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Not yet recruitingNCT07778004ICU-SUCCEEDUpdated Nov 5, 2026

ICU-SUCCEED for Survivors of Acute Respiratory Failure and Their Caregivers

An interventional study of ICU-SUCCEED and Augmented Usual Care in Acute Respiratory Failure, Critical Illness and Sepsis, sponsored by University of North Carolina, Chapel Hill. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2026-11-05.

Primary conditionSepsisRegistry: Critical IllnessReclassifiedWhy we changed it
Registry
Critical Illness — the first condition term the registry derived for this study.
ClinicalTrials.gg
Sepsis
Why
  1. Critical Illness is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Sepsis.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University of North Carolina, Chapel Hill · Not applicable, Interventional, and Supportive care

Updated Nov 5, 2026Start date movedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

This study will investigate whether a family-centered intervention that has been adapted for patients with critical illness and their caregivers is possible, acceptable, and helpful

Read the detailed description

Participants will be randomized to receive written handouts or to the ICU-SUCCEED intervention. The intervention includes one inpatient (in-person) and 4 outpatient (Zoom or telephone) sessions that take 30-45 minutes. Dyads will complete questionnaires at baseline and at a Day 90 Follow-Up.

02

Conditions studied

  • Acute Respiratory Failure
  • Critical Illness
  • Sepsis
  • Hypoxia
  • Hypercapnia

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Keywords

  • Acute Respiratory Failure
  • Family-Centered Intervention
  • Critical illness
  • Sepsis
  • Septic shock
03

In context

Sepsis Reclassified

2,416 studies on the registry are indexed under Sepsis; 541 are open to participants now.

This study's planned enrollment of 144 is above the median of 102 across 1,165 interventional studies indexed under Sepsis.

Browse Sepsis studies →

Lead sponsor

University of North Carolina, Chapel Hill is the lead sponsor of 1,372 studies on the registry; 133 are open to participants now.

Of its 161 completed or terminated interventional studies of FDA-regulated products, 139 (86%) have results posted.

Compared within Sepsis, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Critical Illness. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Patient Inclusion Criteria

  • Admitted to the medical ICU at UNC with acute respiratory failure (functional lung impairment resulting in hypoxia, hypercapnia, or both) and/or sepsis with significant end organ dysfunction.
  • At least 18 years old
  • Survives to hospital discharge
  • Is expected to be discharged home or to an acute inpatient rehabilitation center with a clear plan to be subsequently discharged home
  • Capable of providing written
  • Has English language proficiency

Caregiver Inclusion Criteria

  • Provides emotional, physical, and/or financial support to the patient in a non-professional, unpaid capacity
  • Must be related to the patient in one of the following ways: a spouse or domestic partner, an adult child, a parent, or a sibling
  • At least 18 years of age
  • Has English language proficiency
  • Must be the caregiver of a patient that meets the patient eligibility criteria listed above

Patient Exclusion Criteria:

  • No available family caregiver
  • Lacks decision-making capacity
  • Under 18 years of age
  • Living at a location other than home prior to admission
  • Unhoused prior to admission
  • Receives extracorporeal membrane oxygenation (ECMO) during hospital stay
  • Expected to discharge to any location other than home or an acute inpatient rehabilitation center
  • Does not have English language proficiency

Caregiver Exclusion Criteria

  • Does not provide emotional, physical, and/or financial support to the patient in a non-profession, unpaid capacity
  • Is not related to the patient in one of the following ways: a spouse or domestic partner, an adult child, a parent, or a sibling
  • Cannot complete surveys or engage in other study activities due to physical or cognitive limitations
  • Unhoused prior to admission
  • Is under 18 years of age
  • Does not have English language proficiency
  • Is not the caregiver of a patient that meets the patient eligibility criteria listed above
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
144 participants (estimated)

Study arms

  • Experimental
    ICU-SUCCEED

    This arm will receive ICU-SUCCEED intervention.

    Behavioral: ICU-SUCCEED

  • Placebo comparator
    Augmented Usual Care

    This arm will receive standard care routinely available plus written handouts prior to hospital discharge.

    Other: Augmented Usual Care

Interventions

  • BehavioralICU-SUCCEED

    Includes one inpatient (in-person) session followed by four outpatient (Zoom or telephone) sessions. Dyads will receive one session every 1-2 weeks. Each session will have a different focus, which may incorporate one of the following: communication, self-management, emotion management, stress management, lifestyle and hobbies, and interpersonal relationship building. This intervention has been adapted to meet the needs of patients with acute respiratory failure and their caregivers

  • OtherAugmented Usual Care

    Usual care will continue unchanged and will include any services, counseling, monitoring, or referrals that are coordinated by the clinical team prior to discharge. Handouts include a hospital discharge preparation checklist and information about the long-term complications of and recovery from critical illness.

06

What researchers measure

Primary outcomes

  1. Feasibility of participant eligibility

    Defined as the number of patients who met the inclusion criteria relative to the number of patients screened. Expressed as a percentage.

    Time frame: From the start to the end of recruitment

  2. Feasibility of recruitment

    The number of eligible patient-caregiver dyads that are approached by the study team relative to the number of dyads that are eligible for the study. Expressed as a percentage

    Time frame: From the start to the end of recruitment

  3. Feasibility of enrollment

    The number of enrolled dyads who provide consent relative to the number of dyads that are approached. Expressed as a percentage

    Time frame: From the start to end of recruitment

  4. Feasibility of ICU-SUCCEED inpatient session

    The number of dyads who complete inpatient session relative to the number of participants randomized to the intervention arm. Expressed as a percentage.

    Time frame: From recruitment start to inpatient session completion

  5. Feasibility of intervention completion

    The number of dyads that complete all five sessions relative to the number of dyads randomized. Expressed as a percentage.

    Time frame: From enrollment through intervention completion, average of 8 weeks

  6. Feasibility of retention

    The number of dyads who remained in the study through the Day 90 Follow-up relative to the number of dyads that are consented. Expressed as a percentage.

    Time frame: From enrollment to day 90 follow-up

  7. Intervention acceptability

    Defined as the mean score on three Likert-scale items assessed at 90 days post index discharge for participants in the intervention group

    Time frame: Day 90

Secondary outcomes

  1. Patients' Hospital Anxiety and Depression scores at Day 90

    Defined as the difference between the intervention and control arms on the Hospital Anxiety and Depression scale, which is designed to measure severity of anxiety and depression over the past week. Scores range from 0 to 21 where higher scores indicate greater anxiety and depression)

    Time frame: Day 90

  2. Caregivers' Hospital Anxiety and Depression scores at Day 90

    Defined as the difference between the intervention and control arms on the Hospital Anxiety and Depression scale which is designed to measure severity of anxiety and depression over the past week. Scores range from 0 to 21 where higher scores indicate greater anxiety and depression)

    Time frame: Day 90

  3. Patients' Impact of Events Scale-6 scores at Day 90

    The difference in scores between the intervention and control arms on the Impact of Events Scale-6, which is designed to measure symptoms of post-traumatic stress disorder. Scores range from 0 to 24 where higher scores indicate greater impairment

    Time frame: Day 90

  4. Caregivers' Impact of Events Scale-6 scores at Day 90

    The difference in scores between the intervention and control arms on the Impact of Events Scale-6 which is designed to measure symptoms of post-traumatic stress disorder. Scores range from 0 to 24 where higher scores indicate greater impairment

    Time frame: Day 90

  5. Patients' return to work status at Day 90

    The difference between arms in the proportion of patients who have returned to work as defined by a Y/N item on a revised Employment Questionnaire

    Time frame: Day 90

  6. Caregivers' return to work status at Day 90

    The difference between arms in the proportion of caregivers who have returned to work as defined by a Y/N item on a revised Employment Questionnaire

    Time frame: Day 90

  7. Patients' EQ-5D scores at Day 90

    The difference in scores between the intervention and control arms on the EQ-5D, which measures health-related quality of life. Scores range from 5 to 25 where higher scores indicate worse health status.

    Time frame: Day 90

  8. Caregivers' EQ-5D scores at Day 90

    The difference in scores between the intervention and control arms on the EQ-5D which measures health-related quality of life. Scores range from 5 to 25 where higher scores indicate worse health status.

    Time frame: Day 90

  9. Patients' Care Transition Measure scores at Day 90

    The difference in scores between the intervention and control arms on the Care Transition Measure, which measures an individual's preparation for hospital discharge. Scores range from 3 to 13 where higher scores indicate greater preparation for hospital discharge.

    Time frame: Day 90

  10. Caregivers' Care Transition Measure scores at Day 90

    The difference in scores between the intervention and control arms on the Care Transition Measure which measures an individual's preparation for hospital discharge. Scores range from 3 to 13 where higher scores indicate greater preparation for hospital discharge.

    Time frame: Day 90

  11. Patients' Multidimensional Scale of Perceived Social Support scores at Day 90

    The difference in scores between the intervention and control arms on the Multidimensional Scale of Perceived Social Support, which measures perceived social support. Scores range from 12 to 84 where higher scores indicate greater perceived support.

    Time frame: Day 90

  12. Caregivers' Multidimensional Scale of Perceived Social Support scores at Day 90

    The difference in scores between the intervention and control arms on the Multidimensional Scale of Perceived Social Support which measures perceived social support. Scores range from 12 to 84 where higher scores indicate greater perceived support.

    Time frame: Day 90

  13. Patients' Couples' Illness Communication Scale scores at Day 90

    The difference in scores between the intervention and control arms on the Couples' Illness Communication Scale, which measures a couple's illness-related communication. Scores range from 4 to 20 where higher scores indicate greater communication.

    Time frame: Day 90

  14. Caregivers' Couples' Illness Communication Scale scores at Day 90

    The difference in scores between the intervention and control arms on the Couples' Illness Communication Scale which measures a couple's illness-related communication. Scores range from 4 to 20 where higher scores indicate greater communication.

    Time frame: Day 90

  15. Patients' Self-Care Self Efficacy Scale scores at Day 90

    The difference in scores between the intervention and control arms on the Self-Care Self Efficacy Scale, which measures a patient's confidence in completing activities related to their self-care. Scores range from 10 to 50 where higher scores indicate greater self-efficacy.

    Time frame: Day 90

  16. Caregivers' Self-Care Self Efficacy Scale scores at Day 90

    The difference in scores between the intervention and control arms on the Caregiver Self-Efficacy in Contribution to Self-Care Scale, which measures a caregiver's confidence in supporting a patient in completing activities related to the patient's self-care. Scores range from 10 to 50 where higher scores indicate greater self-efficacy.

    Time frame: Day 90

  17. Days alive and out of hospital (DAOH)

    Defined as the number of days spent alive and outside of an acute care hospital (including acute care at home), long-term acute care hospital (LTACH), or emergency department (ED) over the 90 days following index hospital discharge.

    Time frame: From enrollment to day 90 follow-up

  18. Patients' Self-Care Self Efficacy Scale scores at Baseline

    The difference in scores between the intervention and control arms on the Self-Care Self Efficacy Scale, which measures a patient's confidence in completing activities related to their self-care. Scores range from 10 to 50 where higher scores indicate greater self-efficacy.

    Time frame: Baseline

  19. Caregivers' Self-Care Self Efficacy Scale scores at Baseline

    The difference in scores between the intervention and control arms on the Self-Care Self Efficacy Scale which measures a caregiver's confidence in supporting a patient in completing activities related to the patient's self-care. Scores range from 10 to 50 where higher scores indicate greater self-efficacy.

    Time frame: Baseline

  20. Patients' change in self-efficacy

    The difference in scores between the intervention and control arms on the Self-Care Self Efficacy Scale, which measures a patient's confidence in completing activities related to their self-care. Scores range from 10 to 50 where higher scores indicate greater self-efficacy.

    Time frame: Baseline to Day 90

  21. Caregivers' change in self-efficacy

    The difference in scores between the intervention and control arms on the Self-Care Self Efficacy Scale which measures a caregiver's confidence in supporting a patient in completing activities related to the patient's self-care. Scores range from 10 to 50 where higher scores indicate greater self-efficacy.

    Time frame: Baseline to Day 90

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Yes — Deidentified individual data that supports the results may be shared beginning 9 and continuing for 36 months following publication provided the investigator who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with UNC.

Supporting information: Study protocol

Time frame: beginning 9 and continuing for 36 months following publication

Access criteria: The investigator who proposes to use the data must have an approved IRB, IEC, or REB and an executed data use/sharing agreement with UNC.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Start date
Sep 1, 2026→Nov 15, 2026
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    Start date Sep 1, 2026→Nov 15, 2026
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07778004
Responsible party
Sponsor
First posted
Aug 21, 2026
Start date
Nov 15, 2026 (estimated)
Primary completion
Sep 1, 2030 (estimated)
Completion
Sep 1, 2030 (estimated)
Last update
Nov 5, 2026

Study contacts

Blair Wendlandt, MD, MSCR
Contact
succeed_icu@med.unc.edu
(984)542-7702
Blair Wendlandt, MD, MSCR
principal investigator · University of North Carolina, Chapel Hill

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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