Evidence map›Paper›PMID 40745312›Full record

Trial reportBMC medicine2025

Preliminary effectiveness and feasibility of an integrated hope techniques and narrative-based card game intervention for pediatric cancer patients in China: a randomized controlled trial.

Qi Liu, Ka Yan Ho, Katherine Ka Wai Lam, Frances Kam Yuet Wong, Winsome Lam, Frankie Cheng, Huaxin Wei, Kitty Chan, Mao Ting, Fu Na Yang and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05639062 (Narrative-based Card Game), which is not on this 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.

NCT05639062 naunknown statusnot on this map

Narrative-based Card Game (NCG) in Improving Spiritual Well-being, Enhancing Hope, Decreasing Psychological Symptoms, and Promoting Quality of Life Among Chinese Childhood Cancer Patients: A Pilot Randomized Controlled Trial

TypeinterventionalSponsorThe Hong Kong Polytechnic UniversityRan2023 to 2024Enrolled60ConditionsPediatric CancerArmsNarrative-based card game
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

14 authors.

Qi LiuSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Ka Yan HoSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China. kyanho@polyu.edu.hk.
Katherine Ka Wai LamSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Frances Kam Yuet WongSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Winsome LamSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Frankie ChengDepartment of Pediatric Oncology, Hong Kong Children Hospital, Hong Kong, China.
Huaxin WeiSchool of Design, The Hong Kong Polytechnic University, Hong Kong, China.
Kitty ChanSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Mao TingSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Fu Na YangSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Pin XiaoNursing Department, Hunan Children's Hospital, Changsha, China.
Tiannu LuoNursing Department, Hunan Children's Hospital, Changsha, China.
Hai Xia WangDepartment of Pediatric Hematology-Oncology, Shenzhen Children's Hospital, Shenzhen, China.
Janelle YorkeSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpiritual well-being is the fourth dimension of well-being for pediatric cancer patients. A high level of spiritual well-being can protect them from psychological symptoms. Few interventions, however, have been focused on the spiritual dimension among pediatric patients with cancer. This study aimed to examine the feasibility and preliminary effectiveness of an integrated hope techniques and narrative-based card game (HT-NCG) intervention for pediatric cancer patients on spiritual and psychological well-being and quality of life (QoL).

methodsA total of 60 Chinese pediatric cancer patients aged 12-17 years were recruited from the pediatric oncology ward of Hunan Children's Hospital, China. Among them, 30 participants were randomized to the experimental group and received four sessions of the HT-NCG intervention. Another 30 participants were allocated to the control group and received a placebo intervention. Spiritual well-being, hope, anxiety, depressive symptoms, and QoL were assessed at baseline (T0), post-intervention (T1), and at 1-month (T2) and 3-month (T3) follow-up. Assessors were blinded to the group allocation. The feasibility outcomes and results from generalized estimating equations were reported.

resultsThe feasibility of the HT-NCG intervention was demonstrated by a high recruitment rate (80%), high attendance rates in both groups, and a low attrition rate (20.0%) at 3 months. No adverse events were reported. At the 3-month follow-up, patients in the intervention group showed significantly greater improvement in spiritual well-being (T3 Β = 5.99; 95% CI, 0.27, 11.75; p = 0.042) and a greater reduction in depressive symptoms (T3 Β =  - 6.41; 95% CI, - 12.75, - 0.07; p = 0.047) compared with the control group.

conclusionsThis study supports that the HT-NCG is a feasible intervention among pediatric patients with cancer. This intervention can effectively improve spiritual well-being and decrease depressive symptoms in this patient population with a sustainable effect to three-month follow-up. The HT-NCG may help address the spiritual needs and improve spiritual well-being of pediatric cancer patients. This short, engaging, and relaxing card game intervention is concise and structured and can be easily disseminated, making it highly applicable in clinical settings.

trial registrationThis study was registered in the ClinicalTrials.gov (Registration number NCT05639062).

Indexed as

HopeNeoplasmsAdolescentChildChinaFeasibility StudiesFemaleHumansMaleQuality of LifeSpiritualityNarrative interventionPediatric oncologyPsychological symptomsRCTSpiritual well-being

Identifiers

PMID40745312
PMCPMC12315444

What OpenQuestion holds

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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.