Evidence map›Paper›PMID 27729061›Full record

Trial reportTrials2016

Southampton PRegnancy Intervention for the Next Generation (SPRING): protocol for a randomised controlled trial.

Janis Baird, Mary Barker, Nicholas C Harvey, Wendy Lawrence, Christina Vogel, Megan Jarman, Rufia Begum, Tannaze Tinati, Pamela Mahon, Sofia Strommer and 3 more

Abstract readRandomized 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 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 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.

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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Vitamin D supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Vitamin D supplementation for women during pregnancy.The Cochrane database of systematic reviews · 2019
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Bone resorption and dietary calcium in pregnancy-a window to future maternal bone health.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Response to Letter: Genetics and Vitamin D Supplementation in Pregnancy.The Journal of clinical endocrinology and metabolism · 2017
    Article
  14. Gestational vitamin D and childhood bone health.The lancet. Diabetes & endocrinology · 2017
    Article
  15. Analysis of the MAVIDOS trial - Author's reply.The lancet. Diabetes & endocrinology · 2017
    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

13 authors.

Janis BairdMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK. jb@mrc.soton.ac.uk.ORCID 0000-0002-4039-4361
Mary BarkerMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Nicholas C HarveyMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Wendy LawrenceMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Christina VogelMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Megan JarmanLi Ka Shing Centre for Health Research Innovation, Department of Agriculture, Food and Nutritional Science, University of Alberta, Edmonton, T6G 2E1, Alberta, Canada.
Rufia BegumMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Tannaze TinatiMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Pamela MahonMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Sofia StrommerMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Taylor RoseMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Hazel InskipMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Cyrus CooperMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.

Funding

Arthritis Research UK 17702Arthritis Research UK 21231Department of Health 10/33/04Department of Health HTA/10/33/04Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/4Medical Research Council MR/N011848/1Versus Arthritis 17702Versus Arthritis 21231
6 · The paper itself

Abstract

backgroundThe nutritional status and health of mothers influence the growth and development of infants during pregnancy and postnatal life. Interventions that focus on improving the nutritional status and lifestyle of mothers have the potential to optimise the development of the fetus as well as improve the health of mothers themselves. Improving the diets of women of childbearing age is likely to require complex interventions that are delivered in a socially and culturally appropriate context. In this study we aim to test the efficacy of two interventions: behaviour change (Healthy Conversation Skills) and vitamin D supplementation, and to explore the efficacy of an intervention that combines both, in improving the diet quality and nutritional status of pregnant women. METHODS/

designWomen attending the maternity hospital in Southampton are recruited at between 8 and 12 weeks gestation. They are randomised to one of four groups following a factorial design: Healthy Conversation Skills support plus vitamin D supplementation (1000 IU cholecalciferol) (n = 150); Healthy Conversation Skills support plus placebo (n = 150); usual care plus vitamin D supplementation (n = 150); usual care plus placebo (n = 150). Questionnaire data include parity, sunlight exposure, diet assessment allowing assessment of diet quality, cigarette and alcohol consumption, well-being, self-efficacy and food involvement. At 19 and 34 weeks maternal anthropometry is assessed and blood samples taken to measure 25(OH) vitamin D. Maternal diet quality and 25(OH) vitamin D are the primary outcomes. Secondary outcomes are women's level of self-efficacy at 34 weeks, pregnancy weight gain, women's self-efficacy and breastfeeding status at one month after birth and neonatal bone mineral content, assessed by DXA within the first 14 days after birth. DISCUSSION: This trial is evaluating two approaches to improving maternal diet: a behaviour change intervention and vitamin D supplementation. The factorial design of this trial has the advantage of enabling each intervention to be tested separately as well as allowing exploration of the synergistic effect of both interventions on women's diets and vitamin D levels.

trial registrationISRCTN07227232 . Registered on 13 September 2013.

Indexed as

CounselingDietary SupplementsDiet, HealthyHealth BehaviorInfant Nutritional Physiological PhenomenaMaternal Nutritional Physiological PhenomenaNutritional StatusAlcohol DrinkingBiomarkersCholecalciferolClinical ProtocolsCommunicationEnglandFemaleHealth Knowledge, Attitudes, PracticeHospitals, Maternity25-hydroxyvitamin DBiomarkersCholecalciferolVitamin DVitamins

Identifiers

PMID27729061
PMCPMC5059927

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.