Evidence map›Paper›PMID 39971211›Full record

ArticleJournal of pain and symptom management2025

Study of Complementary and Integrative Interventions in Pediatric Patients With Serious Illness.

Jennifer L Raybin, Kathleen Montgomery, Norah Janosy, Scott Mist, Heather Franklin, Nathan F Dieckmann, Verna L Hendricks-Ferguson, Catherine M Jankowski

Abstract readMulticenter Study
In one paragraph

Article in Journal of pain and symptom management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

8 authors.

Jennifer L RaybinOregon Health and Sciences University Schools of Nursing and Medicine (J.L.R., S.M., H.F., N.F.D), Portland, Oregon. Electronic address: raybin@ohsu.edu.
Kathleen MontgomeryUniversity of Wisconsin-Madison School of Nursing (K.M.), Madison, Wisconsin.
Norah JanosyUniversity of Colorado College of Nursing and School of Medicine (C.M.J.), Auroroa, Colorado.
Scott MistOregon Health and Sciences University Schools of Nursing and Medicine (J.L.R., S.M., H.F., N.F.D), Portland, Oregon.
Heather FranklinOregon Health and Sciences University Schools of Nursing and Medicine (J.L.R., S.M., H.F., N.F.D), Portland, Oregon.
Nathan F DieckmannOregon Health and Sciences University Schools of Nursing and Medicine (J.L.R., S.M., H.F., N.F.D), Portland, Oregon.
Verna L Hendricks-FergusonSaint Louis University School of Nursing (V.L.H.F.), St Louis, Missouri.
Catherine M JankowskiUniversity of Colorado College of Nursing and School of Medicine (C.M.J.), Auroroa, Colorado.

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS · 1995 to 2026
$32.6M
NCATS NIH HHS UL1 TR002369NCI NIH HHS U10 CA180886NIDDK NIH HHS P30 DK048520
6 · The paper itself

Abstract

contextPediatric patients report using complementary and integrative health interventions (CHI) for symptom management.

objectiveFeasibility and initial effect sizes of CHI with patients at two children's hospitals.

methodsUsing convenience sampling at two academic centers and accepting the wide age range of patients traditionally treated in children's hospitals, we examined feasibility of CHI and outcomes of quality of life (QOL) and symptoms with validated surveys and two physiologic measures. A priori feasibility thresholds were 90% accrual rate and 60% completion of at least two surveys and one CHI session.

resultsOver 18 months we accrued 100 participants (Site 1, n = 34; Site 2, n = 66) who completed 811 assessments. Participants were aged 2-29 years (M = 13.5, SD = 5.6), 65% female, 23% from underrepresented populations, 52% with cancer versus other serious illness. Accrual rate was 94%, completion rate was 87%, acceptability was 96%. Ninety-nine participants received 191 total CHI sessions: acupuncture (39%), aromatherapy (35%), creative arts (20%), massage therapy (5%) and hypnosis (1%). After CHI heart rate decreased and symptom scores improved for anxiety, fatigue, nausea, pain, and sadness (Cohen's d effect sizes 0.22-0.99). Adjusted mixed-effects models suggested that the Faces Scale scores improved over time (b = -0.19, P < 0.01).

conclusionProspective two-site data collection in relationship to CHI exceeded feasibility thresholds and was acceptable. When given the choice, CHI were popular and may have contributed to improved QOL immediately and longitudinally. These preliminary findings support further study of CHI for targeted symptoms in distinct populations with rigor.

Indexed as

Complementary TherapiesCritical IllnessIntegrative MedicineAdolescentAdultChildChild, PreschoolFeasibility StudiesFemaleHumansMaleQuality of LifeTreatment OutcomeYoung Adultchildhood cancercomplementaryIntegrativequality of lifesymptoms

Identifiers

PMID39971211
PMCPMC11993347

What OpenQuestion holds

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Registered trials

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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.