Evidence map›Paper›PMID 22311995›Full record

Trial reportPediatrics2012

Resilience in children undergoing stem cell transplantation: results of a complementary intervention trial.

Sean Phipps, Courtney Peasant, Maru Barrera, Melissa A Alderfer, Qinlei Huang, Kathryn Vannatta

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
5.5field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Psychological therapies for children and adolescents exposed to trauma.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Adjustment in parents of children undergoing stem cell transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
    Trial
  8. Trial
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Posttraumatic stress and psychological growth in children with cancer: has the traumatic impact of cancer been overestimated?Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014
    Article
  18. The neural basis of humour processing.Nature reviews. Neuroscience · 2013
    Review
  19. Review
  20. Review
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

6 authors at 4 institutions in 2 countries.

Sean PhippsDepartment of Psychology, St Jude Children's Research Hospital, Memphis, TN 38105-3678, USA. sean.phipps@stjude.org
Courtney Peasant
Maru Barrera
Melissa A Alderfer
Qinlei Huang
Kathryn Vannatta
Children's Hospital of Philadelphia · USHospital for Sick Children · CANationwide Children's Hospital · USSt. Jude Children's Research Hospital · US

Funding

Psychosocial Impact of Pediatric Bone Marrow TransplantR01CA060616 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI PHIPPS, SEAN · 2002 to 2006
$1.8M
NCI NIH HHS R01 CA060616NCI NIH HHS R01 CA60616
6 · The paper itself

Abstract

backgroundChildren undergoing stem cell transplantation (SCT) are thought to be at risk for increased distress, adjustment difficulties, and impaired health-related quality of life (HRQL). We report results of a multisite trial designed to improve psychological adjustment and HRQL in children undergoing SCT.

methodsA total of 171 patients and parents from 4 sites were randomized to receive a child-targeted intervention; a child and parent intervention; or standard care. The child intervention included massage and humor therapy; the parent intervention included massage and relaxation/imagery. Outcomes included symptoms of depression and posttraumatic stress, HRQL, and benefit finding. Assessments were conducted by patient and parent report at admission and SCT week+24.

resultsAcross the sample, significant improvements were seen on all outcomes from admission to week+24. Surprisingly, patients who had SCT reported low levels of adjustment difficulties at admission, and improved to normative or better than average levels of adjustment and HRQL at week+24. Benefit finding was high at admission and increased at week+24; however, there were no statistically significant differences between intervention arms for any of the measures.

conclusionsAlthough the results do not support the benefits of these complementary interventions in pediatric SCT, this may be explained by the remarkably positive overall adjustment seen in this sample. Improvements in supportive care, and a tendency for patients to find benefit in the SCT experience, serve to promote positive outcomes in children undergoing this procedure, who appear particularly resilient to the challenge.

Indexed as

Adaptation, PsychologicalQuality of LifeAdolescentAge FactorsAnalysis of VarianceCancer Care FacilitiesChildCombined Modality TherapyComplementary TherapiesFemaleFollow-Up StudiesHematologic NeoplasmsHumansInformed ConsentMalePostoperative Care

Identifiers

PMID22311995
PMCPMC3289525
OpenAlexW2131985547

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.