Evidence map›Paper›PMID 26634562›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016

Play-based procedural preparation and support intervention for cranial radiation.

Shawna Grissom, Jessika Boles, Katherine Bailey, Kathryn Cantrell, Amy Kennedy, April Sykes, Belinda N Mandrell

Open access · greenAbstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Allies not enemies-creating a more empathetic and uplifting patient experience through technology and art.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Improving the Pediatric Patient Experience During Radiation Therapy-A Children's Oncology Group Study.International journal of radiation oncology, biology, physics · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Parent perspectives and preferences for strategies regarding nonsedated MRI scans in a pediatric oncology population.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  17. What Adult Cancer Care Can Learn From Pediatrics.Journal of oncology practice · 2016
    Article
  18. Play-Based Interventions Delivered by Child Life Specialists: Teachable Moments for Youth With Type 1 Diabetes.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Article
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

7 authors at 2 institutions in 1 country.

Shawna GrissomChild Life Program, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS 121, Memphis, TN, 38105, USA. shawna.grissom@stjude.org.
Jessika BolesChild Life Program, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS 121, Memphis, TN, 38105, USA.
Katherine BaileyChild Life Program, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS 121, Memphis, TN, 38105, USA.
Kathryn CantrellUniversity of Massachusetts, 100 Morrissey Blvd., Boston, MA, 02125, USA.
Amy KennedyChild Life Program, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS 121, Memphis, TN, 38105, USA.
April SykesDepartment of Biostatistics, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS 723, Memphis, TN, 38105, USA.
Belinda N MandrellDepartment of Pediatric Medicine, Division of Nursing Research, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS738, Memphis, TN, 38105, USA.
St. Jude Children's Research Hospital · USUniversity of Massachusetts Boston · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

purposeThe primary objective of this study was to examine the relationship between play-based procedural preparation and support intervention and use of sedation in children with central nervous system (CNS) tumors during radiation therapy. The secondary objective was to analyze the cost-effectiveness of the intervention compared to costs associated with daily sedation.

methodsA retrospective chart review was conducted, and 116 children aged 5-12 years met criteria for inclusion. Outcome measures included the total number of radiation treatments received, the number of treatments received with and without sedation, and the type and duration of interventions, which consisted of developmentally appropriate play, education, preparation, and distraction provided by a certified child life specialist.

resultsThe results of univariate analyses showed that age, tumor location, and total number and duration of interventions were significantly associated with sedation use during radiation therapy. Multivariate analyses showed that, after adjustment for age, tumor location, and craniospinal radiation, a significant relationship was found between the total number and duration of the interventions and sedation use. The implementation of a play-based procedural preparation and support intervention provided by a certified child life specialist significantly reduced health-care costs by decreasing the necessity of daily sedation.

conclusionsSupport interventions provided by child life specialists significantly decreased both sedation use and the cost associated with daily sedation during cranial radiation therapy in children with CNS tumors. This study supports the value of the child life professional as a play-based developmental specialist and a crucial component of cost-effective healthcare.

Indexed as

Central Nervous System NeoplasmsChildCost-Benefit AnalysisCranial IrradiationFemaleHumansMaleOutcome Assessment, Health CarePlay TherapyRetrospective StudiesChild lifeCost-effectivenessPlayProcedural supportRadiation therapySedation

Identifiers

PMID26634562
PMCPMC5053392
OpenAlexW2189287310

What OpenQuestion holds

Textmetadata
LicenceTDM
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.