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Trial registered on ANZCTR
Registration number
ACTRN12623001295639
Ethics application status
Approved
Date submitted
6/11/2023
Date registered
12/12/2023
Date last updated
18/07/2024
Date data sharing statement initially provided
12/12/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
The FOOTPRINTS Project : Follow-on Outreach - Bereavement care after the unexpected death of a child in PICU - Phase One
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Scientific title
The FOOTPRINTS Project Phase One: Involving Families in the Design of a PICU Bereavement Service using Focus Groups and Family Interviews
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Secondary ID [1]
310899
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None
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Universal Trial Number (UTN)
U1111-1299-9327
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Trial acronym
FOOTPRINTS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Grief
331955
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Condition category
Condition code
Public Health
328682
328682
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0
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Health service research
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Mental Health
328778
328778
0
0
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Other mental health disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
A combination of focus groups and family interviews with close relatives of children who have died an unexpected death in PICU, to explore qualitative themes relating to their experience of bereavement care, gaps in care they encountered, their perceived bereavement care needs, and their recommendations for a PICU bereavement service.
a) Each participant will attend a single focus group or family interview, depending on preference, lasting approximately 2 hours.
b) Each focus group / family interview will have no more than 12 participants, preferably six to eight.
c) Sessions will be semi-structured, following a facilitation guide that has been developed by the FOOTPRINTS working party and refined with two consumers. Questions will be open-ended, and participants will be provided pen and paper as an alternative option to record answers should they feel uncomfortable answering any questions verbally. A psychological safety plan has been developed by the FOOTPRINTS working party and refined with two consumers, and this will guide the focus group / family interview conduct to protect participant and researcher psychological safety. Participants will also be provided with written resources at the entry / exit to the sessions, with contact details for grief support services and contact details for the research team should they require support after the session.
d) Groups will be convened by two facilitators within the room, and a third outside the room to support any participants who experience distress. Facilitators will be members of the FOOTPRINTS working party, and will include an experienced researcher, a social worker, and a nurse with experience communicating with bereaved families.
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Intervention code [1]
327437
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
336626
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Experience of care after losing a child unexpectedly in a PICU.
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Assessment method [1]
336626
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Focus group / family interview
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Timepoint [1]
336626
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As described by the participant at the time of the focus group / interview.
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Primary outcome [2]
336741
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Gaps in the grief support received.
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Assessment method [2]
336741
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Focus group / family interview.
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Timepoint [2]
336741
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As described by the participant at the time of the focus group / interview.
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Primary outcome [3]
336742
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What the participant considers important in a PICU bereavement service
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Assessment method [3]
336742
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Focus group / family interview
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Timepoint [3]
336742
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As described by the participant at the time of the focus group / interview.
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Secondary outcome [1]
429052
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Nil
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Assessment method [1]
429052
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Nil
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Timepoint [1]
429052
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Nil
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Eligibility
Key inclusion criteria
Any person over the age of 18 who considers themselves a close family member of a child who has:
a) died in PICU during the five years preceding the commencement of this project and
b) who has not received Palliative Care Services.
Non-English-speaking families will be supported to participate using existing professional interpreter services.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Family members of children already receiving pre-existing palliative care services prior to the time of death.
Discretionary Exclusion Criteria:
Situations involving:
a) Inflicted injuries
b) Disputed Custody
c) Active criminal investigations
– as documented in hospital notes from the time of death.
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Study design
Purpose
Psychosocial
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
N/A - qualitative research
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/04/2024
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Actual
3/05/2024
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Date of last participant enrolment
Anticipated
31/05/2024
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Actual
31/05/2024
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Date of last data collection
Anticipated
31/05/2024
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Actual
21/06/2024
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Sample size
Target
16
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Accrual to date
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Final
15
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
25874
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Perth Children's Hospital - Nedlands
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Recruitment postcode(s) [1]
41707
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6009 - Nedlands
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Funding & Sponsors
Funding source category [1]
315156
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Charities/Societies/Foundations
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Name [1]
315156
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Perth Children's Hospital Foundation
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Address [1]
315156
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15 Hospital Ave Nedlands WA 6009
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Country [1]
315156
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Australia
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Primary sponsor type
Individual
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Name
Dr Simon Erickson
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Address
Perth Children's Hospital - 15 Hospital Ave Nedlands WA 6009
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Country
Australia
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Secondary sponsor category [1]
317176
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Hospital
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Name [1]
317176
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Perth Children's Hospital
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Address [1]
317176
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15 Hospital Ave Nedlands WA 6009
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Country [1]
317176
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314093
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Child and Adolescent Health Service Human Research Ethics Committee
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Ethics committee address [1]
314093
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15 Hospital Ave Nedlands WA 6009
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Ethics committee country [1]
314093
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Australia
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Date submitted for ethics approval [1]
314093
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06/11/2023
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Approval date [1]
314093
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07/12/2023
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Ethics approval number [1]
314093
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RGS0000006539
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Summary
Brief summary
This study will ask families who have experienced the unexpected death of a child in PICU about their experience of and their thoughts about bereavement care. The aim of PICU care is to help children to survive serious illnesses and injuries, but unfortunately not all children survive. For those who die unexpectedly, the experience for their family can be very traumatic. These families may struggle to understand what happened in the last moments of their child’s life, and why the efforts of doctors and nurses to save them were not successful. This may make it harder for these families to process their grief in a healthy way and may contribute to conditions such as post-traumatic stress, complicated grief, and problems in the way the family functions. The best way to support families after the unexpected death of a child is currently not well understood, with most research and resources focusing on expected deaths such as cancer. In the case of expected deaths, there is usually time to plan and partner with families, and there are specialist services such as palliative care available to provide support. The experience of families who lose a child unexpectedly can be quite different, and so a different approach is needed. This study will use focus groups and family interviews to ask close relatives of children who have died an unexpected death in PICU about the bereavement care they received, the gaps in care, their perceived bereavement care needs, and their recommendations for PICU bereavement care. The results will be used to design an experimental PICU bereavement service to be implemented as the intervention in Phase Two of the FOOTPRINTS project.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mrs Arielle Jolly
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Address
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Perth Children's Hospital - 15 Hospital Ave Nedlands WA 6009
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Country
130382
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Australia
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Phone
130382
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+61 401008874
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Fax
130382
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Email
130382
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[email protected]
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Contact person for public queries
Name
130383
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Arielle Jolly
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Address
130383
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Perth Children's Hospital - 15 Hospital Ave Nedlands WA 6009
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Country
130383
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Australia
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Phone
130383
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+61401008874
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Fax
130383
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Email
130383
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[email protected]
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Contact person for scientific queries
Name
130384
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Arielle Jolly
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Address
130384
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Perth Children's Hospital - 15 Hospital Ave Nedlands WA 6009
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Country
130384
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Australia
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Phone
130384
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+61 401008874
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Fax
130384
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Email
130384
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Data will be qualitative in nature and gathered from group sessions and thus will not be individually reflecting of participants, but rather group discussion.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
20822
Study protocol
[email protected]
20823
Informed consent form
[email protected]
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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