Evidence map›Paper›PMID 21324929›Full record

Trial reportBritish journal of anaesthesia2011

Analysing a family-centred preoperative intervention programme: a dismantling approach.

M A Fortier, R L Blount, S-M Wang, L C Mayes, Z N Kain

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of anaesthesia, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Family-centred care for hospitalised children aged 0-12 years.The Cochrane database of systematic reviews · 2012
    Pooled it
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  15. Coping strategies in anxious surgical patients.BMC health services research · 2016
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

M A FortierDepartment of Anesthesiology and Perioperative Care, University of California-Irvine, 333 City Blvd West, Suite 2150, Orange, CA 92868, USA. mfortier@uci.edu
R L Blount
S-M Wang
L C Mayes
Z N Kain
Children's Hospital of Orange County · USYale University · USUniversity of Georgia · US

Funding

Psychological Influences on Postoperative RecoveryR01HD037007 · NICHD · YALE UNIVERSITY · PI KAIN, ZEEV · 1999 to 2007
$2.4M
NICHD NIH HHS R01 HD037007NICHD NIH HHS R01HD37007
6 · The paper itself

Abstract

backgroundThe goal of this project was to identify key effective components of ADVANCE, a family-centred preoperative intervention programme, through the use of a dismantling approach. ADVANCE was previously demonstrated to be more effective than parental presence and just as effective as midazolam in reducing children's preoperative anxiety. The total programme, however, may be difficult to implement in hospitals across the country.

methodsSubjects in this follow-up dismantling report were 96 children aged 2-10 who were part of the original study and who underwent anaesthesia and surgery. Baseline characteristics, parental adherence to the components of ADVANCE, and child and parent anxiety were assessed.

resultsWe found that greater parental adherence to the ADVANCE intervention was associated with lower child anxiety before surgery. The two components of ADVANCE that emerged as having a significant impact on children's anxiety were practising with the anaesthesia mask at home and parental planning and use of distraction in the preoperative holding area. In fact, not only did children experience significantly less preoperative anxiety when their parents were adherent to mask practise and use of distraction, their anxiety tended to remain stable and relatively low throughout the preoperative period.

conclusionsShaping and exposure (i.e. practise with the anaesthesia mask) and parental use of distraction in the surgical setting are two beneficial components that could be included in preoperative preparation programmes that will be designed in the future.

Indexed as

AdultAnxietyAttentionChildChild, PreschoolCooperative BehaviorFemaleHabituation, PsychophysiologicHealth EducationHumansMaleMasksParentsPreoperative CareSurgical Procedures, Operative

Identifiers

PMID21324929
PMCPMC3077749
OpenAlexW2121249282

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.