Evidence map›Paper›PMID 35853668›Full record

ArticleBMJ open quality2022

Design and implementation of a novel patient-centered empowerment approach for pain optimisation in children undergoing major surgery.

Vidya Chidambaran, Blair Simpson, Laura Brower, Rachel Hanke, Marc Mecoli, Blake Lane, Sara Williams, Emily McKenna, Christina Bates, Aimee Kraemer and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open quality, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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

1 citing paper in PubMed, 7 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

15 authors at 1 institution in 1 country.

Vidya ChidambaranDepartment of Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA vidya.chidambaran@cchmc.org.ORCID 0000-0001-7913-1932
Blair SimpsonDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Laura BrowerDepartment of Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Rachel HankeDivision of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Marc MecoliDepartment of Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Blake LaneLive Well Collaborative, College of Design, Architecture, Art, and Planning, Cincinnati, OH, USA.
Sara WilliamsDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Emily McKennaDivision of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Christina BatesDivision of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Aimee KraemerDivision of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Peter SturmDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Rebeccah BrownDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Linda DunseathLive Well Collaborative, College of Design, Architecture, Art, and Planning, Cincinnati, OH, USA.
Craig VogelLive Well Collaborative, College of Design, Architecture, Art, and Planning, Cincinnati, OH, USA.
Victor GarciaDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Cincinnati Children's Hospital Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPaediatric surgery is a stressful experience for patients and caregivers. While standardised protocols are the norm, patient-centred approaches are needed to empower patients/caregivers for an optimal perioperative pain experience. To address this gap, we employed a patient-centred approach using design thinking (DT) methodology to develop insights, map processes, identify opportunities and design solutions for individualised empowerment tools.

methodsIn consultation with DT experts, a multidisciplinary team of stakeholders (healthcare providers, patients who underwent pectus excavatum/scoliosis surgery and their caregivers), were invited to participate in surveys, interviews and focus groups. The project was conducted in two sequential stages each over 24 weeks-involving 7 families in stage 1 and 16 patients/17 caregivers in stage 2. Each stage consisted of three phases: design research (focus groups with key stakeholders to review and apply collective learnings, map processes, stressors, identify influencing factors and opportunities), concept ideation (benchmarking and co-creation of new solutions) and concept refinement.

resultsIn stage 1, mapping of stress/anxiety peaks identified target intervention times. We identified positive and negative influencers as well as the need for consistent messaging from the healthcare team in our design research. Current educational tools were benchmarked, parent-child engagement dyads determined and healthcare-based technology-based solutions conceived. The 'hero's journey' concept which has been applied to other illness paradigms for motivation successfully the was adapted to describe surgery as a transformative experience. In stage 2, patient and caregiver expectations, distinct personas and responses to perioperative experience were categorised. Educational tools and an empowerment tool kit based on sensorial, thinking, relaxation and activity themes, tailored to parent/child categories were conceptualised.

conclusionDT methodology provided novel family centred insights, enabling design of tailored empowerment toolkits to optimise perioperative experience. Adapting the hero's journey call to adventure may motivate and build resilience among children undergoing surgery.

Indexed as

CaregiversPatient ParticipationHealth PersonnelHumansPainPatient-Centered Carefocus groupspaediatricspainpatient-centred caresurgery

Identifiers

PMID35853668
PMCPMC9301787
OpenAlexW4285807054

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.