The Cellie Coping Kit for children with Eosinophilic Esophagitis: Feasibility, acceptability, and preliminary outcomes.
Alain J Benitez, Ashley McGar, Kristen Kohser and 8 others
PMID 34978212WHAT IT FOUND
No improvement was detected in child coping, caregiver coping assistance, or quality of life after the Cellie Coping Kit for children with eosinophilic esophagitis.
Families found it acceptable and feasible, and many reported learning strategies.
Key findings
01No statistically significant differences were found from baseline to follow-up in child coping, caregiver coping assistance, or child health-related quality of life.
02Forty children and one caregiver per child were enrolled; 30 children and 33 caregivers completed follow-up, and the majority of those who completed follow-up reported using the kit and finding it easy to use.
0322 children and 16 caregivers reported learning new coping strategies.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was small and uncontrolled, so it cannot show that the kit caused any changes. There was no comparison group or random assignment, so natural variation, attention, or expectations could explain the findings. Some families were enrolled at times when diet or medication changes may have been happening, which could affect coping and quality-of-life reports. Families were not limited to recent diagnosis, so some children may already have had adaptive coping strategies. The measures may not have been sensitive enough to detect the coping changes families described in interviews. Only a subset of enrolled families completed follow-up, and the paper does not explain why they dropped out. Outcome scores are referred to supplemental material, not given in the article text.
Declared interests
Dr. Marsac is a co-inventor of the Cellie Coping Kit and is CEO of the Cellie Coping Company. The Children’s Hospital of Philadelphia and the University of Kentucky may benefit financially from the kit. The University of Kentucky’s conflict of interest oversight committee approved the research.
The easy way to misread this
Do not conclude that the kit improves child coping, caregiver coping assistance, or quality of life. The study did not detect statistically significant changes in these outcomes, and it had no control group.