Evidence map›Paper›PMID 33253733›Full record

ArticleThe Journal of pediatrics2021

Linking Parent Confidence and Hospitalization through Mobile Health: A Multisite Pilot Study.

Ryan J Coller, Carlos F Lerner, Jay G Berry, Thomas S Klitzner, Carolyn Allshouse, Gemma Warner, Carrie L Nacht, Lindsey R Thompson, Jens Eickhoff, Mary L Ehlenbach and 6 more

Open access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
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  4. Article
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  7. Implementation and Evaluation of a Wraparound Virtual Care Program for Children with Medical Complexity.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
    Article
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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

16 authors at 4 institutions in 1 country.

Ryan J CollerDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI. Electronic address: rcoller@pediatrics.wisc.edu.
Carlos F LernerDepartment of Biostatistics and Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Jay G BerryDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Thomas S KlitznerDepartment of Biostatistics and Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Carolyn AllshouseDivision of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Gemma WarnerDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Carrie L NachtDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Lindsey R ThompsonDepartment of Biostatistics and Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Jens EickhoffFamily Voices of Minnesota, Stillwater, MN.
Mary L EhlenbachDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Andrea J BonillaDepartment of Biostatistics and Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Melanie VenegasDepartment of Biostatistics and Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Brigid M GarrityDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Elizabeth CastoDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Terah BoweDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Paul J ChungDepartment of Health Systems Science, Kaiser Permanente School of Medicine, Los Angeles, CA; Departments of Pediatrics and Health Policy & Management, UCLA, RAND Health, Los Angeles, CA; RAND Corporation, Los Angeles, CA.
University of Wisconsin–Madison · USUniversity of California, Los Angeles · USBoston Children's Hospital · USRAND Corporation · US

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
RE-PACT: Respiratory Exacerbation Plans for Action and Care Transitions for Children with Severe CPR34HL153570 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI COLLER, RYAN J · 2021 to 2023
$727k
NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR002373NHLBI NIH HHS R34 HL153570
6 · The paper itself

Abstract

objectiveTo evaluate the associations between parent confidence in avoiding hospitalization and subsequent hospitalization in children with medical complexity (CMC); and feasibility/acceptability of a texting platform, Assessing Confidence at Times of Increased Vulnerability (ACTIV), to collect repeated measures of parent confidence. STUDY

designThis prospective cohort study purposively sampled parent-child dyads (n = 75) in 1 of 3 complex care programs for demographic diversity to pilot test ACTIV for 3 months. At random days/times every 2 weeks, parents received text messages asking them to rate confidence in their child avoiding hospitalization in the next month, from 1 (not confident) to 10 (fully confident). Unadjusted and adjusted generalized estimating equations with repeated measures evaluated associations between confidence and hospitalization in the next 14 days. Post-study questionnaires and focus groups assessed ACTIV's feasibility/acceptability.

resultsParents were 77.3% mothers and 20% Spanish-speaking. Texting response rate was 95.6%. Eighteen hospitalizations occurred within 14 days after texting, median (IQR) 8 (2-10) days. When confidence was <5 vs ≥5, adjusted odds (95% CI) of hospitalization within 2 weeks were 4.02 (1.20-13.51) times greater. Almost all (96.8%) reported no burden texting, one-third desired more frequent texts, and 93.7% were very likely to continue texting. Focus groups explored the meaning of responses and suggested ACTIV improvements.

conclusionsIn this demographically diverse multicenter pilot, low parent confidence predicted impending CMC hospitalization. Text messaging was feasible and acceptable. Future work will test efficacy of real-time interventions triggered by parent-reported low confidence.

Indexed as

AttitudeTelemedicineText MessagingAdultChildFemaleHospitalizationHumansMaleMiddle AgedParentsPilot ProjectsProspective StudiesSelf Reportconfidencehospitalizationmedical complexitymHealthmixed-methods

Identifiers

PMID33253733
PMCPMC7914170
OpenAlexW3109616987

What OpenQuestion holds

Textmetadata
LicenceTDM
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.