Evidence map›Paper›PMID 33187011›Full record

ArticlePaediatric anaesthesia2021

The impact of parental health mindset on postoperative recovery in children.

Alexandra Kain, Claudia Mueller, Brenda J Golianu, Brooke N Jenkins, Michelle A Fortier

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Paediatric anaesthesia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05852106 (The Effect of 3D Modeling on Family Quality of Life, Surgical Success and Patient Outcomes in Congenital Heart Diseases), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.2field-weighted citation impact, top 6% 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.

NCT05852106 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Effect of 3D Modeling on Family Quality of Life, Surgical Success and Patient Outcomes in Congenital Heart Diseases: A Randomized Controlled Trial Protocol

TypeinterventionalSponsorYeditepe UniversityRan2023 to 2024Enrolled30ConditionsCongenital Heart DiseaseArmsSurgical Simulation with 3D Heart Model and Parental Education with "Congenital Heart Disease Parent Education Booklet" and tailored 3D Heart Modeling
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Alexandra KainDepartment of Pediatrics, CHOC Children's Hospital, Orange, CA, USA.
Claudia MuellerDepartment of Surgery, Stanford School of Medicine, Palo Alto, CA, USA.
Brenda J GolianuDepartment of Anesthesiology and Perioperative Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.
Brooke N JenkinsDepartment of Pediatrics, CHOC Children's Hospital, Orange, CA, USA.ORCID 0000-0001-9829-4550
Michelle A FortierDepartment of Anesthesiology & Perioperative Care, School of Medicine, University of California, Irvine, CA, USA.ORCID 0000-0001-8896-3650
Children's Hospital of Orange County · USStanford Medicine · USStanford University · USUniversity of California, Irvine · US

Funding

Parent/Health Care Provider Behaviors &Child's AnxietyR01HD048935 · NICHD · YALE UNIVERSITY · PI KAIN, ZEEV · 2005 to 2015
$5.1M
NICHD NIH HHS R01 HD048935NICHD NIH HHS R01HD048935
6 · The paper itself

Abstract

backgroundMindset, or one's beliefs about the ability to change one's outcomes, has been studied in the educational domain but not in surgical settings. The purpose of this study was to examine the role of parental health mindset on children's recovery.

methodsParticipants were part of a larger National Institutes of Health-funded trial that included 1470 children undergoing outpatient tonsillectomy and adenoidectomy. We used measures of parental coping style (Monitor Blunter Style Scale; MBSS) and medication attitudes (Medication Attitudes Questionnaire; MAQ) to validate the Health Beliefs Scale (HBS; Criterion validity, Cohen's kappa). HBS categorizes parents as having a growth mindset, or the belief that health can be changed, or a fixed mindset, which reflects the belief that individuals cannot change their health. Next, we identified demographic and personality variables (eg, temperament, anxiety) as predictors for the HBS. Finally, we examined the relationship between the HBS with postoperative outcomes.

resultsFindings supported criterion validity of the HBS. Parents with a growth mindset reported seeking out more medical information (MBSS, 7.15 ± 3.32 vs 6.22 ± 3.38, P < .001, CI = -1.387 to -0.471) and reported fewer misconceptions regarding analgesic use (MAQ, 22.11 ± 4.09 vs 21.41 ± 4.25, P = .035, CI = 0.046 to 1.229). In assessing outcomes, we found that fixed-mindset parents rated their children's postoperative pain as more severe on days 1 (9.22 ± 3.82 vs 8.37 ± 3.71, P = .007, CI = 0.234 to 1.459) and 3 (8.13 ± 4.28 vs 7.27 ± 4.28, P = .007, CI = 0.094 to 1.638) and reported that their children received more doses of ibuprofen on postoperative day 1 (2.91 ± 1.24 vs 2.44 ± 1.44, P = .041, CI = 0.089 to 0.848). There was no difference in children's self-reported pain scores between groups (P = .585).

conclusionsThese findings, coupled with recent mindset intervention studies in the educational space, suggest that parent mindset is an important target for clinical intervention in the context of children's surgical recovery.

Indexed as

AnalgesicsParentsAdaptation, PsychologicalChildHumansParent-Child RelationsPostoperative PainAnalgesicschildinternal-external controlpainparentsrecoverysurgery

Identifiers

PMID33187011
PMCPMC8858606
OpenAlexW3103138107

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.