PARTNER II: Improving Patient and Family Centered Care in Advanced Critical Illness

We will assess quality of communication in family members in a telephone interview 6 months after enrollment using the validated13 item Quality of Communication Scale.

We will assess symptom burden of anxiety and depression in family members in a telephone interview 6 months after enrollment using the validated 14-item Hospital Anxiety and Depression scale (HADS).

We will assess Patient Centeredness of Care, using the 12-item Patient-Perceived Patient-Centeredness of Care Scale (PPPC) adapted for use by surrogates.

We will assess the Intensive Care Unit length of stay as assessed by abstraction of this information from the medical record.

We will assess symptoms of post-traumatic stress in family members in a telephone interview 6 months after enrollment using the validated 22 item Impact of Events Scale.

We will assess Decisional Regret by family members in a telephone interview 6 months after enrollment using the validated 5 item Decision Regret Scale across treatment groups.

We will assess hospital mortality and 6-month mortality using hospital records, 6 month follow-up with surrogates, and the National Death Index in cases in which participants are lost to telephone follow up.

We will assess functional status of the patient using the validated Katz Activities of Daily Living Scale at 6 months.

We will assess hospital length of stay by abstraction of this information from the medical record at hospital discharge.

We will measure total hospitalization costs by aggregating each patient's total service specific costs, generated from hospital administrative records.

We will assess patient health care utilization using hospital records and through validated methods to assess utilization using standardized interviews with surrogates at 6 months.