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RECRUITING Not applicable ClinicalTrials.gov

Building Relationship, Improving Dialogue, and Growing Empathy (BRIDGE): An Intervention to Support Decision Making for Critically Ill Children

Sponsor: Duke University • ClinicalTrials.gov ID: NCT07390773

Registry updated: 2026-09-08
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Description

Parents of young children in the intensive care unit may be faced with decisions about their child's care. The Building Relationship, Improving Dialogue, and Growing Empathy (BRIDGE) intervention was designed to help support parents as they make decisions for their child and communicate with the health care team. The main questions this study aims to answer are: 1. Do parents who receive the BRIDGE intervention report being better prepared to make decisions for their child? 2. Do parents who receive the BRIDGE intervention report less regret about the decisions they made for their child? Participants will complete surveys at baseline and approximately 2 weeks, 6 months, and 12 months following enrollment. Some participants will also participate in interviews about their experiences.

Interventions

  • BRIDGE intervention (Behavioral)
    The BRIDGE intervention includes a paper-based tool that includes an introduction to decision-making, a values clarification exercise, and a question prompt list. The tool additionally prompts parents to share how they define decision-relevant concepts like quality of life and suffering for their child. The completed tool is shared with the health care team in the electronic health record.

Eligibility criteria

Inclusion Criteria: Child inclusion criteria will include: * Age \< 5 years * Admission to a critical care unit within the preceding 14 days * An anticipated serious health care decision, defined as a decision about initiating, not initiating, or withdrawing life-sustaining treatment and/or a decision about major intervention. Parent inclusion criteria will include: * Age ≥ 18 years * The ability speak English or Spanish. Clinician inclusion criteria will include * Clinical team member of an enrolled child and parent in the intervention group * Completion of residency or equivalent training. Exclusion Criteria: * Children, parents or clinicians who do not meet the inclusion criteria above.

Conditions

Decision Making Neonatal Critical Illness Pediatric Critical Illness

Locations

  • University of California San Francisco — San Francisco, California, United States
  • Johns Hopkins University — Baltimore, Maryland, United States
  • Duke University — Durham, North Carolina, United States
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record