Evidence map›Paper›PMID 20082130›Full record

Trial reportMaternal and child health journal2011

Very preterm birth is reduced in women receiving an integrated behavioral intervention: a randomized controlled trial.

Ayman A E El-Mohandes, Michele Kiely, Marie G Gantz, M Nabil El-Khorazaty

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

Trial report in Maternal and child health journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 12 pooled it
6.1field-weighted citation impact, top 4% of its field
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

42 citing papers in PubMed, 12 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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  2. Psychological therapies for women who experience intimate partner violence.The Cochrane database of systematic reviews · 2020
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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

4 authors at 3 institutions in 1 country.

Ayman A E El-MohandesCollege of Public Health, University of Nebraska Medical Center, Omaha, NE 68198-4355, USA. aelmohandes@unmc.edu
Michele Kiely
Marie G Gantz
M Nabil El-Khorazaty
RTI International · USNational Institutes of Health · USUniversity of Nebraska Medical Center · US

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

This study examines whether an integrated behavioral intervention with proven efficacy in reducing psycho-behavioral risks (smoking, environmental tobacco smoke exposure (ETSE), depression, and intimate partner violence (IPV)) in African-Americans is associated with improved pregnancy outcomes. A randomized controlled trial targeting risks during pregnancy was conducted in the District of Columbia. African-American women were recruited if reporting at least one of the risks mentioned above. Randomization to intervention or usual care was site and risk specific. Sociodemographic, health risk and pregnancy outcome data were collected. Data on 819 women, and their singleton live born infants were analyzed using an intent-to-treat approach. Bivariate analyses preceded a reduced logistical model approach to elucidate the effect of the intervention on the reduction of prematurity and low birth weight. The incidence of low birthweight (LBW) was 12% and very low birthweight (VLBW) was 1.6%. Multivariate logistic regression results showed that depression was associated with LBW (OR = 1.71, 95% CI = 1.12-2.62). IPV was associated with preterm birth (PTB) and very preterm birth (VPTB) (OR 1.64, 95% CI = 1.07-2.51, OR = 2.94, 95% CI = 1.40-6.16, respectively). The occurrence of VPTB was significantly reduced in the intervention compared to the usual care group (OR = 0.42, 95% CI = 0.19-0.93). Our study confirms the significant associations between multiple psycho-behavioral risks and poor pregnancy outcomes, including LBW and PTB. Our behavioral intervention with demonstrated efficacy in addressing multiple risk factors simultaneously reduced VPTB within an urban minority population.

Indexed as

Behavior TherapyAdolescentAdultBlack or African AmericanDepressionDistrict of ColumbiaFemaleGestational AgeHumansInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightLogistic ModelsPregnancyPregnancy OutcomePremature BirthTobacco Smoke Pollution

Identifiers

PMID20082130
PMCPMC2988881
OpenAlexW2050146711

What OpenQuestion holds

Textmetadata
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.