Table 2 Outcomes considered in the IMPACT protocol program of research
| Â | Process measures | Short-term (hospital) outcomesa (current phase II) | Long-term (months following hospital discharge) outcomes (future phase III) |
|---|---|---|---|
Nutritional intervention | Compliance with the intervention Met with dietitian early in ICU stay and at ICU discharge to review materials Received a nutrition plan at ICU and ward discharge Used nutrition audit tool | Nutritional adequacy during ICU stay Consumption of Oral Nutritional Supplements during hospital stay Intake on hospital wards (3-day calorie count) Hand-grip strength at or before hospital discharge | Measures of patient’s long-term physical recovery (e.g., 6 MWD at 3 and 6 months) |
Decision-support intervention | Compliance with the intervention Met with RC early and went through the myicuguide website Family meeting to review intervention output within 72 h of encounter Patient-centered report from MyICUGuide on chart during ICU and hospital stay and attending physician aware of contents of this report | Use of shared-decision making (OPTIONa tool) during initial family conference Change in decisional conflict at 1 week Family satisfaction with decision-making at ICU discharge (or 2–3 weeks later for decedents) | Measure of family member’s long-term psychological well-being Length of ICU and hospital stay for decedents |
Other | Contamination (families exposed to an intervention to which they were not assigned) Exposed to myicuguide website Exposed to OPTICs content | Overall family satisfaction with ICU care at ICU discharge (or 2–3 weeks later for decedents) |  |