An interventional study of FAMCOPE-ICU in Emotion Regulation and Coping Skills, sponsored by University Hospitals Cleveland Medical Center. Completed at 1 site in United States. Open to participants aged 18 Years to 89 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-23.
Sponsored by University Hospitals Cleveland Medical Center · Not applicable, Interventional, and Supportive care
Having a family member or loved one in the ICU can be a very stressful experience. The investigators have created a tablet-based tool (FAMCOPE-ICU) that is designed to help people in this position cope with this experience.
545 studies on the registry are indexed under Emotional Regulation; 188 are open to participants now.
This study's enrollment of 49 is below the median of 79 across 498 interventional studies indexed under Emotional Regulation.
Browse Emotional Regulation studies →University Hospitals Cleveland Medical Center is the lead sponsor of 295 studies on the registry; 45 are open to participants now.
Of its 36 completed or terminated interventional studies of FDA-regulated products, 30 (83%) have results posted.
Counted across the registry records on this site, refreshed daily.
Patient Inclusion Criteria:
Family Inclusion Criteria
Patient Exclusion Criteria:
Family Exclusion Criteria
A digital eHealth emotion regulation and coping intervention.
Behavioral: FAMCOPE-ICU
The care and support routinely provided to SDMs of critically ill patients.
(1) FAMCOPE-ICU is a digital eHealth emotion regulation and coping intervention. FAMCOPE-ICU contains three digital modules representing the three interventional doses. Corresponding with Gross's Extended Process Model of Emotion Regulation, the three respective doses entail assessments, adaptive feedback, and interactive activities pertaining to understanding their affective experiences, learning strategies to regulate emotions and stress, and practicing these skills in a virtual decision-making task. Each dose of the intervention is expected to last 10-15 minutes
Acceptability of Intervention Measure
Four item self-report survey; item responses range from 1 (completely disagree) to 5 (completely agree)
Time frame: After dose 1, 5 minutes
Acceptability of Intervention Measure
Four item self-report survey; item responses range from 1 (completely disagree) to 5 (completely agree)
Time frame: After dose 2, 5 minutes
Acceptability of Intervention Measure
Four item self-report survey; item responses range from 1 (completely disagree) to 5 (completely agree)
Time frame: After dose 3, 5 minutes
Change in Anxiety as Measured by PROMIS Anxiety Short Form
Name: PROMIS Item Bank v1.0-Emotional Distress-Anxiety - Short Form 4a Scoring: The four items' responses (ranging from 1 (Never) to 5 (Always) are summed to form a raw score. The raw scores are converted to a T-Score (mean = 50; Standard deviation = 10) derived from a general population. Interpretation: Higher scores indicate a greater severity in anxiety. Scores less than 55 are "within normal limits", 55-60 are "mild", 60-70 are "moderate", and greater than 70 are "severe".
Time frame: Baseline (enrollment), one week.
Change in Depression as Measured by PROMIS Depression Short Form
Name: PROMIS Item Bank v1.0-Emotional Distress-Depression - Short Form 4a Scoring: The four items' responses (ranging from 1 (Never) to 5 (Always) are summed to form a raw score. The raw scores are converted to a T-Score (mean = 50; Standard deviation = 10) derived from a general population. Interpretation: Higher scores indicate greater severity in depression. Scores less than 55 are "within normal limits," 55-60 are "mild," 60-70 are "moderate," and greater than 70 are "severe."
Time frame: Baseline (enrollment), one week.
Sleep Disturbance as Measured by PROMIS Sleep Disturbance Short Form
Name: PROMIS Item Bank v1.0 - Sleep Disturbance - Short Form 8b Scoring: The eight items' responses (ranging from 1 (Never) to 5 (Always) are summed to form a raw score. The raw scores are converted to a T-Score (mean = 50; Standard deviation = 10) derived from a general population. Interpretation: Higher scores indicate greater severity in anxiety. Scores less than 55 are "within normal limits," 55-60 are "mild," 60-70 are "moderate," and greater than 70 are "severe."
Time frame: Baseline (enrollment)
Decision Fatigue Scale
Nine item self-report survey; item responses range from 0 (Strongly Disagree) to 3 (Strongly Agree). Item are summed to form a raw score (range 0-27), with higher scores indicated higher decision fatigue.
Time frame: One week post-enrollment
Decisional Conflict Scale
10 item self-report survey; item responses are "yes" (0), "unsure" (2), and "no" (4). Items are summed, divided by 10, multiplied by 25. Scores range from 0 (no decisional conflict) to 100 (high decisional conflict)
Time frame: One week post-enrollment
Satisfaction as Measured by the Family Satisfaction in the Intensive Care Unit Scale - 24R
Four item self-report survey; item responses range from 1 (Very dissatisfied) to 5 (Completely satisfied)
Time frame: One week post-enrollment
| Milestone | FAMCOPE-ICU | Usual Care |
|---|---|---|
| Started | 29 | 20 |
| Completed | 19 | 17 |
| Not completed | 10 | 3 |
| Withdrew: Lost to follow-up | 3 | 1 |
| Withdrew: Physician decision | 1 | 0 |
| Withdrew: Overwhelmed by clinical situation | 3 | 0 |
| Withdrew: Personal illness precluding participation | 1 | 0 |
| Withdrew: Withdrawn due to death patient death (unrelated to lar participation in trial) | 2 | 2 |
Four item self-report survey; item responses range from 1 (completely disagree) to 5 (completely agree)
| units on a scale | FAMCOPE-ICU | Usual Care |
|---|---|---|
| Acceptability of Intervention Measure | 4.36 ± 0.7 | — |
Four item self-report survey; item responses range from 1 (completely disagree) to 5 (completely agree)
| units on a scale | FAMCOPE-ICU | Usual Care |
|---|---|---|
| Acceptability of Intervention Measure | 4.37 ± 0.69 | — |
Four item self-report survey; item responses range from 1 (completely disagree) to 5 (completely agree)
| units on a scale | FAMCOPE-ICU | Usual Care |
|---|---|---|
| Acceptability of Intervention Measure | 4.27 ± 1 | — |
Name: PROMIS Item Bank v1.0-Emotional Distress-Anxiety - Short Form 4a Scoring: The four items' responses (ranging from 1 (Never) to 5 (Always) are summed to form a raw score. The raw scores are converted to a T-Score (mean = 50; Standard deviation = 10) derived from a general population. Interpretation: Higher scores indicate a greater severity in anxiety. Scores less than 55 are "within normal limits", 55-60 are "mild", 60-70 are "moderate", and greater than 70 are "severe".
| T score | FAMCOPE-ICU | Usual Care |
|---|---|---|
| Baseline | 64.989 (61.521 to 68.457) | 61.30 (57.197 to 64.403) |
| One week | 59.394 (55.616 to 63.172) | 57.518 (53.275 to 61.761) |
Name: PROMIS Item Bank v1.0-Emotional Distress-Depression - Short Form 4a Scoring: The four items' responses (ranging from 1 (Never) to 5 (Always) are summed to form a raw score. The raw scores are converted to a T-Score (mean = 50; Standard deviation = 10) derived from a general population. Interpretation: Higher scores indicate greater severity in depression. Scores less than 55 are "within normal limits," 55-60 are "mild," 60-70 are "moderate," and greater than 70 are "severe."
| T Score | FAMCOPE-ICU | Usual Care |
|---|---|---|
| Change in Depression as Measured by PROMIS Depression Short Form | 56.896 (53.504 to 60.288) | 53.905 (49.892 to 57.918) |
Name: PROMIS Item Bank v1.0 - Sleep Disturbance - Short Form 8b Scoring: The eight items' responses (ranging from 1 (Never) to 5 (Always) are summed to form a raw score. The raw scores are converted to a T-Score (mean = 50; Standard deviation = 10) derived from a general population. Interpretation: Higher scores indicate greater severity in anxiety. Scores less than 55 are "within normal limits," 55-60 are "mild," 60-70 are "moderate," and greater than 70 are "severe."
| T-Score | FAMCOPE-ICU | Usual Care |
|---|---|---|
| Sleep Disturbance as Measured by PROMIS Sleep Disturbance Short Form | 60.63 ± 8.72 | 55.87 ± 8.88 |
Nine item self-report survey; item responses range from 0 (Strongly Disagree) to 3 (Strongly Agree). Item are summed to form a raw score (range 0-27), with higher scores indicated higher decision fatigue.
| Raw score | FAMCOPE-ICU | Usual Care |
|---|---|---|
| Decision Fatigue Scale | 14.47 ± 10.08 | 11.88 ± 5.98 |
10 item self-report survey; item responses are "yes" (0), "unsure" (2), and "no" (4). Items are summed, divided by 10, multiplied by 25. Scores range from 0 (no decisional conflict) to 100 (high decisional conflict)
| Raw score | FAMCOPE-ICU | Usual Care |
|---|---|---|
| Decisional Conflict Scale | 7.89 ± 13.98 | 5.29 ± 7.39 |
Four item self-report survey; item responses range from 1 (Very dissatisfied) to 5 (Completely satisfied)
No measurements were reported for this outcome.
Collected over One week post enrollment. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| FAMCOPE-ICU | 0/29 (0%) | 0/29 (0%) | 0/29 (0%) |
| Usual Care | 0/20 (0%) | 0/20 (0%) | 0/20 (0%) |
| Age, Continuous(years) | FAMCOPE-ICU | Usual Care | Total |
|---|---|---|---|
| Mean | 58.07 ± 13.84 | 59.20 ± 12.64 | 58.54 ± 13.23 |
| Sex: Female, Male(Participants) | FAMCOPE-ICU | Usual Care | Total |
|---|---|---|---|
| Female | 20 | 16 | 36 |
| Male | 8 | 4 | 12 |
| Ethnicity (NIH/OMB)(Participants) | FAMCOPE-ICU | Usual Care | Total |
|---|---|---|---|
| Hispanic or Latino | 1 | 0 | 1 |
| Not Hispanic or Latino | 27 | 20 | 47 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | FAMCOPE-ICU | Usual Care | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 3 | 4 | 7 |
| White | 25 | 16 | 41 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
University Hospitals Cleveland Medical Center →