Evidence map›Paper›PMID 33958436›Full record

Trial reportPediatrics2021

Pediatric Advance Care Planning and Families' Positive Caregiving Appraisals: An RCT.

Jessica D Thompkins, Jennifer Needle, Justin N Baker, Linda Briggs, Yao I Cheng, Jichuan Wang, Sarah Friebert, Maureen E Lyon

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02693665 (Building Evidence for Effective Palliative/End of Life Care for Teens With Cancer), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
8.7field-weighted citation impact, top 2% 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.

NCT02693665 nacompletednot on this map

Building Evidence for Effective Palliative/End of Life Care for Teens With Cancer

TypeinterventionalSponsorMaureen LyonRan2016 to 2022Enrolled260ConditionsCancerArmsFAmily CEntered Advance Care Planning for Teens with Cancer
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. "The American journal of hospice & palliative care · 2025
    Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Pediatric Advance Care Planning: A Scoping Review.Children (Basel, Switzerland) · 2023
    Article
  19. Advance Care Planning in Serious Illness: A Narrative Review.Journal of pain and symptom management · 2023
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 2 countries.

Jessica D ThompkinsCenter for Translational Research and.
Jennifer NeedleDepartment of Pediatrics, Medical School and.
Justin N BakerSt Jude Children's Research Hospital, Memphis, Tennessee.
Linda BriggsRespecting Choices, Coalition to Transform Advanced Care Innovations, Washington, DC.
Yao I ChengRELI Group Inc, Catonsville, Maryland.
Jichuan WangDivision of Biostatistics and Study Methodology and Children's National Research Institute, Washington, DC.
Sarah FriebertHaslinger Family Pediatric Palliative Care Center and.
Maureen E LyonCenter for Translational Research and mlyon@childrensnational.org.
Akron Children's Hospital · USCenter for Translational Molecular Medicine · NLCoalition to Transform Advanced Care · USGeorge Washington University · USNational Research Institute · USSt. Jude Children's Research Hospital · USUniversity of Minnesota · US

Funding

Clinical and Translational Science Institute at Children's NationalUL1TR000075 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2012 to 2015
$13.7M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR031988 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2010 to 2011
$8.2M
Building Evidence for Effective Palliative/End of Life Care for Teens with CancerR01NR015458 · NINR · CHILDREN'S RESEARCH INSTITUTE · PI LYON, MAUREEN ELLEN · 2015 to 2019
$3.4M
Palliative Care in People Living with AIDS: Integrating into Standard of CareR01NR014052 · NINR · CHILDREN'S RESEARCH INSTITUTE · PI LYON, MAUREEN ELLEN · 2012 to 2016
$2.2M
NCATS NIH HHS UL1 TR000075NCRR NIH HHS UL1 RR031988NINR NIH HHS R01 NR014052NINR NIH HHS R01 NR015458
6 · The paper itself

Abstract

BACKGROUND AND

objectivesLittle is known about how families respond to pediatric advance care planning. Physicians are concerned that initiating pediatric advance care planning conversations with families is too distressing for families. We examined the effect of family centered pediatric advance care planning intervention for teens with cancer (FACE-TC) advance care planning on families' appraisals of their caregiving, distress, and strain.

methodsIn a randomized clinical trial with adolescents with cancer and their families conducted from July 2016 to April 2019 in 4 tertiary pediatric hospitals, adolescents and family dyads were randomly assigned at a 2:1 intervention/control ratio to either the 3 weekly sessions of FACE-TC (Advance Care Planning Survey; Next Steps: Respecting Choices; Five Wishes) or treatment-as-usual. Only the family member was included in this study. Generalized estimating equations assessed the intervention effect measured by Family Appraisal of Caregiving Questionnaire.

resultsFamilies' (

conclusionsFamilies benefited from participation in FACE-TC, which resulted in positive appraisals of their caregiving for their child with cancer, while not significantly burdening them with distress or strain. Clinicians can be assured of the tolerability of this family-supported model.

Indexed as

Advance Care PlanningAttitudeNeoplasmsAdolescentAdultAgedCaregiversFamilyFemaleHumansMaleMiddle AgedSelf ReportSingle-Blind MethodYoung Adult

Identifiers

PMID33958436
PMCPMC8442842
OpenAlexW3157159059

What OpenQuestion holds

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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.