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Investigating Dyadic Expectations About ARF Survivorship (IDEAS)

Who can join

Ages 18 and older · All sexes

Patient Inclusion Criteria:

* ≥18 years old
* Meets study definition of ARF:

  * The study defines ARF as meeting 1 of the following 3:

    1. Mechanical ventilation via an endotracheal tube ≥24 consecutive hours OR
    2. Non-invasive ventilation (CPAP, BiPAP) ≥24 consecutive hours that is not for obstructive sleep apnea or other stable use OR
    3. High flow nasal cannula with fraction of inspired oxygen (FIO2)≥.5 and flow rate ≥ litres per minute (LPM) for ≥24 consecutive hours.
  * Occasional rest periods of ≤1 hour are not deducted from the calculation of consecutive hours. Patients who are intubated for mental status or airway obstruction are not eligible unless they have simultaneous ARF.
* Survival to hospital discharge to home
* Speaks or reads English or Spanish
* Identifies an adult who is expected to act as a primary care partner for at least the next 6 months.

Patient Exclusion Criteria:

* Pre-existing cognitive impairment (IQ-CODE \>3.6)
* Residing in a medical institution at hospital discharge
* Receiving hospice care or life expectancy \<6 months
* Homelessness or recent history of psychosis

Care Partner Inclusion Criteria:

* ≥18 years old
* Speaks or reads English or Spanish

Care Partner Exclusion Criteria:

* Pre-existing cognitive impairment (IQ-CODE \>3.6)

About the study

The purpose of this observational study is to understand how adults who survive acute respiratory failure (ARF) and the people (usually family) who support ARF survivors after returning home think about the first 6 months of recovery. The study aims to find out if expectations about the recovery process after ARF are associated with mental health symptoms in both survivors and the survivor's care partners. Study participants will complete 3 surveys over 6 months. These surveys ask questions about participants' future expectations, feelings, and mood. Surveys can be completed online, over the phone, or on paper.

What is being tested

• Dyadic expectations about the ARF survivor's perceived health 6 months after hospital discharge (other)
• Self-efficacy (other)
• Concordant expectations/shared appraisal of ARF survivor's health 6 months after hospital discharge (other)

Sponsor: Johns Hopkins University · Participants: 235 · Started: Jul 23, 2024

Contact the study team

• Ann M Parker, MD, PhD · Phone: 410-955-2190
• Omar R Valentin · Phone: 410-502-2140

Official record on ClinicalTrials.gov — NCT06401239

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Oct 1, 2026. Each study sets its own eligibility; the study team decides who can join.