Evidence map›Paper›PMID 26691105›Full record

Trial reportAmerican journal of public health2016

Cluster Randomized Controlled Trial of Group Prenatal Care: Perinatal Outcomes Among Adolescents in New York City Health Centers.

Jeannette R Ickovics, Valerie Earnshaw, Jessica B Lewis, Trace S Kershaw, Urania Magriples, Emily Stasko, Sharon Schindler Rising, Andrea Cassells, Shayna Cunningham, Peter Bernstein and 1 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00628771 (Integrating Prenatal Care to Reduce HIV/STDs Among Teens), which is not on this map. Cited by 84 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 12 pooled it
–field-weighted citation impact
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.

NCT00628771 phase4completednot on this map

Integrating Prenatal Care to Reduce HIV/STDs Among Teens: A Translational Study

TypeinterventionalSponsorYale UniversityRan2008 to 2012Enrolled1,233ConditionsPregnancy, HIV Infections, Sexually Transmitted DiseasesArmsCenteringPregnancy Plus (CP+), Usual care
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 12 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Group Medical Care: A Systematic Review of Health Service Performance.International journal of environmental research and public health · 2021
    Pooled it
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  10. Theory-based interventions for contraception.The Cochrane database of systematic reviews · 2016
    Pooled it
  11. Interventions for promoting the initiation of breastfeeding.The Cochrane database of systematic reviews · 2016
    Pooled it
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  19. Impact of group prenatal care on key prenatal services and educational topics in Malawi and Tanzania.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021
    Trial
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24 more citing papers are in PubMed but not listed here.

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

11 authors.

Jeannette R IckovicsJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Valerie EarnshawJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Jessica B LewisJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Trace S KershawJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Urania MagriplesJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Emily StaskoJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Sharon Schindler RisingJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Andrea CassellsJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Shayna CunninghamJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Peter BernsteinJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Jonathan N TobinJeannette R. Ickovics, Valerie Earnshaw, Jessica B. Lewis, Trace S. Kershaw, Emily Stasko, and Shayna Cunningham are with the Yale School of Public Health, New Haven, CT. Urania Magriples is with the Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven. Sharon Schindler Rising is with the Centering Healthcare Institute, Boston, MA. Andrea Cassells and Jonathan N. Tobin are with the Clinical Directors' Network, New York, NY. Peter Bernstein is with the Division of Maternal Fetal Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.

Funding

INTERDISCIPLINARY HIV PREVENTION TRAINING PROGRAMT32MH020031 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 1999 to 2026
$12.1M
Integrating Prenatal Care to Reduce HIV/STDs Among Teens: A Translational StudyR01MH074399 · NIMH · YALE UNIVERSITY · PI ICKOVICS, JEANNETTE R · 2006 to 2010
$5.1M
Integrating Prenatal Care to Reduce HIV/STDs Among Teens: A Translational StudyR01MH074394 · NIMH · CLINICAL DIRECTORS NETWORK, INC. · PI TOBIN, JONATHAN N. · 2006 to 2010
$3.3M
N2: Building a Network of Safety Net PBRNsP30HS021667 · AHRQ · CLINICAL DIRECTORS NETWORK, INC. · PI TOBIN, JONATHAN N · 2012 to 2016
$595k
AHRQ HHS P30 HS021667NIMH NIH HHS R01 MH074394NIMH NIH HHS R01 MH074399NIMH NIH HHS T32 MH020031NIMH NIH HHS T32-MH20031
6 · The paper itself

Abstract

objectivesWe compared an evidence-based model of group prenatal care to traditional individual prenatal care on birth, neonatal, and reproductive health outcomes.

methodsWe performed a multisite cluster randomized controlled trial in 14 health centers in New York City (2008-2012). We analyzed 1148 pregnant women aged 14 to 21 years, at less than 24 weeks of gestation, and not at high obstetrical risk. We assessed outcomes via medical records and surveys.

resultsIn intention-to-treat analyses, women at intervention sites were significantly less likely to have infants small for gestational age (< 10th percentile; 11.0% vs 15.8%; odds ratio = 0.66; 95% confidence interval = 0.44, 0.99). In as-treated analyses, women with more group visits had better outcomes, including small for gestational age, gestational age, birth weight, days in neonatal intensive care unit, rapid repeat pregnancy, condom use, and unprotected sex (P = .030 to < .001). There were no associated risks.

conclusionsCenteringPregnancy Plus group prenatal care resulted in more favorable birth, neonatal, and reproductive outcomes. Successful translation of clinical innovations to enhance care, improve outcomes, and reduce cost requires strategies that facilitate patient adherence and support organizational change.

Indexed as

Pregnancy OutcomeAdolescentBirth WeightFemaleGestational AgeHumansInfantIntention to Treat AnalysisNew York CityPatient Acceptance of Health CarePregnancyPrenatal CareSocial ClassYoung Adult

Identifiers

PMID26691105
PMCPMC4815610

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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.