Evidence map›Paper›PMID 27006007›Full record

Trial reportTrials2016

Adapting and testing a brief intervention to reduce maternal anxiety during pregnancy (ACORN): study protocol for a randomised controlled trial.

Esther L Wilkinson, Heather A O'Mahen, Pasco Fearon, Sarah Halligan, Dorothy X King, Geva Greenfield, Jacqueline Dunkley-Bent, Jennifer Ericksen, Jeannette Milgrom, Paul G Ramchandani

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Exclusive Breastfeeding Duration and Perceptions of Infant Sleep: The Mediating Role of Postpartum Anxiety.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Review
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 9 institutions in 2 countries.

Esther L WilkinsonCentre for Mental Health, Imperial College London, 7th Floor Commonwealth Building, Hammersmith Campus, Du Cane Road, London, W12 0NN, UK.
Heather A O'MahenUniversity of Exeter, Mood Disorders Research Centre, Perry Road, Exeter, EX4 4QG, UK.
Pasco FearonResearch Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Sarah HalliganDepartment of Psychology, 2 South, University of Bath, Bath, BA2 7AY, UK.
Dorothy X KingCentre for Mental Health, Imperial College London, 7th Floor Commonwealth Building, Hammersmith Campus, Du Cane Road, London, W12 0NN, UK.
Geva GreenfieldSchool of Public Health, Faculty of Medicine, Imperial College London, Reynolds Building, Charing Cross Campus, St Dunstan's Road, London, W6 8RP, UK.
Jacqueline Dunkley-BentNHS England, Nursing Directorate, Skipton House, 80 London Road, London, SE1 6LH, UK.
Jennifer EricksenParent-Infant Research Institute, Department of Clinical & Health Psychology, Centaur Building, Heidelberg Repatriation Hospital, Austin Health, 300 Waterdale Road, Heidelberg Heights, Melbourne, VIC, Australia.
Jeannette MilgromParent-Infant Research Institute, Department of Clinical & Health Psychology, Centaur Building, Heidelberg Repatriation Hospital, Austin Health, 300 Waterdale Road, Heidelberg Heights, Melbourne, VIC, Australia.
Paul G RamchandaniCentre for Mental Health, Imperial College London, 7th Floor Commonwealth Building, Hammersmith Campus, Du Cane Road, London, W12 0NN, UK. p.ramchandani@imperial.ac.uk.
Austin Health · AUCentral and North West London NHS Foundation Trust · GBCentre for Mental Health · GBImperial College London · GBKing's College London · GBNHS EnglandUniversity College London · GBUniversity of Bath · GBUniversity of Exeter · GB

Funding

Department of Health PB-PG-1112-29054
6 · The paper itself

Abstract

backgroundNational guidelines in the UK, United States of America, Canada, and Australia have recently stressed the importance of identifying and treating antenatal anxiety and depression. However, there is little research into the most effective and acceptable ways of helping women manage their symptoms of anxiety and stress during pregnancy. Research indicates the necessity to consider the unique needs and concerns of perinatal populations to ensure treatment engagement, highlighting the need to develop specialised treatments which could be integrated within routine antenatal healthcare services. This trial aims to develop a brief intervention for antenatal anxiety, with a focus on embedding the delivery of the treatment within routine antenatal care. METHODS/

designThis study is a two-phase feasibility trial. In phase 1 we will develop and pilot a brief intervention for antenatal anxiety, blended with group support, to be led by midwives. This intervention will draw on cognitive behavioural principles and wider learning from existing interventions that have been used to reduce anxiety in expectant mothers. The intervention will then be tested in a pilot randomised controlled trial in phase 2. The following outcomes will be assessed: (1) number of participants meeting eligibility criteria, (2) number of participants consenting to the study, (3) number of participants randomised, (4) number of sessions completed by those in the intervention arm, and (5) number of participants completing the post-intervention outcome measures. Secondary outcomes comprise: detailed feedback on acceptability, which will guide further development of the intervention; and outcome data on symptoms of maternal and paternal anxiety and depression, maternal quality of life, quality of couple relationship, mother-child bonding, infant temperament and infant sleep. DISCUSSION: The study will provide important data to inform the design of a future full-scale randomised controlled trial of a brief intervention for anxiety during pregnancy. This will include information on its acceptability and feasibility regarding implementation within current antenatal services, which will inform whether ultimately this provision could be rolled out widely in healthcare settings.

trial registrationCurrent Controlled Trials ISRCTN95282830 . Registered on 29 October 2014.

Indexed as

Cognitive Behavioral TherapyPsychotherapy, BriefAnxietyBody Temperature RegulationClinical ProtocolsEnglandFeasibility StudiesFemaleHumansInfant, NewbornMidwiferyMother-Child RelationsPilot ProjectsPregnancyPregnancy ComplicationsPrenatal CareAntenatalAnxietyCognitive behavioural therapyFeasibilityGroup intervention

Identifiers

PMID27006007
PMCPMC4804571
OpenAlexW2305277710

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.