Evidence map›Paper›PMID 18757660›Full record

Trial reportObstetrics and gynecology2008

An intervention to improve postpartum outcomes in African-American mothers: a randomized controlled trial.

Ayman A E El-Mohandes, Michele Kiely, Jill G Joseph, Siva Subramanian, Allan A Johnson, Susan M Blake, Marie G Gantz, M Nabil El-Khorazaty

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Obstetrics and gynecology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 16 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 16 syntheses or guidelines pooled it.

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  5. Psychological therapies for women who experience intimate partner violence.The Cochrane database of systematic reviews · 2020
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  16. Interventions for promoting smoking cessation during pregnancy.The Cochrane database of systematic reviews · 2009
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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

8 authors.

Ayman A E El-MohandesGeorge Washington University, Washington, DC, USA. sphaxe@gwumc.edu
Michele Kiely
Jill G Joseph
Siva Subramanian
Allan A Johnson
Susan M Blake
Marie G Gantz
M Nabil El-Khorazaty

Funding

NIH DC INITIATIVE TO REDUCE INFANT MORTALITYU18HD031206 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI EL-KHORAZATY, NABIL · 1993 to 2003
$6.0M
NIH D.C. INITIATIVE TO REDUCE INFANT MORTALITYU18HD031919 · NICHD · HOWARD UNIVERSITY · PI JOHNSON, ALLAN ALEXANDER · 1993 to 2003
$3.8M
COOPERATIVE PERINATAL STUDIES AND INTERVENTIONSU18HD030445 · NICHD · GEORGETOWN UNIVERSITY · PI SIVASUBRAMANIAN, KOLINJAVADI N · 1992 to 2003
$3.7M
NIH D.C. INITIATIVE TO REDUCE INFANT MORTALITYU18HD036104 · NICHD · GEORGE WASHINGTON UNIVERSITY · PI EL-MOHANDES, AYMAN A · 1998 to 2003
$2.7M
COOPERATIVE PERINATAL STUDIES AND INTERVENTIONSU18HD030447 · NICHD · CHILDREN'S NATIONAL MEDICAL CENTER · PI JOSEPH, JILL G. · 1992 to 2003
$1.7M
Intramural NIH HHS Z99 HD999999NICHD NIH HHS 3U18HD030445NICHD NIH HHS 3U18HD030447NICHD NIH HHS 3U18HD031919NICHD NIH HHS 5U18HD036104NICHD NIH HHS 5U18HD31206NICHD NIH HHS U18 HD030445NICHD NIH HHS U18 HD030447NICHD NIH HHS U18 HD031206NICHD NIH HHS U18 HD031919NICHD NIH HHS U18 HD036104
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of an integrated multiple risk intervention, delivered mainly during pregnancy, in reducing such risks (cigarette smoking, environmental tobacco smoke exposure, depression, and intimate partner violence) postpartum.

methodsData from this randomized controlled trial were collected prenatally and on average 10 weeks postpartum in six prenatal care sites in the District of Columbia. African Americans were screened, recruited, and randomly assigned to the behavioral intervention or usual care. Clinic-based, individually tailored counseling was delivered to intervention women. The outcome measures were number of risks reported postpartum and reduction of these risks between baseline and postpartum.

resultsThe intervention was effective in significantly reducing the number of risks reported in the postpartum period. In bivariate analyses, the intervention group was more successful in resolving all risks (47% compared with 35%, P=.007, number needed to treat=9, 95% confidence interval [CI] 5-31) and in resolving some risks (63% compared with 54%, P=.009, number needed to treat=11, 95% CI 7-43) as compared with the usual care group. In logistic regression analyses, women in the intervention group were more likely to resolve all risks (odds ratio 1.86, 95% CI 1.25-2.75, number needed to treat=7, 95% CI 4-19) and resolve at least one risk (odds ratio 1.60, 95% CI 1.15-2.22, number needed to treat=9, 95% CI 6-29).

conclusionAn integrated multiple risk factor intervention addressing psychosocial and behavioral risks delivered mainly during pregnancy can have beneficial effects in risk reduction postpartum.

Indexed as

Black or African AmericanCognitive Behavioral TherapyPostnatal CarePrenatal CareDepression, PostpartumFemaleHumansPregnancyRisk Reduction BehaviorSmoking PreventionSpouse Abuse

Identifiers

PMID18757660
PMCPMC2935657

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.