Evidence map›Paper›PMID 33947726›Full record

ArticleBMJ open2021

Evaluating pictorial support in person-centred care for children (PicPecc): a protocol for a crossover design study.

Stefan Nilsson, Angelica Wiljén, Jonas Bergquist, John Chaplin, Ensa Johnson, Katarina Karlsson, Tomas Lindroth, Anneli Schwarz, Margaretha Stenmarker, Gunilla Thunberg and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04433650 (A Person-centred Approach to Pictorial Support in Care for Children), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

NCT04433650 narecruitingnot on this map

A Person-centred Approach to Pictorial Support in Care for Children (PicPecc)

TypeinterventionalSponsorGöteborg UniversityRan2021 to 2026Enrolled40ConditionsChildhood Cancer, Communication, Symptoms and SignsArmsPictorial support in person-centred care for children (PicPecc)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

16 authors at 9 institutions in 2 countries.

Stefan NilssonUniversity of Gothenburg Centre for Person-Centred Care, and Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden stefan.nilsson.4@gu.se.ORCID 0000-0002-8847-9559
Angelica WiljénDepartment of Paediatrics, Södra Älvsborg Hospital, Region Västra Götaland, Borås, Sweden.ORCID 0000-0002-7463-1628
Jonas BergquistDepartment of Chemistry - Biomedical Centre, Analytical Chemistry and Neurochemistry, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-4597-041X
John ChaplinDepartment of Paediatrics, Institute for Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0001-8128-4225
Ensa JohnsonCentre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa.ORCID 0000-0001-6203-1433
Katarina KarlssonFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.ORCID 0000-0003-4080-6677
Tomas LindrothDivision of Informatics, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-8404-2376
Anneli SchwarzDepartment of Paediatrics, Södra Älvsborg Hospital, Region Västra Götaland, Borås, Sweden.ORCID 0000-0003-1102-3948
Margaretha StenmarkerDepartment of Paediatrics, Institute for Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-9631-5757
Gunilla ThunbergDART centre for Augmentative and Alternative Communication and Assistive Technology, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0002-9582-7814
Linda EsplanaQueen Silvia Children's Hospital, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.
Eva FridDepartment of Paediatric Oncology and Haematology, Skåne University Hospital, Lund, Sweden.
Malin HaglindQueen Silvia Children's Hospital, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.
Angelica HöökDepartment of Anaesthesia and Intensive Care, Linköping University Hospital, Linköping, Sweden.
Joakim WilleDepartment of Paediatric Oncology and Haematology, Skåne University Hospital, Lund, Sweden.
Joakim ÖhlenUniversity of Gothenburg Centre for Person-Centred Care, and Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0003-2429-8705
Sahlgrenska University Hospital · SEUniversity of Gothenburg · SERegion Västra Götaland · SESkåne University Hospital · SELinköping University · SELinköping University Hospital · SEUniversity of Borås · SEUniversity of Pretoria · ZAUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study protocol outlines the evaluation of the pictorial support in person-centred care for children (PicPecc). PicPecc is a digital tool used by children aged 5-17 years to self-report symptoms of acute lymphoblastic leukaemia, who undergo high-dose methotrexate treatments. The design of the digital platform follows the principles of universal design using pictorial support to provide accessibility for all children regardless of communication or language challenges and thus facilitating international comparison. METHODS AND ANALYSIS: Both effect and process evaluations will be conducted. A crossover design will be used to measure the effect/outcome, and a mixed-methods design will be used to measure the process/implementation. The primary outcome in the effect evaluation will be self-reported distress. Secondary outcomes will be stress levels monitored via neuropeptides, neurosteroids and peripheral steroids indicated in plasma blood samples; frequency of in-app estimation of high levels of distress by the children; children's use of analgesic medicine and person centeredness evaluated via the questionnaire Visual CARE Measure. For the process evaluation, qualitative interviews will be carried out with children with cancer, their legal guardians and case-related healthcare professionals. These interviews will address experiences with PicPecc in terms of feasibility and frequency of use from the child's perspective and value to the caseworker. Interview transcripts will be analysed using an interpretive description methodology. ETHICS AND DISSEMINATION: Ethical approval was obtained from the Swedish Ethical Review Authority (reference 2019-02392; 2020-02601; 2020-06226). Children, legal guardians, healthcare professionals, policymaking and research stakeholders will be involved in all stages of the research process according to Medical Research Council's guidelines. Research findings will be presented at international cancer and paediatric conferences and published in scientific journals.

trial registrationClinicalTrials.gov; NCT04433650.

Indexed as

CommunicationPatient-Centered CareChildCross-Over StudiesHumansSelf ReportSwedenclinical trialspaediatric oncologypain managementqualitative research

Identifiers

PMID33947726
PMCPMC8098982
OpenAlexW3157444679

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.