Collaborative General Practitioner Shared Care Versus Self-Directed Care Following Critical Illness in Young Children: A Pilot Hybrid Effectiveness-Implementation Randomized Controlled Trial

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A collaborative general practitioner shared-care follow-up model for young children after critical illness is feasible and significantly reduces parenting stress compared to self-directed care, although it does not significantly alter child neurodevelopmental vulnerability at 6 months. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Debbie A. Long; Zephanie Tyack; Lori Anthony; Belinda Dow; Leigh Dunn; Renate Le Marsney; Trang Pham; James Best; Kerri‐Lyn Webb; Helen Liley; Christian Stocker; Debra Thoms; Luregn J. Schlapbach; Charlotte Moore; Paula Lister; Samudragupta Bora; Kristen Gibbons

doi:10.1097/pcc.0000000000004024

August 26, 2026Pediatric Critical Care Medicine

Collaborative General Practitioner Shared Care Versus Self-Directed Care Following Critical Illness in Young Children: A Pilot Hybrid Effectiveness-Implementation Randomized Controlled Trial

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Key Points

Evaluate the feasibility of conducting a randomized controlled trial and determine the feasibility, acceptability, and clinical impact of a collaborative general practitioner shared-care model following pediatric intensive care discharge.
Multicenter, pilot, parallel randomized controlled trial conducted across two pediatric intensive care units (PICUs) in Queensland, Australia (ACTRN12621000799853).
Randomized 141 parents of children aged 2 months to younger than 4 years (1:1) to either 6 months of collaborative general practitioner shared care (n=69) or self-directed care (n=72).
Assessed trial feasibility metrics alongside 6-month secondary outcomes, including child neurodevelopmental vulnerability and parent psychosocial stress.
Trial recruitment achieved 42% (154/363 eligible parents consented), with an 81% retention rate, 96% protocol fidelity, and high intervention acceptability (71%–86%), though intervention feasibility varied widely (35%–82%).
Child neurodevelopmental vulnerability rates at 6 months were 39% in the shared-care arm versus 44% in the active control arm (adjusted odds ratio, 0.72 [95% CI, 0.32–1.60]).
Parenting stress scores at 6 months were lower in the shared-care group (median, 20 [IQR, 12–47]) compared to active controls (median, 42 [IQR, 19–66]; difference, -23 [95% CI, -40 to -6]).

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Implication

Randomized trial reveals reduced parenting stress with general practitioner shared care after pediatric intensive care discharge, suggesting improved family post-critical-illness support.

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Long et al. (2026) studied this question.

synapsesocial.com/papers/6a914631d15324a1df3a9a99 https://doi.org/10.1097/pcc.0000000000004024

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Collaborative General Practitioner Shared Care Versus Self-Directed Care Following Critical Illness in Young Children: A Pilot Hybrid Effectiveness-Implementation Randomized Controlled Trial

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Cite This Study

Collaborative General Practitioner Shared Care Versus Self-Directed Care Following Critical Illness in Young Children: A Pilot Hybrid Effectiveness-Implementation Randomized Controlled Trial

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Cite This Study

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