Building Relationship, Improving Dialogue, and Growing Empathy (BRIDGE): An Intervention to Support Decision Making for Critically Ill Children

Parents of young children in the intensive care unit may be faced with decisions about their child's care. The Building Relationship, Improving Dialogue, and Growing Empathy (BRIDGE) intervention was designed to help support parents as they make decisions for their child and communicate with the health care team. The main questions this study aims to answer are: 1. Do parents who receive the BRIDGE intervention report being better prepared to make decisions for their child? 2. Do parents who receive the BRIDGE intervention report less regret about the decisions they made for their child? Participants will complete surveys at baseline and approximately 2 weeks, 6 months, and 12 months following enrollment. Some participants will also participate in interviews about their experiences.

Inclusion Criteria: Child inclusion criteria will include: * Age \< 5 years * Admission to a critical care unit within the preceding 14 days * An anticipated serious health care decision, defined as a decision about initiating, not initiating, or withdrawing life-sustaining treatment and/or a decision about major intervention. Parent inclusion criteria will include: * Age ≥ 18 years * The ability speak English or Spanish. Clinician inclusion criteria will include * Clinical team member of an enrolled child and parent in the intervention group * Completion of residency or equivalent training. Exclusion Criteria: * Children, parents or clinicians who do not meet the inclusion criteria above.