Evidence map›Paper›PMID 28372580›Full record

Trial reportTrials2017

The effect of a clinical decision-making mHealth support system on maternal and neonatal mortality and morbidity in Ghana: study protocol for a cluster randomized controlled trial.

Hannah Brown Amoakoh, Kerstin Klipstein-Grobusch, Mary Amoakoh-Coleman, Irene Akua Agyepong, Gbenga A Kayode, Charity Sarpong, Diederick E Grobbee, Evelyn K Ansah

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02468310 (Evaluating the Effects of Clinical Decision Making Support Systems on Maternal and Neonatal Mortality and Morbidity in Ghana), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 6% 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.

NCT02468310 nacompletednot on this map

Evaluating the Effects of Clinical Decision Making Support Systems on Maternal and Neonatal Mortality and Morbidity in Ghana: a Cluster Randomized Controlled Trial

TypeinterventionalSponsorHannah Brown AmoakohRan2015 to 2017Enrolled65,831ConditionsMaternal Death, Neonatal Death, Postpartum Haemorrhage, Pre-eclampsiaArmsMaternal and neonatal emergency protocols
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

8 authors at 4 institutions in 3 countries.

Hannah Brown AmoakohSchool of Public Health, University of Ghana, Legon, PO Box LG13, Accra, Ghana. ansomaame@hotmail.com.ORCID 0000-0002-6575-428X
Kerstin Klipstein-GrobuschJulius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Centre, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
Mary Amoakoh-ColemanSchool of Public Health, University of Ghana, Legon, PO Box LG13, Accra, Ghana.
Irene Akua AgyepongSchool of Public Health, University of Ghana, Legon, PO Box LG13, Accra, Ghana.
Gbenga A KayodeJulius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Centre, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
Charity SarpongRegional Health Directorate, Ghana Health Services, PO Box 175, Koforidua, Eastern Region, Ghana.
Diederick E GrobbeeJulius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Centre, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
Evelyn K AnsahSchool of Public Health, University of Ghana, Legon, PO Box LG13, Accra, Ghana.
University of Ghana · GHUniversity Medical Center Utrecht · NLGhana Health Service · GHUniversity of the Witwatersrand · ZA

Funding

Stroke and Cardiovascular Research Training (SCaRT) InstituteD43TW009140 · FIC · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADANU, RICHARD M K, ALABI, SULYMAN BIODUN · 2011 to 2023
$2.5M
FIC NIH HHS D43 TW009140
6 · The paper itself

Abstract

backgroundMobile health (mHealth) presents one of the potential solutions to maximize health worker impact and efficiency in an effort to reach the Sustainable Development Goals 3.1 and 3.2, particularly in sub-Saharan African countries. Poor-quality clinical decision-making is known to be associated with poor pregnancy and birth outcomes. This study aims to assess the effect of a clinical decision-making support system (CDMSS) directed at frontline health care providers on neonatal and maternal health outcomes. METHODS/

designA cluster randomized controlled trial will be conducted in 16 eligible districts (clusters) in the Eastern Region of Ghana to assess the effect of an mHealth CDMSS for maternal and neonatal health care services on maternal and neonatal outcomes. The CDMSS intervention consists of an Unstructured Supplementary Service Data (USSD)-based text messaging of standard emergency obstetric and neonatal protocols to providers on their request. The primary outcome of the intervention is the incidence of institutional neonatal mortality. Outcomes will be assessed through an analysis of data on maternal and neonatal morbidity and mortality extracted from the District Health Information Management System-2 (DHIMS-2) and health facility-based records. The quality of maternal and neonatal health care will be assessed in two purposively selected clusters from each study arm. DISCUSSION: In this trial the effect of a mobile CDMSS on institutional maternal and neonatal health outcomes will be evaluated to generate evidence-based recommendations for the use of mobile CDMSS in Ghana and other West African countries.

trial registrationClinicalTrials.gov, identifier: NCT02468310 . Registered on 7 September 2015; Pan African Clinical Trials Registry, identifier: PACTR20151200109073 . Registered on 9 December 2015 retrospectively from trial start date.

Indexed as

Clinical Decision-MakingDecision Support Systems, ClinicalInfant MortalityMaternal Health ServicesMaternal MortalityText MessagingDeveloping CountriesFemaleGhanaHumansInfantInfant HealthInfant, NewbornMaternal HealthPractice Guidelines as TopicPregnancyClinical decision-makingGhanaMaternalMobile health (mHealth)NeonatalText messaging

Identifiers

PMID28372580
PMCPMC5379695
OpenAlexW2605223372

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.