• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Pediatrics

Limited knowledge, high interest in pediatric advanced directives among caregivers

byMikhaela MontyandCordelia Ross
July 7, 2014
in Pediatrics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Half (49.2%) of parents and caregivers of chronically ill children had interest in creating advanced directives (ADs) for their children, while only 3% reported having created an AD for their child.

2. Prior knowledge of ADs was significantly more likely among caregivers with a college degree and significantly less likely among those whose primary language was Spanish.

Evidence Rating Level: 2 (Good)  

Study Rundown: Compared to the expansive research on adult palliative care, there is a dearth of studies exploring pediatric palliative care. Despite the increasing proportion of chronically ill children in the US, little is known about the caregivers’ understanding of advanced directives (ADs). This study explored caregivers’ perception of and experience with ADs for their chronically ill children. Close-ended, verbal surveys were administered to caregivers and parents of chronically ill children to ascertain whether they had heard of ADs and if they had any interest in making one for their child. Although 61.6% of participants had never heard of ADs, 49.2% had interest in creating one for their child, indicating a gap between understanding and need. Those with a college education and those speaking English, compared to Spanish, were significantly more likely to know about ADs prior to the administration of the survey. Although this study is one of the few exploring the current state of pediatric ADs, it is limited by the potential selection bias due to the non-randomized nature of sample.

Click to read the study, published today in Pediatrics

Relevant Reading: Pediatric advance care planning: a systematic review

RELATED REPORTS

#VisualAbstract Telehealth vs In-Person Early Palliative Care for Patients with Advanced Lung Cancer

#VisualAbstract: Palliative care services are underutilized at end of life in Ontario, Canada

Palliative care services are underutilized at end of life in Ontario, Canada

Study Author, Dr. Danica Liberman, MD, MPH, talks to 2 Minute Medicine: Children’s Hospital Los Angeles, Division of Emergency and Transport Medicine, and Keck School of Medicine of the University of Southern California, Department of Pediatrics. Los Angeles, CA.

“As the number of chronically ill children grows in the U.S., familiarity and comfort with end-of-life discussions and advance directives will become increasingly important for physicians. Although pediatric palliative care is gaining interest within the medical community, knowledge about advance directives remains limited among caregivers of children with chronic illness. However, interest in creating advance directives is high, suggesting an unmet need and opportunity for healthcare providers to improve the care of children with chronic illness.”

In-Depth [prospective, cross-sectional survey]: Convenience sampling was used to recruit 307 primary caregivers (participants) of chronically ill patients from the Children’s Hospital of Los Angeles pulmonary and pediatric clinics and emergency department between May 2012 and February 2013. Seventy-two percent of caregivers identified as Hispanic and 55% were born outside of the United States. Mean age of pediatric patients was 8.95 years (SD = 5.99, range .33-19). A close-ended survey was administered to all participants. Sixty-two percent of subjects had not heard about ADs, 81.8% had never discussed them previously, and 49.2% of subjects were interested in creating ADs for their child. Only 3% of subjects already had an AD for their child. Caregivers with a college degree were significantly more likely to know about ADs compared to those without a high school diploma (OR = 4.66, P < .001). Spanish speaking caregivers were significantly less likely to know about ADs, compared to English speakers (OR = .42, P < .01). Finally, caregivers of children who had 11 to 20 emergency room visits in the past year were significantly more interested in creating an AD compared to those who had between 1 and 5 visits (OR = 11.75, P < .02).

More from this author: Virtual visits linked to decreased stress in hospitalized children, Early-onset basal cell carcinoma linked to indoor tanning, Caffeine affects teen boys, girls differently, Rotavirus vaccination associated with decreased rates of health care utilization, Childhood sexual abuse associated with later suicide attempts 

Image: PD

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.

Tags: palliative care
Previous Post

Increased risk of hookah use in urban and high socioeconomic adolescents

Next Post

Standardized patient handoff process linked to fewer handoff errors 

RelatedReports

#VisualAbstract Telehealth vs In-Person Early Palliative Care for Patients with Advanced Lung Cancer
StudyGraphics

#VisualAbstract Telehealth vs In-Person Early Palliative Care for Patients with Advanced Lung Cancer

September 26, 2024
#VisualAbstract: Palliative care services are underutilized at end of life in Ontario, Canada
StudyGraphics

#VisualAbstract: Palliative care services are underutilized at end of life in Ontario, Canada

March 13, 2024
Downward trend in mortality rate for antineutrophil cytoplasmic autoantibody-associated vasculitis
Chronic Disease

Palliative care services are underutilized at end of life in Ontario, Canada

March 7, 2024
Strict tobacco licensing laws linked to reduced adolescent smoking initiation
Weekly Rewinds

2 Minute Medicine Rewind March 4, 2024

March 4, 2024
Next Post
Hypercortisolemia in ICU patients is due to reduced cortisol metabolism, not increased production

Standardized patient handoff process linked to fewer handoff errors 

Celiac disease more prevalent in children with irritable bowel syndrome

2 Minute Medicine Rewind June 30 – July 7, 2014

Soaring rates of peripheral artery disease, now over 200 million cases worldwide

USPSTF recommends against carotid stenosis screening in asymptomatic adults

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • St. Louis hospital-based violence intervention program did not significantly affect reinjury outcomes
  • Glucagon-like peptide-1 receptor agonists may increase risk of reflux in patients with type 2 diabetes
  • Vaporized nicotine products may be effective for smoking cessation among people with social disadvantage
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.