Evidence map›Paper›PMID 27263074›Full record

Trial reportContemporary clinical trials2016

The Family Communication Study: A randomized trial of prospective pediatric palliative care consultation, study methodology and perceptions of participation burden.

Helene Starks, Ardith Doorenbos, Taryn Lindhorst, Erica Bourget, Eugene Aisenberg, Natalie Oman, Tessa Rue, J Randall Curtis, Ross Hays

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Acute and Posttraumatic Stress in Family Members of Children With a Prolonged Stay in a PICU: Secondary Analysis of a Randomized Trial.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2022
    Trial
  5. Trial
  6. Article
  7. [Significance and current development status of pediatric palliative care].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2020
    Review
  8. Article
  9. Article
  10. Nurses' Reflections on Benefits and Challenges of Implementing Family-Centered Care in Pediatric Intensive Care Units.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2018
    Article
  11. 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

9 authors.

Helene StarksDept. of Bioethics and Humanities, School of Medicine, University of Washington, Seattle, WA, United States; Dept. of Pediatrics, School of Medicine, University of Washington, Seattle, WA, United States; Cambia Palliative Care Center of Excellence, University of Washington, Seattle, WA, United States. Electronic address: tigiba@uw.edu.
Ardith DoorenbosCambia Palliative Care Center of Excellence, University of Washington, Seattle, WA, United States; Dept. of Biobehavioral Nursing & Health Systems, School of Nursing, University of Washington, Seattle, WA, United States; Department of Anesthesiology and Pain Medicine, School of Medicine, University of Washington, Seattle, WA, United States.
Taryn LindhorstCambia Palliative Care Center of Excellence, University of Washington, Seattle, WA, United States; School of Social Work, University of Washington, Seattle, WA, United States.
Erica BourgetCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, United States.
Eugene AisenbergDepartment of Anesthesiology and Pain Medicine, School of Medicine, University of Washington, Seattle, WA, United States; School of Social Work, University of Washington, Seattle, WA, United States.
Natalie OmanCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, United States.
Tessa RueDepartment of Biostatistics, University of Washington, Seattle, WA, United States.
J Randall CurtisDept. of Bioethics and Humanities, School of Medicine, University of Washington, Seattle, WA, United States; Cambia Palliative Care Center of Excellence, University of Washington, Seattle, WA, United States; Dept. of Medicine, Division of Pulmonary and Critical Care Medicine, School of Medicine, University of Washington, Seattle, WA, United States.
Ross HaysDept. of Bioethics and Humanities, School of Medicine, University of Washington, Seattle, WA, United States; Dept. of Pediatrics, School of Medicine, University of Washington, Seattle, WA, United States; Cambia Palliative Care Center of Excellence, University of Washington, Seattle, WA, United States; Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, United States; Dept. of Rehabilitative Medicine, School of Medicine, University of Washington, Seattle, WA, United States.

Funding

Improving Family Outcomes with a Communication Intervention in the Pediatric ICUR01NR011179 · NINR · SEATTLE CHILDREN'S HOSPITAL · PI HAYS, ROSS M · 2009 to 2013
$2.7M
Improving the Quality of Communication about End-of-LifeK24HL068593 · NHLBI · UNIVERSITY OF WASHINGTON · PI CURTIS, J RANDALL · 2002 to 2011
$1.2M
Applying Technology to Problems in Pain and Symptom ManagementK24NR015340 · NINR · UNIVERSITY OF WASHINGTON · PI DOORENBOS, ARDITH Z · 2014 to 2018
$842k
NHLBI NIH HHS K24 HL068593NINR NIH HHS K24 NR015340NINR NIH HHS R01 NR011179
6 · The paper itself

Abstract

backgroundTo describe the study methods, baseline characteristics and burden of study procedures of an intervention designed to reduce family stress symptoms through early support from the palliative care team. Length of stay of ≥8days was the trigger for early palliative care involvement.

methodsCluster-randomized trial with children as the unit of randomization. Up to 3 family members per child were recruited. Family stress symptoms were recorded at baseline, discharge from the ICU, and 3months post-enrollment. Questionnaire burden was assessed on a 1-10 point scale at each time point and open-ended comments were analyzed to describe the participants' experience in the study.

results380 family members of 220 children (control=115 children and 204 family members; intervention=105 children and 176 family members) were recruited, which represented 50% of all eligible families. Most family participants were parents (86% control; 92% intervention) and female (66% both groups). Retention rates were high through the 3-month follow-up: 93% and 90% for the control and intervention groups respectively. Questionnaire burden was very low: mean (sd) scores were 1.1 (1.6), 0.7 (1.5), and 0.9 (1.6) for the baseline, discharge and follow-up questionnaires, respectively. Comments suggest that participation was beneficial by promoting reflection and self-awareness about stress, coping and resilience, and feeling cared for because the intervention and questionnaires focused on their own well-being.

conclusionsThe participants' comments regarding the focus on them as the point of intervention reflects the value of conducting research with family members of seriously ill children during ICU stays.

Indexed as

Attitude to HealthPalliative MedicinePediatricsReferral and ConsultationAdultChildChild, PreschoolFamilyFemaleHumansInfantInfant, NewbornLength of StayMaleMiddle AgedPalliative CareFamily/caregivers psychologyIntensive care unitPediatricsPsychological adaptationRandomized trialStress disorders

Identifiers

PMID27263074
PMCPMC4969115

What OpenQuestion holds

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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.