Evidence map›Paper›PMID 39821687›Full record

Trial reportPediatrics2025

Pediatric Advance Care Planning and Adolescent Preparedness and Quality of Life: An RCT.

Sarah Friebert, Eduardo A Trujillo Rivera, Justin N Baker, Jessica D Thompkins, Daniel Grossoehme, Jennifer Needle, Maureen E Lyon

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02693665 (Building Evidence for Effective Palliative/End of Life Care for Teens With Cancer), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT02693665 nacompletednot on this map

Building Evidence for Effective Palliative/End of Life Care for Teens With Cancer

TypeinterventionalSponsorMaureen LyonRan2016 to 2022Enrolled260ConditionsCancerArmsFAmily CEntered Advance Care Planning for Teens with Cancer
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. 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

7 authors.

Sarah FriebertRebecca D. Considine Research Institute, Akron Children's Hospital, Akron, Ohio.
Eduardo A Trujillo RiveraCenter for Translational Science/Children's Research Institute, Children's National Hospital, Washington, District of Columbia.
Justin N BakerDivision of Quality of Life and Pediatric Palliative Care, Department of Pediatrics, Stanford Medicine Children's Health, Palo Alto, California.
Jessica D ThompkinsCenter for Cancers and Blood Disorders, Children's National Hospital, Washington, District of Columbia.
Daniel GrossoehmeRebecca D. Considine Research Institute, Akron Children's Hospital, Akron, Ohio.
Jennifer NeedleDepartment of Pediatrics and Center for Bioethics, University of Minnesota, Minneapolis.
Maureen E LyonCenter for Translational Science/Children's Research Institute, Children's National Hospital, Washington, District of Columbia.

Funding

Clinical and Translational Science Institute at Children's NationalUL1TR000075 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2012 to 2015
$13.7M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR031988 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2010 to 2011
$8.2M
Building Evidence for Effective Palliative/End of Life Care for Teens with CancerR01NR015458 · NINR · CHILDREN'S RESEARCH INSTITUTE · PI LYON, MAUREEN ELLEN · 2015 to 2019
$3.4M
Palliative Care Needs of Children with Rare Diseases and their FamiliesR21NR019340 · NINR · CHILDREN'S RESEARCH INSTITUTE · PI LYON, MAUREEN ELLEN · 2020 to 2021
$491k
NCATS NIH HHS UL1 TR000075NCRR NIH HHS UL1 RR031988NINR NIH HHS R01 NR015458NINR NIH HHS R21 NR019340
6 · The paper itself

Abstract

BACKGROUND AND

objectiveTo evaluate the efficacy of Family-Centered Advance Care Planning for Teens With Cancer (FACE-TC) on adolescents' quality of life.

methodsA clinical trial randomized adolescent-family dyads at a 2:1 ratio to either FACE-TC or control. FACE-TC dyads received 3 weekly 60-minute sessions: Lyon Pediatric Advance Care Planning Survey; Next Steps: Respecting Choices; and Five Wishes. Generalized mixed-effect models evaluated efficacy at 3, 6, and 12 months after intervention measured by FACIT-SP-Ex-V4 (meaning/peace, faith) and PROMIS pediatric (anxiety; depressive symptoms; pain interference, fatigue). Fisher exact tests assessed decisional support and preparedness.

resultsAdolescents (n = 126) were mean age 17 years, 57% female, and 79% white. No significant differences were found between groups for faith or meaning/peace. At 12 months after intervention compared to control, FACE-TC increased anxiety (mean ratio 1.14; CI 1.04-1.25), depressive symptoms (mean ratio 1.12; CI 1.02-1.22), and pain interference (mean ratio 1.10; CI 1.00-1.20), but not at 3 or 6 months. FACE-TC increased fatigue at 3 months (mean ratio 1.13; CI 1.02-1.26), but not at 6 or 12 months. Compared to control, adolescents participating in FACE-TC agreed that "I feel prepared for the future" (76% vs 94%) and "I feel we are now on the same page" (76% vs 94%) at 3 months, but not at 12 months.

conclusionsThere were no significant differences in quality of life between groups until 1 year, except for fatigue. FACE-TC had late effects, increasing adolescents' anxiety, depressive symptoms, and pain interference. Reassessment at 1 year is clinically important.

Indexed as

Advance Care PlanningNeoplasmsQuality of LifeAdolescentAnxietyFemaleHumansMale

Identifiers

PMID39821687
PMCPMC11993244

What Socratic 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 Socratic graph.