Evidence map›Paper›PMID 39228075›Full record

ArticlePediatric blood & cancer2024

"I was very scared when I found out my son had sickle cell": Caregiver knowledge and attitudes toward early intervention for young children with sickle cell disease: Implications for policy and practice from a multi-site study.

Catherine R Hoyt, Erin MacArthur, Hayes Leaver, Ashley L Wilson, Kandace Davis, Kelly M Harris, Riley Damiano, Hunter Moore, Ashley J Housten, Rosemary Britts and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Pediatric blood & cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

13 authors.

Catherine R HoytWashington University School of Medicine, Program in Occupational Therapy, St. Louis, Missouri, USA.ORCID 0000-0002-3398-9439
Erin MacArthurSt. Jude Children's Research Hospital, Department of Psychology and Biobehavioral Sciences, Memphis, Tennessee, USA.
Hayes LeaverWashington University School of Medicine, Program in Occupational Therapy, St. Louis, Missouri, USA.
Ashley L WilsonWashington University School of Medicine, Program in Occupational Therapy, St. Louis, Missouri, USA.
Kandace DavisWashington University School of Medicine, Program in Occupational Therapy, St. Louis, Missouri, USA.
Kelly M HarrisWashington University School of Medicine, Program in Occupational Therapy, St. Louis, Missouri, USA.ORCID 0000-0002-5282-4226
Riley DamianoSt. Jude Children's Research Hospital, Department of Psychology and Biobehavioral Sciences, Memphis, Tennessee, USA.
Hunter MooreWashington University School of Medicine, Program in Occupational Therapy, St. Louis, Missouri, USA.
Ashley J HoustenWashington University School of Medicine, Program in Occupational Therapy, St. Louis, Missouri, USA.ORCID 0000-0002-7379-0678
Rosemary BrittsSickle Cell Association, St. Louis, Missouri, USA.
Jane Silva HankinsSt. Jude Children's Research Hospital, Department of Global Pediatric Medicine, Memphis, Tennessee, USA.ORCID 0000-0003-4439-7321
Allison A KingWashington University School of Medicine, Program in Occupational Therapy, St. Louis, Missouri, USA.ORCID 0000-0002-1951-6176
Andrew M HeitzerSt. Jude Children's Research Hospital, Department of Psychology and Biobehavioral Sciences, Memphis, Tennessee, USA.ORCID 0000-0003-0582-3850

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University K12 Program in T4 Implementation ResearchK12HL137942 · NHLBI · WASHINGTON UNIVERSITY · PI DAVILA-ROMAN, VICTOR G. · 2017 to 2021
$3.1M
(SCANS) Sickle Cell Anemia Neurodevelopmental Screening - Mentoring and Research in Patient Oriented ResearchK24HL148305 · NHLBI · WASHINGTON UNIVERSITY · PI Allison A King · 2019 to 2026
$706k
School Readiness Intervention for Preschool Children with Sickle Cell DiseaseK23HL166697 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Andrew M Heitzer · 2023 to 2026
$648k
Early Identification Of Developmental Delay Among Infants And Toddlers With Sickle Cell DiseaseK23HL161328 · NHLBI · WASHINGTON UNIVERSITY · PI Catherine Rose Hoyt · 2023 to 2026
$554k
Implementation Science Collaborative, Washington University School of Medicine and St. Jude Children's Research HospitalInstitute for Translational and Clinical Sciences, Washington University School of Medicine UL1TR002345Missouri Foundation for HealthNational Institutes of Health, National Heart, Lung, and Blood Institute 1K23HL161328-01A1National Institutes of Health, National Heart, Lung, and Blood Institute 1K24 HL148305-01National Institutes of Health, National Heart, Lung, and Blood Institute K12HL137942National Institutes of Health, National Heart, Lung, and Blood Institute K23HL166697NCATS NIH HHS UL1 TR002345NHLBI NIH HHS K12 HL137942NHLBI NIH HHS K23 HL161328NHLBI NIH HHS K23 HL166697NHLBI NIH HHS K24 HL148305
6 · The paper itself

Abstract

objectiveThis study characterized caregivers' beliefs related to early intervention services for children with sickle cell disease (SCD) to gain an indepth understanding of caregivers' experiences and desires for early intervention services.

methodsBoth qualitative and quantitative data were collected from caregivers of children aged 0-4 years with SCD across two sites in the United States. Caregivers completed the Knowledge of Infant Development Inventory, a custom survey about their experiences with early intervention, and a qualitative interview.

resultsA total of 127 caregivers were approached, 47 participated in surveys, and 20 completed interviews. Caregivers expressed varying levels of confidence and understanding of developmental milestones across sites. Interviews highlighted three main themes: fear of SCD-related complications, variable buy-in to early intervention, and the importance of provider-caregiver relationships. While some caregivers appreciated early intervention, others questioned its necessity. Caregivers communicated interest in connecting with other families facing similar challenges, emphasizing the need for increased awareness of available resources.

conclusionsFear about their child's well-being was expressed by many caregivers, emphasizing the need for a supportive healthcare team that can help families connect with preventive interventions. While about a quarter of children had been referred to rehabilitation services, caregivers were unaware of the elevated risk for developmental delay, which diminished caregiver interest in participating in programs like early intervention. This study underscores the importance of addressing knowledge gaps and overcoming barriers to enhance care for families affected by SCD.

Indexed as

Anemia, Sickle CellCaregiversHealth Knowledge, Attitudes, PracticeAdultChild, PreschoolFemaleHumansInfantInfant, NewbornMaleSurveys and Questionnaireschild developmentdevelopmental screeningearly interventionsickle cell disease

Identifiers

PMID39228075
PMCPMC12054735

What OpenQuestion holds

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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.