D25-24 Supporting Personal Recovery After Intensive Care Unit (ICU) Treatment for Cardiorespiratory Failure (SPIRIT-CRF): Early Findings on Recovery Perceptions and Peer Support Needs

Rationale Personal recovery frameworks are important tools across the spectrum of illness; however, little is known about how intensive care unit (ICU) survivors perceive their personal recovery needs or how those perceptions are associated with interest in peer support during post-ICU recovery. Objectives We sought to 1) modify a previously validated survey to characterize perceptions of personal recovery and 2) describe perceived peer support interests and needs among ICU survivors in Oregon. Methods We modified the Recovery Self-Assessment (RSA) to make it relevant to ICU survivorship and to include novel questions addressing sense-making and feelings of overwhelm during recovery. Fifteen additional questions assessed interest in and readiness to engage in peer support, as well as perceptions of family and community support. The survey was administered via REDCap to adult survivors of cardiorespiratory failure who were 1-4 months from hospital discharge. Internal consistency of survey items was assessed using Cronbach’s alpha. RSA items were rated on a 5-point Likert scale, with higher values indicating greater perceived alignment with personal recovery. Total and domain scores (“Individualized Care” and “Life Goals”) were calculated as the mean of item responses and summarized as the median and interquartile range (IQR) of participant-level scores. Results The modified RSA items showed high internal consistency overall (Cronbach’s alpha 0.94), and within the “Individualized care” (0.85) and “Life Goals” (0.89) domains. Among 15 ICU survivors (median (IQR) age 70 (63, 76); hospital length of stay 9 (7, 14) days; EuroQol visual analog scale score 75.0 (67.5, 87.5)], participant-level RSA scores were high, indicating that their post-ICU care was aligned with principles of personal recovery. Median (IQR) RSA total score was 4.2 (3.3-5.0); median (IQR) domain scores were 4.4 (3.0-5.0) for “Individualized Care” and 4.5 (3.4-5.0) for “Life Goals.” Awareness and interest in peer support were more variable: eight participants (53%) reported being neutral or agreeing that they felt informed about peer support. In contrast, most participants endorsed strong family or community support (11(73%)] and greater comfort discussing recovery with individuals outside the medical team (8(53%)]. Conclusions We successfully adapted a personal recovery survey for use in ICU survivorship. Although further validation of the peer support measures will be needed, preliminary findings suggest that perceptions of personal recovery needs may be associated with interest in peer support interventions.