Wendy G Lichtenthal, Lindsay Lief, Madeline Rogers, David Russell, Martin Viola, Hillary Winoker, Sophia Kakarala, Chani Traube, Taylor Coats, Carol Fadalla, Kailey E Roberts, Madison Pavao, Francesco Osso, Chris R Brewin, Cynthia X Pan, Paul K Maciejewski, David Berlin, Stephen Pastores, Neil Halpern, Susan C Vaughan, Christopher E Cox, Holly G Prigerson
CONTEXT: Efforts to reduce the psychological distress of surrogate decision-makers of critically ill patients have had limited success, and some have even exacerbated distress. OBJECTIVES: The aim of this study was to determine the feasibility, acceptability, and preliminary efficacy of EMPOWER (Enhancing and Mobilizing the POtential for Wellness and Resilience), an ultra-brief (∼2-hour), 6-module manualized psychological intervention for surrogates. METHODS: Surrogates who reported significant anxiety and/or an emotionally close relationship with the patient (n=60) were randomized to receive EMPOWER or enhanced usual care (EUC) at one of three metropolitan hospitals...
March 11, 2024: Journal of Pain and Symptom Management