Evidence map›Paper›PMID 25225008›Full record

Trial reportPaediatric and perinatal epidemiology2014

Impact of instruction in the Creighton model fertilitycare system on time to pregnancy in couples of proven fecundity: results of a randomised trial.

Joseph B Stanford, Ken R Smith, Michael W Varner

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Paediatric and perinatal epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00161395 (Randomized Trial of Fertility Awareness and Time to Pregnancy in Couples of Normal Fertility), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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.

NCT00161395 phase2completednot on this map

Randomized Trial of Fertility Awareness and Time to Pregnancy in Couples of Normal Fertility

TypeinterventionalSponsorUniversity of UtahRan2003 to 2007Enrolled143ConditionsFertility, PregnancyArmsInstruction in the Creighton Model Fertility Care System, Preconception advice
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Timed intercourse for couples trying to conceive.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Translation and Cultural Adaptation of the Creighton Model FertilityCare™ System Follow-up Form to Brazilian Portuguese.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    Article
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  7. Article
  8. Large-Scale Data Harmonization Across Prospective Studies.American journal of epidemiology · 2023
    Article
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  11. Review
  12. Article
  13. Article
  14. Article
  15. Observational
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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

3 authors at 1 institution in 1 country.

Joseph B StanfordDepartment of Family and Preventive Medicine, University of Utah, Salt Lake City, UT; Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT.
Ken R Smith
Michael W Varner
University of Utah · US

Funding

Clinical Research in Human FertilityK23HD001479 · NICHD · UNIVERSITY OF UTAH · PI STANFORD, JOSEPH B · 2001 to 2005
$673k
NICHD NIH HHS 1K23 HD0147901-01A1NICHD NIH HHS K23 HD001479
6 · The paper itself

Abstract

backgroundThe Creighton Model FertilityCare System (CrMS) teaches women to identify days when intercourse is likely to result in pregnancy. We sought to assess the impact of the CrMS on time to pregnancy (TTP), via per-cycle pregnancy rates (fecundability).

methodsWe conducted a parallel randomised trial at the University of Utah School of Medicine, 2003-06. Women ages 18-35 years, in a relationship of proven fertility, who desired to conceive, were block-randomised and stratified for age, with allocation concealment by opaque sequentially numbered sealed envelopes. The control group received the advice to have intercourse 2-3 times per week, and the intervention group received CrMS instruction. All women were asked to begin trying to conceive starting the second cycle in the study and were followed actively up to seven cycles, without blinding of research personnel. We calculated descriptive statistics and fecundability, and estimated Cox models for TTP. (Clinicaltrials.gov NCT00161395).

resultsThere were 143 women randomised: 71 to the control group (all analysed) and 72 to the CrMS group (69 analysed). The adjusted hazard ratio for the influence of CrMS on TTP was 0.86 [95% confidence interval (CI): 0.53, 1.38]. Fecundability in cycles with intent to conceive was 31% in controls and 36% with CrMS (P = 0.32). By the first cycle, fecundability was 17% in controls, and 4% with CrMS (P = 0.02). No adverse events were reported.

conclusionsWe found no significant impact of CrMS on TTP or fecundability, but fewer of the women receiving CrMS conceived by the first cycle.

Indexed as

Time-to-PregnancyAdolescentAdultFemaleHumansSex EducationTreatment OutcomeYoung Adultfecunditynatural family planningpreconceptionrandomized trialTime to conceptiontime to pregnancy

Identifiers

PMID25225008
PMCPMC4861655
OpenAlexW1817857621

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.