Evidence map›Paper›PMID 36345704›Full record

Observational studyPediatrics2022

Racial and Ethnic Differences in Communication Quality During Family-Centered Rounds.

Victoria M Parente, Hadley W Reid, Joanna Robles, Kimberly S Johnson, Laura P Svetkey, Linda L Sanders, Maren K Olsen, Kathryn I Pollak

Abstract readObservational Study
In one paragraph

Observational study in Pediatrics, 2022. 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
–field-weighted citation impact
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.

  1. Trial
  2. Differential Impact of Virtual Family-Centered Rounds in the Neonatal Intensive Care Unit by Social Factors: A Post Hoc Subgroup Analysis.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Experiences of communication in the neonatal intensive care unit for mothers with a preferred language other than English.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Victoria M ParenteDivisions of Hospital Medicine.
Hadley W ReidDuke University School of Medicine, Durham, North Carolina.
Joanna RoblesHematology/Oncology, Department of Pediatrics.
Kimberly S JohnsonDivision of Geriatrics, Department of Medicine.
Laura P SvetkeyDepartment of Medicine, Division of Nephrology.
Linda L SandersDuke University School of Medicine, Durham, North Carolina.
Maren K OlsenDurham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina.
Kathryn I PollakPopulation Health Sciences, Duke University, Durham, North Carolina.

Funding

Research Project 3U54MD012530 · NIMHD · DUKE UNIVERSITY · PI JOHNSON, KIMBERLY S. · 2017 to 2022
$8.8M
NRSA Training CoreTL1TR002555 · NCATS · DUKE UNIVERSITY · PI EDELMAN, DAVID · 2018 to 2022
$3.7M
Duke Center for Advancement of Child Health (CAtCH)K12HD105253 · NICHD · DUKE UNIVERSITY · PI Corinne Mary Linardic, Ann M. Reed · 2021 to 2026
$1.5M
HSRD VA CIN 13-410NCATS NIH HHS TL1 TR002555NICHD NIH HHS K12 HD105253NIMHD NIH HHS U54 MD012530
6 · The paper itself

Abstract

objectivesTo evaluate racial and ethnic differences in communication quality during family centered rounds.

methodsWe conducted an observational study of family-centered rounds on hospital day 1. All enrolled caregivers completed a survey following rounds and a subset consented to audio record their encounter with the medical team. We applied a priori defined codes to transcriptions of the audio-recorded encounters to assess objective communication quality, including medical team behaviors, caregiver participatory behaviors, and global communication scores. The surveys were designed to measure subjective communication quality. Incident Rate Ratios (IRR) were calculated with regression models to compare the relative mean number of behaviors per encounter time minute by race and ethnicity.

resultsOverall, 202 of 341 eligible caregivers completed the survey, and 59 had accompanying audio- recorded rounds. We found racial and ethnic differences in participatory behaviors: English-speaking Latinx (IRR 0.5; 95% confidence interval [CI] 0.3-0.8) Black (IRR 0.6; 95% CI 0.4-0.8), and Spanish-speaking Latinx caregivers (IRR 0.3; 95% CI 0.2-0.5) participated less than white caregivers. Coder-rated global ratings of medical team respect and partnership were lower for Black and Spanish-speaking Latinx caregivers than white caregivers (respect 3.1 and 2.9 vs 3.6, P values .03 and .04, respectively: partnership 2.4 and 2.3 vs 3.1, P values .03 and .04 respectively). In surveys, Spanish-speaking caregivers reported lower subjective communication quality in several domains.

conclusionsIn this study, Black and Latinx caregivers were treated with less partnership and respect than white caregivers.

Indexed as

CaregiversCommunicationTeaching RoundsBlack PeopleHispanic or LatinoHumansRespectWhite People

Identifiers

PMID36345704
PMCPMC9724176

What OpenQuestion holds

Textmetadata
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.