Evidence map›Paper›PMID 30341154›Full record

Trial reportPediatrics2018

Advance Care Planning and HIV Symptoms in Adolescence.

Maureen E Lyon, Patricia A Garvie, Lawrence J D'Angelo, Ronald H Dallas, Linda Briggs, Patricia M Flynn, Ana Garcia, Yao I Cheng, Jichuan Wang, Adolescent Palliative Care Consortium

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01289444 (Longitudinal Pediatric Palliative Care), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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.

NCT01289444 nacompletednot on this map

Longitudinal Pediatric Palliative Care: Quality of Life & Spiritual Struggle

TypeinterventionalSponsorMaureen LyonRan2011 to 2014Enrolled216ConditionsHIVArmsFAmily CEntered (FACE) ACP, Healthy Living Control
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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  9. "The American journal of hospice & palliative care · 2025
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  19. The Effect of FAmily-CEntered (FACEJournal of family nursing · 2020
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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

10 authors at 5 institutions in 1 country.

Maureen E LyonDivisions of Adolescent and Young Adult Medicine and mlyon@childrensnational.org.
Patricia A GarvieResearch Department, Children's Diagnostic and Treatment Center, Fort Lauderdale, Florida.
Lawrence J D'AngeloDivisions of Adolescent and Young Adult Medicine and.
Ronald H DallasDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee.
Linda BriggsRespecting Choices, Coalition to Transform Advanced Care Innovations, Washington, District of Columbia; and.
Patricia M FlynnDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee.
Ana GarciaDepartment of Pediatrics, Division of Infectious Disease and Immunology, Batchelor Children's Research Institute, University of Miami Miller School of Medicine, Miami, Florida.
Yao I ChengBiostatistics and Study Methodology, Center for Translational Science, Children's Research Institute, Children's National, Washington, District of Columbia.
Jichuan WangDepartment of Pediatrics, School of Medicine and Health Sciences, George Washington University, Washington, District of Columbia.
Adolescent Palliative Care Consortium
George Washington University · USSt. Jude Children's Research Hospital · USChildren's Diagnostic & Treatment Center · USChildren’s Institute · USCoalition to Transform Advanced Care · US

Funding

University of California, San Diego Clinical Trial UnitUM1AI069536 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STEPHEN A SPECTOR · 2012 to 2026
$34.0M
Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
Clinical and Translational Science Institute at Children's NationalUL1TR000075 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2012 to 2015
$13.7M
Longitudinal Pediatric Palliative Care: Quality of Life & Spiritual StruggleR01NR012711 · NINR · CHILDREN'S RESEARCH INSTITUTE · PI LYON, MAUREEN ELLEN · 2010 to 2014
$2.9M
NCATS NIH HHS UL1 TR000075NIAID NIH HHS UM1 AI069536NINR NIH HHS R01 NR012711
6 · The paper itself

Abstract

objectivesTo determine the effect of family-centered pediatric advance care planning (FACE pACP) on HIV-specific symptoms.

methodsIn this single-blinded, randomized controlled trial conducted at 6 US hospital-based HIV clinics, 105 adolescent-family dyads, randomly assigned from July 2011 to June 2014, received 3 weekly sessions in either the FACE pACP arm ([1] pediatric advance care planning survey, [2] Respecting Choices interview, and [3] 5 Wishes directive) or the control arm ([1] developmental history, [2] safety tips, and [3] nutrition and exercise tips). The General Health Assessment for Children measured patient-reported HIV-specific symptoms. Latent class analyses clustered individual patients based on symptom patterns. Path analysis examined the mediating role of dyadic treatment congruence with respect to the intervention effect on symptom patterns.

resultsPatients were a mean age of 17.8 years old, 54% male, and 93% African American. Latent class analysis identified 2 latent HIV-symptom classes at 12 months: higher symptoms and suffering (27%) and lower symptoms and suffering (73%). FACE pACP had a positive effect on dyadic treatment congruence (β = .65; 95% CI: 0.04 to 1.28), and higher treatment congruence had a negative effect on symptoms and suffering (β = -1.14; 95% CI: -2.55 to -0.24). Therefore, FACE pACP decreased the likelihood of symptoms and suffering through better dyadic treatment congruence (β = -.69; 95% CI: -2.14 to -0.006). Higher religiousness (β = 2.19; 95% CI: 0.22 to 4.70) predicted symptoms and suffering.

conclusionsFACE pACP increased and maintained agreement about goals of care longitudinally, which lowered adolescents' physical symptoms and suffering, suggesting that early pACP is worthwhile.

Indexed as

Advance Care PlanningAdolescentFamilyFemaleHIV InfectionsHumansLatent Class AnalysisLongitudinal StudiesMaleSingle-Blind MethodUnited StatesYoung Adult

Identifiers

PMID30341154
PMCPMC6317555
OpenAlexW2895779680

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.