Evidence map›Paper›PMID 33033937›Full record

ArticleThe patient2020

Development and Acceptability of a Patient Decision Aid for Pain Management in Juvenile Idiopathic Arthritis: The JIA Option Map.

Karine Toupin-April, Adam M Huber, Ciarán M Duffy, Laurie Proulx, Esi M Morgan, Janice S Cohen, Isabelle Gaboury, Linda C Li, Peter Tugwell, Jennifer Stinson and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in The patient, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Shared Decision-Making in Acute Pain Services.Current pain and headache reports · 2023
    Review
  9. Article
  10. Article
  11. 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

11 authors at 7 institutions in 2 countries.

Karine Toupin-AprilChildren's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada. ktoupina@uottawa.ca.ORCID http://orcid.org/0000-0003-0141-7193
Adam M HuberDivision of Rheumatology, IWK Health Centre, Halifax, NS, Canada.ORCID http://orcid.org/0000-0002-6616-1689
Ciarán M DuffyChildren's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.ORCID http://orcid.org/0000-0003-2481-5450
Laurie ProulxCanadian Arthritis Patient Alliance, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0003-1656-0371
Esi M MorganDepartment of Pediatrics, Division of Rheumatology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-8235-1781
Janice S CohenChildren's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.ORCID http://orcid.org/0000-0002-7972-6642
Isabelle GabouryDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, QC, Canada.ORCID http://orcid.org/0000-0002-1443-9888
Linda C LiHarold Robinson Arthritis Society Chair in Arthritic Diseases, Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0001-6280-0511
Peter TugwellDepartment of Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Canada.ORCID http://orcid.org/0000-0001-5062-0556
Jennifer StinsonChild Health Evaluative Sciences, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-9969-8052
JIA Option Map Group
University of Ottawa · CAArthritis Society · CACanadian Arthritis Patient Alliance · CACincinnati Children's Hospital Medical Center · USDalhousie University · CAUniversité de Sherbrooke · CAUniversity of Toronto · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundYouths with juvenile idiopathic arthritis (JIA) often experience pain, which reduces their quality of life. A diversity of pain management options exists for these patients, but few discussions happen in clinical settings. Our team is developing a web-based patient decision aid (PDA) to help youths with JIA, parents, and their health care providers (HCPs) make informed and preference-based decisions about pain management options.

objectiveThe objective of this study was to develop a paper-based prototype of the web-based PDA and to assess its acceptability.

methodsWe developed a paper-based prototype of the PDA, called the JIA Option Map, using an iterative process following the International Patient Decision Aid Standards and based on the Ottawa Decision Support Framework. We held three consensus meetings and a follow-up online survey followed by discussions among team members to agree on the format and content of the PDA. We then evaluated acceptability through interviews with 12 youth with JIA (aged 8-18 years), 12 parents, and 11 HCPs. Participants from rheumatology clinics in Canada and the USA reviewed the PDA and assessed its usefulness, content, and format. Interviews were audiotaped, transcribed verbatim, and analyzed using simple descriptive content analysis.

resultsThe PDA contains an assessment of pain and current treatments, a values-clarification exercise, a list of 33 treatment options with evidence-based information, and a goal-setting exercise. All participants agreed that it would be a useful tool for making decisions about pain management. Participants appreciated the incorporation of scientific evidence and visuals to demonstrate the benefits of treatment options but suggested describing the source of the evidence more thoroughly. Participants suggested adding complementary medicine and nutrition to the available treatment options and removing options that are primarily used to reduce inflammation. Most participants preferred an interactive web-based version of the PDA that would show a few options consistent with their preferences, followed by a discussion with HCPs.

conclusionThe PDA was deemed acceptable to all participants, with a few modifications. This feedback was used to improve the PDA by simplifying and clarifying the information and adjusting the number of treatment options presented. Work is underway to develop an interactive web-based version with an algorithm to present options tailored to each user.

Indexed as

Arthritis, JuvenileAdolescentDecision Support TechniquesHumansPain ManagementQuality of LifeSurveys and Questionnaires

Identifiers

PMID33033937
OpenAlexW3091782643

What OpenQuestion holds

Textmetadata
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.