Evaluation of a Tablet-Based Emotion Regulation Intervention for Surrogate Decision-Makers of Patients With Critical Illness: Pilot Nonrandomized Trial
REFRAME was feasible to implement, well-received by users, and considered relevant in the ICU setting. We observed preliminary improvement in depressive symptoms, though the effects on anxiety are less certain. Our findings indicate that incorporating brief cognitive reappraisal tools into routine ICU practice may support surrogates' psychological well-being. Larger, more diverse trials with longer follow-up are necessary to confirm these initial findings and assess their impact on shared decision-making.
Authors
- Stephanie Griggs (ORCID: https://orcid.org/0000-0001-9901-3853)
- Heath A. Demaree (ORCID: https://orcid.org/0000-0001-9655-8882)
- Ronald L. Hickman (ORCID: https://orcid.org/0000-0002-3720-2955)
- Grant A. Pignatiello (ORCID: https://orcid.org/0000-0002-0119-6979)
- Nicholas K. Schiltz (ORCID: https://orcid.org/0000-0003-0122-6477)
- Paul Tuschman (ORCID: https://orcid.org/0000-0002-2811-8583)
- S. Alan Hoffer
- Alex Klinck
Institutions
- University Hospitals of Cleveland (US)
- Case Western Reserve University (US)
Publication Details
- Journal
- JMIR Formative Research
- Published
- 2025-12-17
- DOI
- https://doi.org/10.2196/73769
- Primary Topic
- Intensive Care Unit Cognitive Disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00