Clinical trial Recruiting at 3 sites Interventional Ages 19 and up

Improving ICU care through behavioral strategies

Official title: Behavioral Economic and Staffing Strategies To Increase Adoption of an Evidence Based Bundle in the Intensive Care Unit (BEST ICU): A Stepped Wedge Cluster Randomized Controlled Trial

Run by University of Nebraska · NCT06184945 · Data updated 2026-11-12

This study is testing two strategies to help ICU staff use better practices for caring for critically ill adults, especially those facing health challenges, to see if it can improve patient recovery and reduce complications.

Quick facts

Study typeInterventional
Ages19 Years and up
SexAll
Enrollment16500 (estimated)
SponsorUniversity of Nebraska
Academic / other
Locations3 sites (Iowa City, Iowa and 2 other locations)
StatusRecruiting
StartedJuly 1, 2024
Main results expectedApril 2028
Study endsApril 2028
Registry record updatedOctober 23, 2026
Trial IDNCT06184945 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults over 19 years old who require invasive mechanical ventilation during their ICU stay.

Probably not a fit

Patients who are already on chronic long-term mechanical ventilation or those who are prisoners may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to enhance the adoption of effective evidence-based practices in ICUs for critically ill adults, particularly focusing on those with health disparities. It evaluates two strategies: real-time audit and feedback, and registered nurse implementation facilitation, to promote the ABCDEF bundle, which addresses common complications like delirium and weakness. By integrating these strategies, the study seeks to improve patient outcomes and reduce the incidence of preventable impairments associated with critical illness. The research is grounded in implementation science and behavioral economics to ensure practical applicability in real-world settings.

Why it matters

Potential benefit: If successful, this study could significantly improve the quality of care and outcomes for critically ill patients in ICUs.

How similar studies have gone: Previous studies have shown that similar implementation strategies can lead to improved clinical outcomes in critical care settings.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age \> or = to 19 years at time of ICU admission
* Received invasive mechanical ventilation while in a cluster ICU
* Admitted to participating cluster ICU
* Cluster ICU length of stay of at least 24 hours

Exclusion Criteria:

* Patient who is admitted to the hospital who is already receiving chronic long-term mechanical ventilation from the home, assisted living, or long-term care setting
* Prisoners

Where it's running

  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa, United States
    Recruiting
  • University of Nebraska Medical Center
    Omaha, Nebraska, United States
    Recruiting
  • Ohio State University
    Columbus, Ohio, United States
    Recruiting

Study contacts

  • Principal investigator: Michele C Balas, PhD, RN — University of Nebraska
  • Study coordinator: Michele C Balas, PhD, RN
  • Email: mibalas@unmc.edu
  • Phone: (614) 949-5555

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.