Evidence map›Paper›PMID 29567813›Full record

ArticlePediatrics2018

Changes in Parental Hopes for Seriously Ill Children.

Douglas L Hill, Pamela G Nathanson, Karen W Carroll, Theodore E Schall, Victoria A Miller, Chris Feudtner

Abstract read
In one paragraph

Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Hope in Pediatric Palliative Care: A Systematic Review.Children (Basel, Switzerland) · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Supporting parents' emotional and mental health in the antenatal consultation.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  12. Article
  13. Crossroads of parental decision making: Intersections of hope, communication, relationships, and emotions.Journal of child health care : for professionals working with children in the hospital and community · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Parental views on communication between children and clinicians in pediatric oncology: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  18. Article
  19. Review
  20. 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

6 authors.

Douglas L HillChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Pamela G NathansonChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Karen W CarrollChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Theodore E SchallChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Victoria A MillerChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Chris FeudtnerChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania feudtner@email.chop.edu.

Funding

Decisionmaking in Pediatric Advanced CareR01NR012026 · NINR · CHILDREN'S HOSP OF PHILADELPHIA · PI FEUDTNER, JOHN CHRIS · 2010 to 2014
$2.4M
NINR NIH HHS R01 NR012026
6 · The paper itself

Abstract

backgroundHopes of parents of children with serious illness play an important role in decision-making and coping. Little is known about how parent hopes change over time. We describe the changes in parent hopes across multiple domains and time intervals, examine hopes in a subgroup of parents whose child died, and explore the maintenance of domains over time.

methodsIn a mixed-methods prospective cohort study on decision-making, parents of seriously ill children reported demographic characteristics and hopes at baseline and reported any changes in hopes at 4-, 8-, 12-, 16-, and 20-month follow-up visits. Hopes were coded into 9 domains. Hope changes and domain changes were identified for each parent at each visit.

resultsOne hundred and ninety-nine parents of 158 patients most often reported hopes in the domains of quality of life (75%), physical body (69%), future well-being (47%), and medical care (34%). Hope percentages increased over time for quality of life (84%), future well-being (64%), and broader meaning (21%). The hope domains reported by parents of children who died were similar to the rest of the sample. The majority of parents who completed 5 to 6 follow-up visits changed at least 1 domain. At the individual parent level, some domains revealed considerable change over time, whereas other domains were stable among a subset of parents.

conclusionsThe specific hopes and overall areas of hope of parents of seriously ill children vary over time, although most hopes fall within 4 major areas. Accordingly, clinicians should regularly check with parents about their current hopes.

Indexed as

Decision MakingHopeSeverity of Illness IndexAdaptation, PsychologicalAdultCritical IllnessFemaleHumansMaleMiddle AgedParentsQuality of LifeYoung Adult

Identifiers

PMID29567813
PMCPMC5869332

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.