The Development of an Early Intervention for Supporting Families of Persons With Acquired Brain Injuries: The SAFIR© Intervention.
Véronique de Goumoëns, Koffi Ayigah, Daniel Joye and 2 others
PMID 34617490WHAT IT FOUND
A nurse-led family intervention for acute ABI was developed with families and clinicians.
It uses four meetings in the first month for assessment, support, information, family participation, and care coordination. Outcomes were not tested.
Key findings
01SAFIR is a nurse-led intervention with five core components: family assessment, emotional support, individualized information, family engagement, and interprofessional collaboration.
02It was designed to be delivered as four family meetings during the first month of acute care, each lasting 15 to 60 minutes.
03Family needs for regular information and emotional support were unmet, and only five of 64 reviewed interventions were delivered in the acute phase.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is an intervention development paper, not a trial. It reports no patient or family outcomes from SAFIR. The expert panel and family reviewers were a convenience sample, so their ratings may not represent other clinicians or families. The intervention assumes master-prepared clinical nurse specialists, a dedicated meeting room, and time for briefing and debriefing, which may not be available in all services. Some supporting evidence is described as published elsewhere, so this paper alone does not show the full methods or results of those earlier studies. The next planned testing is for feasibility and acceptability, not effectiveness.
Declared interests
The authors declared no potential conflicts of interest. The supplied funding statement says the work was supported by the Swiss National Science Foundation (grant number 100019-162650).
The easy way to misread this
Do not conclude that SAFIR improves family or patient outcomes. This paper describes intervention development and says the next phase must test feasibility and acceptability.