Evidence map›Paper›PMID 40319938›Full record

ArticleThe Journal of pediatrics2025

Feasibility of an Intervention to Support Shared Decision-Making for Critically Ill Infants.

Monica E Lemmon, Simran Bansal, Nikhita Nanduri, Angel Davalos, Hannah C Glass, Blyth Lord, Katrina Moline, Betsy Pilon, Rose Sharpe, Debra Brandon and 4 more

2 registry-linked trialsAbstract read
In one paragraph

Article in The Journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

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

NCT05733975 nacompletednot on this map

Decision Making Support for Parents and Caregivers

TypeinterventionalSponsorDuke UniversityRan2023 to 2024Enrolled104ConditionsNeonatal Critical Illness, Pediatric Critical IllnessArmsDecision Making Guide
NCT07390773 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Building Relationship, Improving Dialogue, and Growing Empathy (BRIDGE): An Intervention to Support Decision Making for Critically Ill Children

TypeinterventionalSponsorDuke UniversityRan2026 to 2028Enrolled495ConditionsDecision Making, Neonatal Critical Illness, Pediatric Critical IllnessArmsBRIDGE intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  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

14 authors.

Monica E LemmonDepartment of Pediatrics, Duke University School of Medicine, Durham, NC; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC. Electronic address: monica.lemmon@duke.edu.
Simran BansalDepartment of Pediatrics, Duke University School of Medicine, Durham, NC.
Nikhita NanduriDuke University, Durham, NC.
Angel DavalosDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC.
Hannah C GlassDepartment of Neurology and Weill Institute for Neuroscience, Department of Pediatrics and Benioff Children's Hospital, Department of Epidemiology & Biostatistics, University of California, San Francisco, San Francisco, CA.
Blyth LordCourageous Parents Network, Newton, MA.
Katrina MolineHand to Hold, Austin, TX.
Betsy PilonHope for HIE, West Bloomfield Township, MI.
Rose SharpeDepartment of Pediatrics, Duke University School of Medicine, Durham, NC.
Debra BrandonDepartment of Pediatrics, Duke University School of Medicine, Durham, NC; Duke University School of Nursing, Durham, NC.
Hwanhee HongDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC; Duke Clinical Research Institute, Durham, NC.
Greg SamsaDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC.
Christopher E CoxDepartment of Medicine, Duke University School of Medicine, Durham, NC.
Kathryn I PollakDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC; Duke Cancer Institute, Durham, NC.

Funding

Decision Making for Infants with Neurologic ConditionsK23NS116453 · NINDS · DUKE UNIVERSITY · PI LEMMON, MONICA · 2020 to 2024
$942k
NINDS NIH HHS K23 NS116453
6 · The paper itself

Abstract

objectiveTo develop and pilot an intervention to support communication and decision-making for critically ill infants. STUDY

designIn this single-arm, mixed-methods, prospective, feasibility study, we enrolled infants, parents, and clinicians at a single tertiary care center. The Building Rapport, Improving Dialogue, and Growing Empathy intervention contains a values clarification exercise and question prompt list that parents can opt to share with the health care team. Parent and clinician participants completed surveys and semistructured interviews ≥72 hours postintervention. The primary outcome was intervention feasibility, defined as an enrollment rate ≥50% and a complete data collection rate ≥80%. Secondary outcomes included intervention acceptability and preparation for decision-making (Preparedness for Decision-Making Scale, score: 0-100, higher scores indicating higher preparedness). Statistical analyses were descriptive, and interviews were analyzed using a rapid-cycle qualitative approach.

resultsThirty clinicians and 44 parents of 30 infants were enrolled (enrollment rate: 56%; complete data collection rate: 97%). The majority of parents and clinicians endorsed the tool as helpful, would recommend the tool to other parents, and would use the tool in the future. Preparedness for decision-making was high for both mothers (median score = 82, IQR: 70.0-90.0) and fathers (median score = 60, IQR: 38-74). Qualitative analysis of the intervention's impact identified 4 themes: (1) providing a scaffold; (2) validating and affirming experience; (3) preparing for a conversation; and (4) facilitating connection.

conclusionsThe Building Rapport, Improving Dialogue, and Growing Empathy intervention was feasible and acceptable to parents and clinicians. Future work should assess its impact on values-congruent decision-making, therapeutic alliance, and infant outcomes.

trial registrationNCT05733975.

Indexed as

Critical IllnessDecision Making, SharedParentsProfessional-Family RelationsAdultCommunicationFeasibility StudiesFemaleHumansInfantInfant, NewbornMalePilot ProjectsProspective Studies

Identifiers

PMID40319938
PMCPMC12276961

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.