ArticleArchives of physical medicine and rehabilitation2019
Associations of Participation-Focused Strategies and Rehabilitation Service Use With Caregiver Stress After Pediatric Critical Illness.
Article in Archives of physical medicine and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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.
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Who cites it
7 citing papers in PubMed.
- Serum Biomarkers of Regeneration and Plasticity are Associated with Functional Outcome in Pediatric Neurocritical Illness: An Exploratory Study.Neurocritical care · 2021Trial
- Electronic participation-focused care planning support for families: a pilot study.Developmental medicine and child neurology · 2020Trial
- Promoting Functional Recovery in Critically Ill Children.Pediatric clinics of North America · 2023Review
- Translation and cross-cultural adaptation of the young children participation and environment measure for its use in Austria, Germany, and Switzerland.Frontiers in pediatrics · 2023Article
- Effectiveness of Training Programs for Reducing Adverse Psychological Outcomes in Parents of Children with Acquired Brain Injury: A Systematic Review and Meta-Analysis.Neurology and therapy · 2022Article
- Association of Illness Severity With Family Outcomes Following Pediatric Septic Shock.Critical care explorations · 2022Article
- Caregiver dissatisfaction with their child's participation in home activities after pediatric critical illness.BMC pediatrics · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
OBJECTIVE(S): Determine the associations between having participation-focused strategies and receiving rehabilitation services in the pediatric intensive care unit (PICU) with caregiver stress over 6 months post-PICU discharge.
designSubstudy of a data from Wee-Cover, a prospective cohort study.
settingTwo PICU sites.
participantsCaregivers (N=168) of children 1-17 years old admitted into a PICU for ≥48 hours.
main outcome measuresData were collected from caregivers at enrollment and 3 and 6 months post-PICU discharge. Caregiver stress was assessed using the Pediatric Inventory for Parents. Having strategies to support their child's participation in home-based activities was assessed using the Participation and Environment Measure (PEM). In PEM, caregivers report on strategies used to support their child's participation in home-based activities. Data were dichotomized (yes, no) to denote having participation-focused strategies and if their child received PICU rehabilitation services. Additional covariates were history of a preexisting condition, child age, length of PICU stay, and change in functional capacities at PICU discharge.
resultsHistory of a preexisting condition, time, and change in functional capacities significantly predicted caregiver stress frequency and difficulty. The interaction of having strategies-by-rehabilitation-by-time significantly predicted caregiver stress frequency and difficulty. CONCLUSION(S): Results highlight the role of early rehabilitation and the importance of working with caregivers to develop participation-focused strategies to support their child's functioning post-PICU. Families of children with a preexisting condition or those who experience a decrease in function during a PICU stay are susceptible to higher levels of stress and may be a priority population to target for rehabilitation services.
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