Evidence map›Paper›PMID 31857308›Full record

ArticleBMJ open2019

Developing a web-based patient decision aid for gastrostomy in motor neuron disease: a study protocol.

Rose Maunsell, Suzanne Bloomfield, Clare Erridge, Claire Foster, Maggi Hardcastle, Anne Hogden, Alison Kidd, Dominika Lisiecka, Christopher J McDermott, Karen Morrison and 5 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.8field-weighted citation impact, top 10% 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.

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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. YouTube as a possible learning platform for patients and their family caregivers for gastrostomy tube feeding: A cross-sectional study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Article
  2. Article
  3. 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

15 authors at 9 institutions in 3 countries.

Rose MaunsellHealth Sciences, University of Southampton, Southampton, UK.ORCID 0000-0003-4106-6519
Suzanne BloomfieldCommunity Nursing, Countess Mountbatten Hospice, Southampton, UK.
Clare ErridgeMND Care Centre, Southampton General Hospital, Southampton, UK.
Claire FosterHealth Sciences, University of Southampton, Southampton, UK.
Maggi HardcastlePhysiotherapy, Rowans Hospice, Waterlooville, Hampshire, UK.
Anne HogdenAustralian Institute of Health Service Management, University of Tasmania, Sydney, New South Wales, Australia.ORCID 0000-0002-4317-7960
Alison KiddCarer Representative, University of Southampton, Southampton, Hampshire, UK.
Dominika LisieckaSchool of Allied Health, University of Limerick, Limerick, Ireland.
Christopher J McDermottSheffield Institute for Translational Neuroscience, University of Sheffield, Sheffield, UK.ORCID 0000-0002-1269-9053
Karen MorrisonFaculty of Medicine, University of Southampton, Southampton, UK.
Alejandra Recio-SaucedoNIHR Evaluation, Trials and Studies Coordinating Centre (NETSCC), University of Southampton, Southampton, Hampshire, UK.
Louise RickenbachMotor Neurone Disease Association, Northampton, Northamptonshire, UK.
Sean WhiteDietetic Department, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Peter WilliamsPatient Representative, University of Southampton, Southampton, UK.
Sally J WheelwrightHealth Sciences, University of Southampton, Southampton, UK S.J.Wheelwright@soton.ac.uk.ORCID 0000-0003-0657-2483
University of Southampton · GBAustralian Institute of Health and Welfare · AUHospice UK · GBMotor Neurone Disease Association · GBNIHR Evaluation Trials and Studies Coordinating Centre · GBSheffield Teaching Hospitals NHS Foundation Trust · GBSouthampton General Hospital · GBUniversity of Limerick · IEUniversity of Sheffield · GB

Funding

Department of HealthMarie Curie MCRGS-20171219-8005
6 · The paper itself

Abstract

introductionMotor neuron disease (MND) is a progressive, incurable disease, characterised by degeneration of the nerves in the brain and spinal cord. Due to the multisystem effects of the disease, patients are faced with many complex, time-sensitive decisions, one of which is the decision on gastrostomy feeding. There are currently no published decision aids (DAs) to support patients making this decision in the UK. This study will develop and pilot a patient DA to provide evidence-based information on gastrostomy placement and feeding that is relevant to people with MND; communicate the risks and benefits associated with each option; check understanding and clarify personal values and preferences, enabling patients to make a decision congruent with their values and appropriate for them. METHODS AND ANALYSIS: A two-phase process, observing the International Patient Decision Aid Standards, will be used to develop the DA, over 24 months starting January 2019. Phase 1 will use literature reviews and stakeholder interviews and surveys to identify essential content for the DA, and explore the best way to present this. In the second phase, a prototype DA will be developed and revised using stakeholder feedback in an iterative process. Stakeholders will include individuals with MND, their carers and the healthcare professionals working with them. ETHICS AND DISSEMINATION: Ethical approval for the study has been granted by West of Scotland Research Ethics Service, reference 19/WS/0078. Study findings will be disseminated through academic and non-academic publications, conference presentations, stakeholder websites and social media. A feasibility study will follow to explore the acceptability and practicality of the DA for patients, carers and HCPs in practice and to assess whether the DA shows promise of being beneficial for the intended population.

Indexed as

Decision Support TechniquesCaregiversDecision Making, SharedFeasibility StudiesGastrostomyHumansMotor Neuron DiseasePilot ProjectsQuality of Lifeadult palliative caremotor neuron diseasenutrition & dieteticsprotocols & guidelines

Identifiers

PMID31857308
PMCPMC6937039
OpenAlexW2995899301

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.