Evidence map›Paper›PMID 19059553›Full record

Trial reportWomen's health issues : official publication of the Jacobs Institute of Women's Health

Improving women's preconceptional health: findings from a randomized trial of the Strong Healthy Women intervention in the Central Pennsylvania women's health study.

Marianne M Hillemeier, Danielle Symons Downs, Mark E Feinberg, Carol S Weisman, Cynthia H Chuang, Roxanne Parrott, Diana Velott, Lori A Francis, Sara A Baker, Anne-Marie Dyer and 1 more

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

Trial report in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 8 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, 8 syntheses or guidelines pooled it.

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  4. Effectiveness of preconception interventions in primary care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
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  6. Preconception health interventions delivered in public health and community settings: A systematic review.Canadian journal of public health = Revue canadienne de sante publique · 2017
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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

11 authors.

Marianne M HillemeierPennsylvania State University, College of Health and Human Development, University Park, Pennsylvania 16802, USA. mmh18@psu.edu
Danielle Symons Downs
Mark E Feinberg
Carol S Weisman
Cynthia H Chuang
Roxanne Parrott
Diana Velott
Lori A Francis
Sara A Baker
Anne-Marie Dyer
Vernon M Chinchilli

Funding

Unintended Pregnancy in Women with Chronic Medical ConditionsK23HD051634 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI CHUANG, CYNTHIA H · 2006 to 2010
$721k
NICHD NIH HHS K23 HD051634
6 · The paper itself

Abstract

purposeImproving the health of women before pregnancy is an important strategy for reducing adverse pregnancy outcomes for mother and child. This paper reports the first pretest-posttest results from a randomized trial of a unique, multidimensional, small group format intervention, Strong Healthy Women, designed to improve the health behaviors and health status of preconceptional and interconceptional women.

methodsNonpregnant pre- and interconceptional women ages 18-35 were recruited in 15 low-income rural communities in Central Pennsylvania (n = 692). Women were randomized in a ratio of 2-to-1 to intervention and control groups; participants received a baseline and follow-up health risk assessment at 14 weeks and completed questionnaires to assess behavioral variables. The analytic sample for this report consists of 362 women who completed both risk assessments. Outcomes include measures of attitudinal and health-related behavior change. MAIN

findingsWomen in the intervention group were significantly more likely than controls to report higher self-efficacy for eating healthy food and to perceive higher preconceptional control of birth outcomes; greater intent to eat healthy foods and be more physically active; and greater frequency of reading food labels, physical activity consistent with recommended levels, and daily use of a multivitamin with folic acid. Significant dose effects were found: Each additional intervention session attended was associated with higher perceived internal preconceptional control of birth outcomes, reading food labels, engaging in relaxation exercise or meditation for stress management, and daily use of a multivitamin with folic acid.

conclusionsThe attitudinal and behavior changes attributable to the intervention were related primarily to nutrition and physical activity. These results show that these topics can be successfully addressed with pre- and interconceptional women outside the clinical setting in community-based interventions.

Indexed as

Health Knowledge, Attitudes, PracticeAdultFemaleHealth PromotionHealth StatusHumansMaternal BehaviorPennsylvaniaPreconception CarePregnancyPregnancy OutcomePrenatal CareRural PopulationSelf CareSelf ConceptSurveys and Questionnaires

Identifiers

PMID19059553
PMCPMC2744213

What OpenQuestion holds

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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.