Evidence map›Paper›PMID 40686552›Full record

ArticlePEC innovation2025

Development and acceptability testing of a tracheostomy decision support video for parents.

Stephanie K Kukora, Kerry Ryan, Haoyang Yan, Rachel Clarke, Cynthia Arslanian-Engoren, Kenneth Pituch

Abstract read
In one paragraph

Article in PEC innovation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Stephanie K KukoraDivision of Neonatology and Bioethics Center, Childrens Mercy Kansas City, Kansas City, MO, United States of America.
Kerry RyanCenter for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, MI, United States of America.
Haoyang YanDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America.
Rachel ClarkeDepartment of Pediatrics and Center for Bioethics and Humanities, SUNY Upstate Medical University, Syracuse, NY, United States of America.
Cynthia Arslanian-EngorenUniversity of Michigan School of Nursing, University of Michigan, Ann Arbor, MI, United States of America.
Kenneth PituchDepartment of Pediatrics, Mott Children's Hospital, University of Michigan, Ann Arbor, MI, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To develop a clinical, bedside intervention with peer parent narratives to help parents understand the shared decision-making (SDM) process, their role in the decision, and other parents' considerations in this context. Patient involvement: To ensure that the intervention reflected parents' needs, we identified eight parents who had faced a tracheostomy decision for their child and were willing to talk about their experiences on a video recording. Half of the parents had chosen tracheostomy; some children of parents making either choice had died. We included parents of diverse racial backgrounds whose children had different diagnoses. Parent interviews, along with an explanation of SDM for parents, were edited into a 17-min video guided by iterative feedback from parents and clinicians. Additional parents of children with tracheostomies then viewed the video and shared perceptions about acceptability. Methods: After an iterative process of developing the video in partnership with parents, we piloted the video with 18 parents in 16 online interviews (two were couples) who were not part of video development but had faced a tracheostomy decision for their child within the last three years. Participants were asked about their experiences, viewed the video, and provided verbal feedback and reflection on the acceptability of the video and its anticipated clinical use. Interviews were transcribed and qualitatively analyzed, focusing on feedback. Results: Parents who viewed the video provided generally favorable feedback, describing the video as "helpful," and appreciating the diversity of the cases represented and the perspectives offered. They felt that it could empower parents to ask questions and voice their opinions to the medical team. Parents noted feeling a connection to the emotions expressed by the parents in the video and felt it would help parents facing these decisions to feel less alone. Discussion/practical value: Video education focusing on parents' perspectives may help support the SDM process for pediatric tracheostomy and complement other strategies to support parent engagement. Similar approaches may be valuable in explaining SDM to patients or families facing other serious decisions.

Indexed as

Decision educationDecision-support toolPediatric tracheostomyShared decision-makingTracheostomy education

Identifiers

PMID40686552
PMCPMC12272107

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.