Actively Recruiting

Age: 18Years +
All Genders
ID06401239

Investigating Dyadic Expectations About ARF Survivorship (IDEAS)

Led by Johns Hopkins University · Updated on 2026-02-05

235

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

J

Johns Hopkins University

Lead Sponsor

N

National Heart, Lung, and Blood Institute (NHLBI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are investigating how adults who survive acute respiratory failure (ARF) and their care partners, usually family members or friends, perceive the first six months of recovery after returning home. This observational study aims to understand if expectations about recovery are linked to mental health symptoms in both survivors and their care partners. It also explores how shared expectations within these pairs, called dyads, relate to their ability to cope together with illness-related stress. The study is led by Johns Hopkins University and focuses on mental health and coping during the recovery period after ARF. The study will recruit 235 pairs of adult ARF survivors and their care partners. Participants will complete three surveys over six months, which can be done online, by phone, or on paper. These surveys measure expectations about health six months after hospital discharge, self-efficacy, and dyadic coping. Expectations and perceptions are collected at the start and at a three-month follow-up using visual analogue scales. Self-efficacy is assessed at three and six months using a standardized questionnaire. Participants will be asked to complete surveys assessing their feelings, mood, and future expectations at baseline, three months, and six months after the survivor's intensive care unit discharge. The main outcomes measured include symptoms of anxiety and depression, as well as how well the survivor and care partner cope together. Secondary outcomes include symptoms of post-traumatic stress, quality of life, social isolation, and financial stress. The study will monitor these aspects over the six-month period to better understand recovery and mental health in ARF survivor-care partner dyads.

CONDITIONS

Brief Title

Investigating Dyadic Expectations About ARF Survivorship (IDEAS)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 18 years old or older
  • Meets study definition of acute respiratory failure (ARF) by requiring mechanical ventilation via endotracheal tube for 24+ consecutive hours, or non-invasive ventilation for 24+ consecutive hours not for sleep apnea, or high flow nasal cannula with specific oxygen and flow settings for 24+ consecutive hours
  • Survived to hospital discharge to home
  • Speaks or reads English or Spanish
  • Has an adult care partner expected to support them for at least 6 months
Not Eligible

You will not qualify if you...

  • Pre-existing cognitive impairment (IQ-CODE >3.6)
  • Residing in a medical institution at hospital discharge
  • Receiving hospice care or life expectancy less than 6 months
  • Homelessness or recent history of psychosis
  • Care partner has pre-existing cognitive impairment (IQ-CODE >3.6)

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Diagnostic Evaluation

Duration - Baseline

Participants complete baseline assessments including expectations about health and shared appraisal within survivor-care partner dyads.

1 visit (in-person or remote)

Long-term Monitoring

Duration - 6 months

Participants are followed with assessments of mental health symptoms, dyadic coping, self-efficacy, quality of life, social isolation, and financial toxicity at 3 and 6 months after hospital discharge.

Assessments at 3 months and 6 months after hospital discharge

Trial Site Locations

Total: 1 location

1

Johns Hopkins Hospital

Baltimore, Maryland, United States, 21205

Actively Recruiting

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Research Team

A

Ann M Parker, MD, PhD

O

Omar R Valentin

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Health Expectations and Quality of Life After Acute Respiratory Failure: A Multicenter Prospective Cohort Study.

Alison E Turnbull, Emma M Lee, Victor D Dinglas...

https://pubmed.ncbi.nlm.nih.gov/36682611

Feasibility and Efficacy of a Resiliency Intervention for the Prevention of Chronic Emotional Distress Among Survivor-Caregiver Dyads Admitted to the Neuroscience Intensive Care Unit: A Randomized Clinical Trial.

Ana-Maria Vranceanu, Sarah Bannon, Ryan Mace...

https://pubmed.ncbi.nlm.nih.gov/33052404

Nonpharmacologic Interventions to Prevent or Mitigate Adverse Long-Term Outcomes Among ICU Survivors: A Systematic Review and Meta-Analysis.

Wytske W Geense, Mark van den Boogaard, Johannes G van der Hoeven...

https://pubmed.ncbi.nlm.nih.gov/31464769