Trial reportPediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2018
Impressions of Early Mobilization of Critically Ill Children-Clinician, Patient, and Family Perspectives.
Trial report in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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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.
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.
Who cites it
19 citing papers in PubMed, 46 citations in OpenAlex.
- Early Protocolized Versus Usual Care Rehabilitation for Pediatric Neurocritical Care Patients: A Randomized Controlled 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 · 2019Trial
- Consensus statement on the use of standardized early mobilization in pediatric patients admitted to pediatric intensive care units in Italy.European journal of pediatrics · 2026Review
- Early Mobilization Protocols in Critically Ill Pediatric Patients: A Scoping Review of Strategies, Tools and Perceived Barriers.Children (Basel, Switzerland) · 2025Review
- Effect of educational program on nurses' performance regarding application of liberation bundle in pediatric intensive care unit.BMC nursing · 2025Article
- Article
- The Family Network Collaborative: engaging families in pediatric critical care research.Pediatric research · 2023Article
- Development of a non-pharmacologic delirium management bundle in paediatric intensive care units.Nursing in critical care · 2022Article
- Early mobilisation and rehabilitation in the PICU: a UK survey.BMJ paediatrics open · 2022Article
- Consent models in Canadian critical care randomized controlled trials: a scoping review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Article
- Article
- Building a culture of early mobilization in the pediatric intensive care unit-a nuts and bolts approach.Translational pediatrics · 2021Review
- Putting the Patient First: A Scoping Review of Patient Desires in Canada.Healthcare policy = Politiques de sante · 2021Article
- The LiberAction Project: Implementation of a Pediatric Liberation Bundle to Screen Delirium, Reduce Benzodiazepine Sedation, and Provide Early Mobilization in a Human Resource-Limited Pediatric Intensive Care Unit.Frontiers in pediatrics · 2021Article
- Beginning Restorative Activities Very Early: Implementation of an Early Mobility Initiative in a Pediatric Onco-Critical Care Unit.Frontiers in oncology · 2021Article
- Caregiver dissatisfaction with their child's participation in home activities after pediatric critical illness.BMC pediatrics · 2020Article
- Mobilization practices in critically ill children: a European point prevalence study (EU PARK-PICU).Critical care (London, England) · 2020Article
- Return to Ambulation After Pediatric Liver Transplantation: A First "Step" in Assessing the Impact of Early Mobility.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019Article
- Early mobilization in the pediatric intensive care unit.Translational pediatrics · 2018Review
- Multistakeholder Qualitative Research Methods to Impact Culture of Care Practices in the ICU.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2018Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo understand patient, family caregiver, and clinician impressions of early mobilization, the perceived barriers and facilitators to its implementation, and the use of in-bed cycling as a method of mobilization.
designA qualitative study, conducted as part of the Early Exercise in Critically ill Youth and Children, a preliminary Evaluation (wEECYCLE) Pilot randomized controlled trial.
settingMcMaster Children's Hospital PICU, Hamilton, ON, Canada.
participantsClinicians (i.e., physicians, nurses, and physiotherapists), family caregivers, and capable patients age greater than or equal to 8 years old who were enrolled in a clinical trial of early mobilization in critically ill children (wEECYCLE).
interventionSemistructured, face-to-face interviews using a customized interview guide for clinicians, caregivers, and patients respectively, conducted after exposure to the early mobilization intervention. MEASUREMENTS AND MAIN
resultsThirty-seven participants were interviewed (19 family caregivers, four patients, and 14 clinicians). Family caregivers and clinicians described similar interrelated themes representing barriers to mobilization, namely low prioritization of mobilization by the medical team, safety concerns, the lack of physiotherapy resources, and low patient motivation. Key facilitators were family trust in the healthcare team, team engagement, an a priori belief that physical activity is important, and participation in research. Increased familiarity and specific features such as the virtual reality component and ability to execute passive and or active mobilization helped to engage critically ill children in in-bed cycling.
conclusionsClinicians, patients, and families were highly supportive of mobilization in critically ill children; however, concerns were identified with respect to how and when to execute this practice. Understanding key stakeholder perspectives enables the development of strategies to facilitate the implementation of early mobilization and in-bed cycling, not just in the context of a clinical trial but also within the culture of practice in a PICU.
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Registered trials
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.