Evidence map›Paper›PMID 26513032›Full record

Trial reportJournal of health communication2015

Empowering Women's Prenatal Communication: Does Literacy Matter?

Debra L Roter, Lori H Erby, Rajiv N Rimal, Katherine C Smith, Susan Larson, Ian M Bennett, Katie Washington Cole, Yue Guan, Matthew Molloy, Jessica Bienstock

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of health communication, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 5 pooled it
4.9field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 5 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  5. Effectiveness of Communication Interventions in Obstetrics-A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  6. Trial
  7. Parent Satisfaction With Communication Is Associated With Physician's Patient-Centered Communication Patterns During Family Conferences.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2016
    Trial
  8. Article
  9. Article
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  11. 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

10 authors at 4 institutions in 1 country.

Debra L Rotera Department of Health, Behavior, and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Lori H Erbyb Social and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health , Rockville , Maryland , USA.
Rajiv N Rimalc Department of Preventive and Community Health , George Washington University , Washington , District of Columbia , USA.
Katherine C Smitha Department of Health, Behavior, and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Susan Larsona Department of Health, Behavior, and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Ian M Bennettd Department of Family Medicine and Community Health, Perelman School of Medicine , University of Pennsylvania , Philadelphia , Pennsylvania , USA.
Katie Washington Colea Department of Health, Behavior, and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Yue Guana Department of Health, Behavior, and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Matthew Molloye Johns Hopkins Childrens Center, Johns Hopkins School of Medicine , Baltimore , Maryland , USA.
Jessica Bienstockf Department of Gynecology and Obstetrics , Johns Hopkins School of Medicine , Baltimore , Maryland , USA.
Johns Hopkins University · USGeorge Washington University · USNational Human Genome Research Institute · USUniversity of Pennsylvania · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007309 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI COX, ANDREA L · 1985 to 2019
$43.2M
Amelioration of Literacy Deficits in Prenatal CareR01HD050437 · NICHD · JOHNS HOPKINS UNIVERSITY · PI ROTER, DEBRA L · 2006 to 2009
$2.4M
NICHD NIH HHS R01 HD050437NIGMS NIH HHS T32 GM007309
6 · The paper itself

Abstract

This study was designed to evaluate the impact of an interactive computer program developed to empower prenatal communication among women with restricted literacy skills. A total of 83 women seeing 17 clinicians were randomized to a computer-based communication activation intervention (Healthy Babies Healthy Moms [HBHM]) or prenatal education (Baby Basics [BB]) prior to their prenatal visit. Visit communication was coded with the Roter Interaction Analysis System, and postvisit satisfaction was reported. Participants were on average 24 years of age and 25 weeks pregnant; 80% were African American. Two thirds scored ≤8th grade on a literacy screener. Women with literacy deficits were more verbally active, disclosed more medical and psychosocial/lifestyle information, and were rated as more dominant by coders in the HBHM group relative to their counterparts in the BB group (all ps < .05). Clinicians were less verbally dominant and more patient centered with literate HBHM relative to BB group women (p < .05); there was a similar, nonsignificant trend (p < .1) for lower literate women. Clinicians communicated less medical information and made fewer reassurance statements to lower literate women in the HBHM relative to the BB group (p < .05). There was a trend toward lower visit satisfaction for women with restricted literacy in the HBHM relative to the BB group (p < .1); no difference in satisfaction was evident for more literate women. The HBHM intervention empowered communication of all women and facilitated verbal engagement and relevant disclosure of medical and psychosocial information of women with literacy deficits. Satisfaction, however, tended to be lower for these women.

Indexed as

CommunicationPhysician-Patient RelationsPower, PsychologicalPrenatal CareAdolescentAdultFemaleFollow-Up StudiesHumansLiteracyPatient Education as TopicPatient SatisfactionPregnancyProgram EvaluationUser-Computer InterfaceYoung Adult

Identifiers

PMID26513032
PMCPMC4727827
OpenAlexW2135466701

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.