Evidence map›Paper›PMID 31900152›Full record

ArticleBMC pediatrics2020

Decision coaching using a patient decision aid for youth and parents considering insulin delivery methods for type 1 diabetes: a pre/post study.

Margaret L Lawson, Allyson L Shephard, Bryan Feenstra, Laura Boland, Nadia Sourial, Dawn Stacey

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04909580 (Decision Coaching Using a Patient Decision Aid for Youth and Parents Considering Insulin Delivery Methods for Type 1 Diabetes), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
12.9field-weighted citation impact, top 1% 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.

NCT04909580 nacompletednot on this map

Decision Coaching Using a Patient Decision Aid for Youth and Parents Considering Insulin Delivery Methods for Type 1 Diabetes: a Pretest Posttest Study

TypeinterventionalSponsorMargaret LawsonRan2013 to 2015Enrolled45ConditionsType 1 Diabetes MellitusArmsDecision coaching with a patient decision aid
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 73 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Family-centred care interventions for children with chronic conditions: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  6. Article
  7. Article
  8. Shared Decision-Making in Acute Pain Services.Current pain and headache reports · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
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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

6 authors at 2 institutions in 1 country.

Margaret L LawsonDivision of Endocrinology and Metabolism, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, Ottawa, Ontario, K1H 8L1, Canada. lawson@cheo.on.ca.ORCID 0000-0002-2370-9552
Allyson L ShephardChildren's Hospital of Eastern Ontario (CHEO), 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.
Bryan FeenstraUniversity of Ottawa, School of Nursing, 451 Smyth Rd, Ottawa, ON, K1H 8M5, Canada.
Laura BolandUniversity of Ottawa, Population Health, 25 University Private, Ottawa, ON, K1N 7K4, Canada.
Nadia SourialChildren's Hospital of Eastern Ontario (CHEO), 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.
Dawn StaceyUniversity of Ottawa, School of Nursing, 451 Smyth Rd, Ottawa, ON, K1H 8M5, Canada.
University of Ottawa · CAChildren's Hospital of Eastern Ontario · CA

Funding

CIHR KAL 122162
6 · The paper itself

Abstract

backgroundChoice of insulin delivery for type 1 diabetes can be difficult for many parents and children. We evaluated decision coaching using a patient decision aid for helping youth with type 1 diabetes and parents decide about insulin delivery method.

methodsA pre/post design. Youth and parent(s) attending a pediatric diabetes clinic in a tertiary care centre were referred to the intervention by their pediatric endocrinologist or diabetes physician between September 2013 and May 2015. A decision coach guided youth and their parents in completing a patient decision aid that was pre-populated with evidence on insulin delivery options. Primary outcomes were youth and parent scores on the low literary version of the validated Decisional Conflict Scale (DCS).

resultsForty-five youth (mean age = 12.5 ± 2.9 years) and 66 parents (45.8 ± 5.6 years) participated. From pre- to post-intervention, youth and parent decisional conflict decreased significantly (youth mean DCS score was 32.0 vs 6.6, p < 0.0001; parent 37.6 vs 3.5, p < 0.0001). Youth's and parents' mean decisional conflict scores were also significantly improved for DCS subscales (informed, values clarity, support, and certainty). 92% of youth and 94% of parents were satisfied with the decision coaching and patient decision aid. Coaching sessions averaged 55 min. Parents (90%) reported that the session was the right length of time; some youth (16%) reported that it was too long.

conclusionDecision coaching with a patient decision aid reduced decisional conflict for youth and parents facing a decision about insulin delivery method.

Indexed as

Diabetes Mellitus, Type 1MentoringAdolescentChildDecision MakingDecision Support TechniquesHumansInsulinParentsInsulinDecisional conflictDecision coachingPatient decision aidShared decision makingType I diabetes

Identifiers

PMID31900152
PMCPMC6941252
OpenAlexW2999757567

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.