of those that screened positive had "moderate" or "severe" symptoms. Among the 23 participants who screened positive for one mental health condition, 10 met the thresholds for all three. Scoring of the protocol's usability, acceptability, and feasibility showed a System Usability Scale equal to 82 of 100, an Acceptability of Intervention Measure score equal to 4.2 of 5, an Intervention Appropriateness Measure score equal to 4.5 of 5, and Feasibility of Intervention Measure score equal to 4.5 of 5.
Mobile phone-based screening for parental mental health symptoms is acceptable and may offer the advantage of privacy and flexibility.
患儿入住 PICU 期间，家长经历心理困扰，但对家长心理健康症状进行有效筛查并非常规护理。我们旨在测试针对 PICU 患儿家长/监护人的基于移动电话的心理健康调查的可行性和可接受性，以促进 PICU 团队为其提供支持。
2022 年进行的单机构试点研究的事后分析。在患儿入住 PICU 后 3 天开始，通过短信向 PICU 患儿的家长/监护人发送心理健康调查，持续 1 个月。在出院后 1 个月进行面对面访谈，以了解参与者对调查平台和内容的意见。
美国一家四级学术医疗中心。
PICU 患儿的家长/监护人。
无。
在同意参与的 53 名参与者中，有 31 名（58%）完成了研究。急性应激症状（ASS）是最常见和最严重的症状：21 名参与者 ASS 筛查阳性，20 名阳性者的症状为“中度”或“重度”。在筛查出一种心理健康状况呈阳性的 23 名参与者中，有 10 名符合所有三种状况的标准。对方案的可用性、可接受性和可行性评分显示，系统可用性量表得分为 82 分（满分 100 分），干预接受度量表得分为 4.2 分（满分 5 分），干预适宜性量表得分为 4.5 分（满分 5 分），干预可行性量表得分为 4.5 分（满分 5 分）。
基于移动电话的家长心理健康症状筛查是可以接受的，并且可能具有隐私和灵活性的优势。
