Evidence map›Paper›PMID 25947578›Full record

Trial reportTrials2015

Testing the feasibility of a mobile technology intervention promoting healthy gestational weight gain in pregnant women (txt4two) - study protocol for a randomised controlled trial.

Jane Catherine Willcox, Karen Jane Campbell, Elizabeth Anne McCarthy, Shelley Ann Wilkinson, Martha Lappas, Kylie Ball, Brianna Fjeldsoe, Anne Griffiths, Robyn Whittaker, Ralph Maddison and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
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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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

15 authors.

Jane Catherine WillcoxCentre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. jwillcox@deakin.edu.au.
Karen Jane CampbellCentre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. karen.campbell@deakin.edu.au.
Elizabeth Anne McCarthyDepartment of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia. eamcca@unimelb.edu.au.
Shelley Ann WilkinsonMater Mothers Hospital/Mater Research, Queensland, Australia. shelley.wilkinson@mater.org.au.
Martha LappasDepartment of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia. mlappas@unimelb.edu.au.
Kylie BallCentre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. kylie.ball@deakin.edu.au.
Brianna FjeldsoeCancer Prevention Research Centre, School of Population Health, University of Queensland, Queensland, Australia. b.fjeldsoe@sph.uq.edu.au.
Anne GriffithsCentre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. anne.griffiths@deakin.edu.au.
Robyn WhittakerNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand. r.whittaker@nihi.auckland.ac.nz.
Ralph MaddisonNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand. r.maddison@nihi.auckland.ac.nz.
Alexis ShubDepartment of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia. ashub@internode.on.net.
Deborah PiddMercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. DPidd@mercy.com.au.
Elise FraserMercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. EFraser@mercy.com.au.
Nelly MoshonasMercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. NMoshonas@mercy.com.au.
David Andrew CrawfordCentre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. david.crawford@deakin.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOverweight, obesity and excess gestational weight gain (GWG) are associated with negative health outcomes for mother and child in pregnancy and across the life course. Interventions promoting GWG within guidelines report mixed results. Most are time and cost intensive, which limits scalability. Mobile technologies (mHealth) offer low cost, ready access and individually-tailored support. We aim to test the feasibility of an mHealth intervention promoting healthy nutrition, physical activity and GWG in women who begin pregnancy overweight or obese. METHODS/

designtxt4two is a parallel randomised control trial pilot recruiting women with a singleton, live gestation between 10(+0) and 17(+6) weeks at the first hospital antenatal clinic visit. Inclusion criteria are pre-pregnancy BMI > 25 kg/m(2) and mobile phone ownership. One hundred consenting women will be randomised to intervention or control groups at a 1:1 ratio. All participants will receive standard antenatal care. In addition, the txt4two intervention will be delivered from baseline to 36 weeks gestation and consists of a tailored suite of theoretically-grounded, evidence-based intervention strategies focusing on healthy nutrition, physical activity and GWG. This includes: mobile phone interactive text messages promoting positive health behaviours, goal setting and self-monitoring; video messages; an information website; and a private moderated Facebook® chat forum. The primary outcome is the feasibility of the intervention. Secondary outcomes include GWG and participants' knowledge and behaviour regarding diet and physical activity during pregnancy. DISCUSSION: Findings will inform the development of larger-scale mHealth programmes to improve the delivery of healthy pregnancy nutrition, physical activity and GWG, that could be widely translated and disseminated.

trial registrationAustralian New Zealand Clinical Trials Registry: ACTRNU111111544397 . Date of registration: 19 March 2014.

Indexed as

Cell PhoneMaternal HealthMobile ApplicationsWeight GainClinical ProtocolsDietExerciseFeasibility StudiesFemaleGestational AgeHealth Knowledge, Attitudes, PracticeHealth PromotionHumansObesityPatient Education as TopicPerinatal Care

Identifiers

PMID25947578
PMCPMC4426547

What OpenQuestion holds

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Registered trials

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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.