Final Research Report

View this project's final research report.

Peer-Review Summary

Peer review of PCORI-funded research helps make sure the report presents complete, balanced, and useful information about the research. It also assesses how the project addressed PCORI’s Methodology Standards. During peer review, experts read a draft report of the research and provide comments about the report. These experts may include a scientist focused on the research topic, a specialist in research methods, a patient or caregiver, and a healthcare professional. These reviewers cannot have conflicts of interest with the study.

The peer reviewers point out where the draft report may need revision. For example, they may suggest ways to improve descriptions of the conduct of the study or to clarify the connection between results and conclusions. Sometimes, awardees revise their draft reports twice or more to address all of the reviewers’ comments. 

Peer reviewers commented, and the researchers made changes or provided responses. The comments and responses included the following:

  • The reviewers asked that the researchers refer to the Four Supports study in the abstract. The researchers adapted that model for use in their PCORI-funded study. The researchers said they left the name of that intervention out intentionally because while it provided a preliminary framework, the intervention developed for this study differed substantially in content and structure, thanks to the work of the stakeholders. The reviewers insisted that the abstract still indicate that the intervention under study was a modification, and the researchers added a statement to that effect.
  • The reviewers expressed concern that the stakeholder parents who helped develop the intervention were not representative of the study population. The researchers added a table to the report listing the names and experience of the eight parent stakeholders. The researchers acknowledged that the stakeholders were not ethnically diverse and may overrepresent cases where children died. The researchers added comments about the representation of parents as well as other stakeholders to their study limitations section.
  • Given the lack of significant results at 3-5 weeks postdischarge, the reviewers wondered about the durability of the intervention and whether more pronounced results might be seen at other time points. The researchers suggested that measuring at an earlier time point could be more helpful and added a sentence to the report saying that they plan to conduct analyses of outcomes at the time of PICU discharge.

Conflict of Interest Disclosures

Project Information

Kelly N. Michelson, MD, MPH
Ann and Robert H. Lurie Children's Hospital of Chicago
Improving Communication in the Pediatric Intensive Care Unit for Patients Facing Life-Changing Decisions

Key Dates

September 2013
July 2019

Study Registration Information


Has Results
Award Type
Health Conditions Health Conditions These are the broad terms we use to categorize our funded research studies; specific diseases or conditions are included within the appropriate larger category. Note: not all of our funded projects focus on a single disease or condition; some touch on multiple diseases or conditions, research methods, or broader health system interventions. Such projects won’t be listed by a primary disease/condition and so won’t appear if you use this filter tool to find them. View Glossary
Populations Populations PCORI is interested in research that seeks to better understand how different clinical and health system options work for different people. These populations are frequently studied in our portfolio or identified as being of interest by our stakeholders. View Glossary
Intervention Strategy Intervention Strategies PCORI funds comparative clinical effectiveness research (CER) studies that compare two or more options or approaches to health care, or that compare different ways of delivering or receiving care. View Glossary
State State The state where the project originates, or where the primary institution or organization is located. View Glossary
Last updated: March 4, 2022