FEATURESThe Use of Communication Technology to Affect Patient Outcomes in the Intensive Care UnitKoszalinski, Rebecca S. PhD, RN, CRRN, CMSRN; Heidel, Robert E. PhD; Hutson, Sadie P. PhD, RN, WHNP-BC, FAANP; Li, Xueping PhD; Palmer, Teresa G. MS, APRN, ACHPN; McCarthy, Jillian PhD, CCC-SLP; Hollibush, Todd MS; Massoli, Joseph BSN; Simmons, Amanda MS, CCC-SLP; Jagirdar, Nikhil MS; Velur Rajashekaran, Pradeep MSAuthor Information Author Affiliations: College of Nursing (Dr Koszalinski, Mr Hollibush, and Mr Massoli), Graduate Programs (Dr Hutson), and Department of Industrial and Systems Engineering, J.D. Tickle College of Engineering (Dr Li, Mr Jagirdar, and Mr Velur Rajashekaran), University of Tennessee, Knoxville; Department of Surgery, Division of Biostatistics, University of Tennessee Medical Center Graduate School of Medicine, Knoxville (Dr Heidel); University of Tennessee Medical Center, Knoxville (Ms Palmer); and Department of Audiology and Speech Pathology, University of Tennessee Health Science Center, Knoxville (Dr McCarthy and Ms Simmons). This study was partially funded by the University of Tennessee, Center for Health Sciences Research ($9,776). The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Corresponding author: Rebecca S. Koszalinski, PhD, RN, CRRN, CMSRN, College of Nursing, University of Tennessee, 1200 Volunteer Blvd, Room 231, Knoxville, TN 37996 (email@example.com). CIN: Computers, Informatics, Nursing: April 2020 - Volume 38 - Issue 4 - p 183-189 doi: 10.1097/CIN.0000000000000597 Buy Take the CE Test Metrics Abstract Effective two-way patient-provider communication is challenging and is even more difficult when patients are communication vulnerable. The results of being unheard and unacknowledged can contribute to negative feelings and may manifest as symptoms of anxiety and depression. Researchers explored symptoms of anxiety and depression when using a team-developed, patient-centered, and nurse-led intervention called Speak for Myself—Voice (formerly published as Speak for Myself) in five intensive care units at a Magnet status, university-affiliated medical center in East Tennessee. This was an equivalent control group design. The data were analyzed with a mixed-effect analysis of variance (between and within groups) with repeated measures to see if the treatment group changed differently than the control group across time (48 hours). This study report adds information about anxiety and depression in patients who are communication vulnerable and using communication technology. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.