Trial reportDiabetes care2010
Impact of a preconception counseling program for teens with type 1 diabetes (READY-Girls) on patient-provider interaction, resource utilization, and cost.
Trial report in Diabetes care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 9 of them syntheses that pooled 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.
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.
Who cites it
28 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- A systematic literature review on how consumer and community involvement have shaped and influenced pre-pregnancy care interventions for women with diabetes.BMC pregnancy and childbirth · 2024Pooled it
- Preconception, Interconception, and reproductive health screening tools: A systematic review.Health services research · 2023Pooled it
- Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021Pooled it
- Girls' Empowerment and Adolescent Pregnancy: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Preconception care for diabetic women for improving maternal and infant health.The Cochrane database of systematic reviews · 2017Pooled it
- Preconception Care Education for Women With Diabetes: A Systematic Review of Conventional and Digital Health Interventions.Journal of medical Internet research · 2016Pooled it
- Brief educational strategies for improving contraception use in young people.The Cochrane database of systematic reviews · 2016Pooled it
- The prevalence and nature of the use of preconception services by women with chronic health conditions: an integrative review.BMC women's health · 2015Pooled it
- Preconception healthcare and congenital disorders: systematic review of the effectiveness of preconception care programs in the prevention of congenital disorders.Maternal and child health journal · 2014Pooled it
- Long-term effects of the booster-enhanced READY-Girls preconception counseling program on intentions and behaviors for family planning in teens with diabetes.Diabetes care · 2013Trial
- Beta Testing of a Gestational Diabetes Risk Reduction Intervention for American Indian and Alaska Native Teens.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersTrial
- Respecting tribal voices in the development of a gestational diabetes risk reduction preconception counseling program for American Indian/Alaska Native adolescent females: a qualitative study.BMC pregnancy and childbirth · 2023Article
- Comparing American Indian/Alaska Native Adolescent Daughters' and Their Mothers' Awareness, Knowledge, Attitudes, and Behaviors Regarding Risk for Gestational Diabetes: Implications for Mother-Daughter Communication on Reproductive Health.The science of diabetes self-management and care · 2023Article
- Attendance at pre-pregnancy care clinics for women with type 1 diabetes: A scoping review.Diabetic medicine : a journal of the British Diabetic Association · 2023Article
- Opportunities for Enhanced Transition of Care Preparation for Adolescents and Emerging Adults With Type 1 Diabetes: Use of the READDY Transition Tool.Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
- It Takes a Brain, a Heart, Courage, and Support.Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
- Preconception and Diabetes Information (PADI) App for Women with Pregestational Diabetes: a Feasibility and Acceptability Study.Journal of healthcare informatics research · 2021Article
- Reducing risk for gestational diabetes among American Indian and Alaska Native teenagers: Tribal leaders' recommendations.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021Article
- Development of an integrated, district-wide approach to pre-pregnancy management for women with pre-existing diabetes in a multi-ethnic population.BMC pregnancy and childbirth · 2018Article
- Preconception Counseling for Adolescents and Young Adults with Diabetes: a Literature Review of the Past 10 Years.Current diabetes reports · 2018Review
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo evaluate the impact of a preconception counseling program tailored for teens with type 1 diabetes on cognitive, psychosocial, and behavioral outcomes and to assess its cost-effectiveness. RESEARCH DESIGN AND
methodsA total of 88 teens with type 1 diabetes from two sites were randomized into the READY-Girls (Reproductive-health Education and Awareness of Diabetes in Youth for Girls) intervention (IG) (n = 43) or standard care (SC) (n = 45) groups. During three diabetes clinic visits, IG subjects viewed a two-part CD-ROM, read a book, and met with a nurse. Program effectiveness was measured by knowledge, attitudes, intentions, and behaviors regarding diabetes, pregnancy, sexuality, and preconception counseling. Assessments occurred at baseline, before and after viewing program materials, and at 9 months. Economic analyses included an assessment of resource utilization, direct medical costs, and a break-even cost analysis.
resultsAge range was 13.2-19.7 years (mean +/- SD 16.7 +/- 1.7 years); 6% (n = 5) were African American, and 24% (n = 21) were sexually active. Compared with baseline and SC subjects, IG subjects demonstrated a significant group-by-time interaction for benefit and knowledge of preconception counseling and reproductive health: increasing immediately after the first visit (P < 0.001) and being sustained for 9 months (P < 0.05 benefits; P < 0.001 knowledge). For IG subjects, preconception counseling barriers decreased over time (P < 0.001), and intention and initiation of preconception counseling and reproductive health discussions increased (P < 0.001). Costs of adverse reproductive outcomes are high. Direct medical costs of READY-Girls were low.
conclusionsREADY-Girls was beneficial and effects were sustained for at least 9 months. This low-cost self-instructional program can potentially empower young women with type 1 diabetes to make well-informed reproductive health choices, adding little time burden or cost to their diabetes management.
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What OpenQuestion holds
Registered trials
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.