Evidence map›Paper›PMID 26123741›Full record

ArticleMidwifery2015

A realist evaluation of an antenatal programme to change drinking behaviour of pregnant women.

Lawrence Doi, Ruth Jepson, Helen Cheyne

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Midwifery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Fetal alcohol spectrum disorders.Nature reviews. Disease primers · 2023
    Review
  3. Screening for Alcohol Use in Pregnancy: a Review of Current Practices and Perspectives.International journal of mental health and addiction · 2023
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
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 2 institutions in 1 country.

Lawrence Doi20 West Richmond Street, Scottish Collaboration for Public Health Research and Policy, Centre for Population Health Sciences, University of Edinburgh, EH8 9DX Scotland, UK. Electronic address: larry.doi@ed.ac.uk.
Ruth Jepson20 West Richmond Street, Scottish Collaboration for Public Health Research and Policy, Centre for Population Health Sciences, University of Edinburgh, EH8 9DX Scotland, UK. Electronic address: ruth.jepson@stir.ac.uk.
Helen CheyneNursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Scotland, UK. Electronic address: h.l.cheyne@stir.ac.uk.
Scottish Collaboration for Public Health Research and Policy · GBUniversity of Stirling · GB

Funding

Chief Scientist Office NMAHP1Medical Research Council MR/K023209/1
6 · The paper itself

Abstract

objectiveto use realist evaluation to describe and explain how and in what circumstances screening and alcohol brief interventions work in routine antenatal care.

designa realist evaluation incorporating systematic reviews and qualitative data.

settingNHS Lothian, which is one of the 14 Scottish health boards.

participantsparticipants were recruited from two maternity units. In phase one, interviews were conducted with four participants responsible for policy implementation. These data were supported by two systematic reviews. In phase two, 17 pregnant women and 15 midwives participated in interviews, with a further six midwifery team leaders involved in a focus group.

findingstraining and resources provided to midwives as part of the programme acted as facilitating mechanisms that improved their skills and confidence to screen and deliver alcohol brief interventions. The programme elicited positive change in attitudes to drinking in pregnancy and possibly stimulated drinking behaviour change amongst pregnant women. However, the small numbers of pregnant women being identified for alcohol brief interventions meant delivery was infrequent and resulted in the programme not working as anticipated. The findings also revealed contextual issues around midwife-pregnant woman relationship and the challenges of negotiating the timing of screening and alcohol brief interventions delivery.

conclusionsDrinking in pregnancy is an emotive issue, therefore delivering alcohol brief interventions at the first antenatal appointment when they are more likely to achieve the most benefits poses challenges. When training midwives to screen and deliver alcohol brief interventions, special attention is needed to improve person-centred communication skills to overcome barriers associated with discussing sensitive prenatal alcohol use and enhance early identification and delivery of alcohol brief interventions at the first antenatal appointment.

Indexed as

Nurse's RoleAdultAlcohol DrinkingAlcohol-Related DisordersFemaleHumansMaternal BehaviorMaternal Health ServicesMidwiferyPregnancyPrenatal CareResearch DesignScotlandYoung AdultAlcohol screeningBrief interventionsPregnant womenRealist evaluation

Identifiers

PMID26123741
PMCPMC4596150
OpenAlexW2150043106

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.