Evidence map›Paper›PMID 27997236›Full record

Trial reportAmerican journal of public health2017

Impact of a Text-Messaging Program on Adolescent Reproductive Health: A Cluster-Randomized Trial in Ghana.

Slawa Rokicki, Jessica Cohen, Joshua A Salomon, Günther Fink

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 12 pooled it
14.7field-weighted citation impact, top 1% 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

50 citing papers in PubMed, 12 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Mobile phone-based interventions for improving contraception use.The Cochrane database of systematic reviews · 2023
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial
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

4 authors at 1 institution in 1 country.

Slawa RokickiSlawa Rokicki is with the Interfaculty Initiative in Health Policy, Harvard University, Cambridge, MA, and the Geary Institute for Public Policy, University College Dublin, Ireland. Jessica Cohen, Joshua A. Salomon, and Günther Fink are with the Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA.
Jessica CohenSlawa Rokicki is with the Interfaculty Initiative in Health Policy, Harvard University, Cambridge, MA, and the Geary Institute for Public Policy, University College Dublin, Ireland. Jessica Cohen, Joshua A. Salomon, and Günther Fink are with the Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA.
Joshua A SalomonSlawa Rokicki is with the Interfaculty Initiative in Health Policy, Harvard University, Cambridge, MA, and the Geary Institute for Public Policy, University College Dublin, Ireland. Jessica Cohen, Joshua A. Salomon, and Günther Fink are with the Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA.
Günther FinkSlawa Rokicki is with the Interfaculty Initiative in Health Policy, Harvard University, Cambridge, MA, and the Geary Institute for Public Policy, University College Dublin, Ireland. Jessica Cohen, Joshua A. Salomon, and Günther Fink are with the Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA.
Harvard Global Health Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate whether text-messaging programs can improve reproductive health among adolescent girls in low- and middle-income countries.

methodsWe conducted a cluster-randomized controlled trial among 756 female students aged 14 to 24 years in Accra, Ghana, in 2014. We randomized 38 schools to unidirectional intervention (n = 12), interactive intervention (n = 12), and control (n = 14). The unidirectional intervention sent participants text messages with reproductive health information. The interactive intervention engaged adolescents in text-messaging reproductive health quizzes. The primary study outcome was reproductive health knowledge at 3 and 15 months. Additional outcomes included self-reported pregnancy and sexual behavior. Analysis was by intent-to-treat.

resultsFrom baseline to 3 months, the unidirectional intervention increased knowledge by 11 percentage points (95% confidence interval [CI] = 7, 15) and the interactive intervention by 24 percentage points (95% CI = 19, 28), from a control baseline of 26%. Although we found no changes in reproductive health outcomes overall, both unidirectional (odds ratio [OR] = 0.14; 95% CI = 0.03, 0.71) and interactive interventions (OR = 0.15; 95% CI = 0.03, 0.86) lowered odds of self-reported pregnancy for sexually active participants.

conclusionsText-messaging programs can lead to large improvements in reproductive health knowledge and have the potential to lower pregnancy risk for sexually active adolescent girls.

Indexed as

Patient Education as TopicReproductive HealthText MessagingAdolescentFemaleGhanaHealth Knowledge, Attitudes, PracticeHumansPregnancyPregnancy in AdolescenceSex EducationYoung Adult

Identifiers

PMID27997236
PMCPMC5227930
OpenAlexW2564738437

What OpenQuestion holds

Textmetadata
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.