{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:51:15Z","timestamp":1791229875476,"version":"4.1.0"},"reference-count":73,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T00:00:00Z","timestamp":1668816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000659","name":"Research Trainees Coordinating Centre","doi-asserted-by":"publisher","award":["19792"],"award-info":[{"award-number":["19792"]}],"id":[{"id":"10.13039\/501100000659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Intensive Care Society"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Approximately 50% of intensive care survivors experience persistent psychological symptoms. Eye-movement desensitisation and reprocessing (EMDR) is a widely recommended trauma-focussed psychological therapy, which has not been investigated systematically in a cohort of intensive care survivors: We therefore conducted a randomised pilot feasibility study of EMDR, using the Recent Traumatic Episode Protocol (R-TEP), to prevent psychological distress in intensive care survivors. Findings will determine whether it would be possible to conduct a fully-powered clinical effectiveness trial and inform trial design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>We aimed to recruit 26 patients who had been admitted to intensive care for over 24 h with COVID-19 infection. Consenting participants were randomised (1:1) to receive either usual care plus remotely delivered EMDR R-TEP or usual care alone (controls). The primary outcome was feasibility. We also report factors related to safety and symptom changes in post-traumatic stress disorder, (PTSD) anxiety and depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We approached 51 eligible patients, with 26 (51%) providing consent. Intervention adherence (sessions offered\/sessions completed) was 83%, and 23\/26 participants completed all study procedures. There were no attributable adverse events. Between baseline and 6-month follow-up, mean change in PTSD score was \u22128 (SD = 10.5) in the intervention group versus +0.75 (SD = 15.2) in controls ( p = 0.126). There were no significant changes to anxiety or depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Remotely delivered EMDR R-TEP met pre-determined feasibility and safety objectives. Whilst we achieved group separation in PTSD symptom change, we have identified a number of protocol refinements that would improve the design of a fully powered, multi-centre randomised controlled trial, consistent with currently recommended rehabilitation clinical pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration:<\/jats:title>\n                    <jats:p>ClinicalTrials.gov: NCT04455360.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17511437221136828","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T04:46:16Z","timestamp":1668833176000},"page":"309-319","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["A randomised pilot feasibility study of eye movement desensitisation and reprocessing recent traumatic episode protocol, to improve psychological recovery following intensive care admission for COVID-19"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3614-0270","authenticated-orcid":false,"given":"Andrew","family":"Bates","sequence":"first","affiliation":[{"name":"NIHR Southampton Biomedical Research Centre, University Hospitals Southampton National Health Service Foundation Trust, Southampton, UK"},{"name":"Faculty of Medicine, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6147-8858","authenticated-orcid":false,"given":"Hannah","family":"Golding","sequence":"additional","affiliation":[{"name":"NIHR Southampton Biomedical Research Centre, University Hospitals Southampton National Health Service Foundation Trust, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Rushbrook","sequence":"additional","affiliation":[{"name":"Intensive Psychological Therapies Service, Dorset Healthcare University National Health Service Foundation Trust, Poole, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elan","family":"Shapiro","sequence":"additional","affiliation":[{"name":"Independent EMDR Europe Consultant Practitioner, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Pattison","sequence":"additional","affiliation":[{"name":"School of Health and Social Work, University of Hertfordshire, Hatfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David S","family":"Baldwin","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Southampton, Southampton, UK"},{"name":"Southern Health NHS Foundation Trust, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P W","family":"Grocott","sequence":"additional","affiliation":[{"name":"NIHR Southampton Biomedical Research Centre, University Hospitals Southampton National Health Service Foundation Trust, Southampton, UK"},{"name":"Faculty of Medicine, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2863-2870","authenticated-orcid":false,"given":"Rebecca","family":"Cusack","sequence":"additional","affiliation":[{"name":"NIHR Southampton Biomedical Research Centre, University Hospitals Southampton National Health Service Foundation Trust, Southampton, UK"},{"name":"Faculty of Medicine, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,11,19]]},"reference":[{"key":"bibr1-17511437221136828","first-page":"3","volume-title":"Post-intensive care syndrome","volume":"2020","author":"Flaatten H"},{"key":"bibr2-17511437221136828","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-019-2489-3"},{"key":"bibr3-17511437221136828","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000882"},{"key":"bibr4-17511437221136828","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2016.08.005"},{"key":"bibr5-17511437221136828","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2008.05.006"},{"key":"bibr6-17511437221136828","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-018-2223-6"},{"key":"bibr7-17511437221136828","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-009-1396-5"},{"key":"bibr8-17511437221136828","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000527"},{"key":"bibr9-17511437221136828","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201903-248OC"},{"key":"bibr10-17511437221136828","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2013.01.003"},{"key":"bibr11-17511437221136828","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-052214"},{"key":"bibr12-17511437221136828","unstructured":"Intensive Care National Audit and Research Centre. 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