A randomised trial of early palliative care for maternal stress in infants prenatally diagnosed with single-ventricle heart disease Article Swipe
Hayley S. Hancock
,
Ken Pituch
,
Karen Uzark
,
Priya Bhat
,
Carly G. Fifer
,
Maria J. Silveira
,
Sunkyung Yu
,
Suzanne Welch
,
Janet E. Donohue
,
Ray Lowery
,
Ranjit Aiyagari
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1017/s1047951117002761
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1017/s1047951117002761
Children with single-ventricle disease experience high mortality and complex care. In other life-limiting childhood illnesses, paediatric palliative care may mitigate maternal stress. We hypothesised that early palliative care in the single-ventricle population may have the same benefit for mothers. In this pilot randomised trial of early palliative care, mothers of infants with prenatal single-ventricle diagnoses completed surveys measuring depression, anxiety, coping, and quality of life at a prenatal visit and neonatal discharge. Infants were randomised to receive early palliative care – structured evaluation, psychosocial/spiritual, and communication support before surgery – or standard care. Among 56 eligible mothers, 40 enrolled and completed baseline surveys; 38 neonates were randomised, 18 early palliative care and 20 standard care; and 34 postnatal surveys were completed. Baseline Beck Depression Inventory-II and State-Trait Anxiety Index scores exceeded normal pregnant sample scores (mean 13.76±8.46 versus 7.0±5.0 and 46.34±12.59 versus 29.8±6.35, respectively; p=0.0001); there were no significant differences between study groups. The early palliative care group had a decrease in prenatal to postnatal State-Trait Anxiety Index scores (−7.6 versus 0.3 in standard care, p=0.02), higher postnatal Brief Cope Inventory positive reframing scores (p=0.03), and a positive change in PedsQL Family Impact Module communication and family relationships scores (effect size 0.46 and 0.41, respectively). In conclusion, these data show that mothers of infants with single-ventricle disease experience significant depression and anxiety prenatally. Early palliative care resulted in decreased maternal anxiety, improved maternal positive reframing, and improved communication and family relationships.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1017/s1047951117002761
- OA Status
- green
- Cited By
- 94
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2783574971
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2783574971Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1017/s1047951117002761Digital Object Identifier
- Title
-
A randomised trial of early palliative care for maternal stress in infants prenatally diagnosed with single-ventricle heart diseaseWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2018Year of publication
- Publication date
-
2018-01-10Full publication date if available
- Authors
-
Hayley S. Hancock, Ken Pituch, Karen Uzark, Priya Bhat, Carly G. Fifer, Maria J. Silveira, Sunkyung Yu, Suzanne Welch, Janet E. Donohue, Ray Lowery, Ranjit AiyagariList of authors in order
- Landing page
-
https://doi.org/10.1017/s1047951117002761Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://digitalcommons.wustl.edu/open_access_pubs/6728Direct OA link when available
- Concepts
-
Medicine, Palliative care, Anxiety, Psychosocial, Population, Hypoplastic left heart syndrome, Pediatrics, Heart disease, Psychiatry, Internal medicine, Nursing, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
94Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 10, 2024: 9, 2023: 21, 2022: 11, 2021: 18Per-year citation counts (last 5 years)
- References (count)
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36Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2167767510, https://openalex.org/W2129277972, https://openalex.org/W2034781976, https://openalex.org/W2091343120, https://openalex.org/W2159249088, https://openalex.org/W2147016542, https://openalex.org/W2046192516, https://openalex.org/W6684915691, https://openalex.org/W2081059976, https://openalex.org/W1843341223, https://openalex.org/W2058885807, https://openalex.org/W2143393917, https://openalex.org/W2093097951, https://openalex.org/W1999901612, https://openalex.org/W2149720748, https://openalex.org/W4249043106, https://openalex.org/W2154029408, https://openalex.org/W2130295857, https://openalex.org/W2075318595, https://openalex.org/W2433249219, https://openalex.org/W2045670277, https://openalex.org/W2060399849, https://openalex.org/W2151734850, https://openalex.org/W4292854730, https://openalex.org/W1769706682, https://openalex.org/W2584626576, https://openalex.org/W2139443698, https://openalex.org/W2136456300, https://openalex.org/W2143112367, https://openalex.org/W2334594862, https://openalex.org/W2092378809, https://openalex.org/W2171343528, https://openalex.org/W1607171655, https://openalex.org/W2056004581, https://openalex.org/W4249811501, https://openalex.org/W2165167678 |
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| corresponding_author_ids | https://openalex.org/A5012697065 |
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