Evidence map›Paper›PMID 28728552›Full record

Trial reportBMC pregnancy and childbirth2017

Study protocol for a comparative effectiveness trial of two models of perinatal integrated psychosocial assessment: the PIPA project.

Nicole Reilly, Emma Black, Georgina M Chambers, Virginia Schmied, Stephen Matthey, Josephine Farrell, Dawn Kingston, Andrew Bisits, Marie-Paule Austin

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

2 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 5 institutions in 2 countries.

Nicole ReillyPerinatal & Women's Mental Health Unit, St John of God Health Care & University of New South Wales, St John of God Burwood Hospital, 13 Grantham St, Burwood, NSW 2134, Australia. n.reilly@unsw.edu.au.
Emma BlackPerinatal & Women's Mental Health Unit, St John of God Health Care & University of New South Wales, St John of God Burwood Hospital, 13 Grantham St, Burwood, NSW 2134, Australia.
Georgina M ChambersNational Perinatal Epidemiology and Statistics Unit, Centre for Big Data Research in Health and School of Women's and Children's Health, University of New South Wales, Level 1, AGSM Building (G27), Sydney, NSW 2052, Australia.
Virginia SchmiedSchool of Nursing and Midwifery, Western Sydney University, Building EBLG Room 33, Parramatta South Campus, Parramatta, NSW 2150, Australia.
Stephen MattheySchool of Psychology, University of Sydney & Infant, Child & Adolescent Mental Health Service, South Western Sydney Local Health Network, Mental Health Centre (Level 1: ICAMHS), Locked Bag 7103, Liverpool BC, NSW 1871, Australia.
Josephine FarrellPerinatal & Women's Mental Health Unit, St John of God Health Care & University of New South Wales, St John of God Burwood Hospital, 13 Grantham St, Burwood, NSW 2134, Australia.
Dawn KingstonFaculty of Nursing, University of Calgary, 2500 University Drive, Calgary, AB, T2N 1N4, Canada.
Andrew BisitsRoyal Hospital for Women, Barker St, Randwick, NSW 2031, Australia.
Marie-Paule AustinPerinatal & Women's Mental Health Unit, St John of God Health Care & University of New South Wales, St John of God Burwood Hospital, 13 Grantham St, Burwood, NSW 2134, Australia.
St John of God Hospital · AURoyal Hospital for Women · AUUniversity of Calgary · CAUNSW Sydney · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies examining psychosocial and depression assessment programs in maternity settings have not adequately considered the context in which psychosocial assessment occurs or how broader components of integrated care, including clinician decision-making aids, may optimise program delivery and its cost-effectiveness. There is also limited evidence relating to the diagnostic accuracy of symptom-based screening measures used in this context. The Perinatal Integrated Psychosocial Assessment (PIPA) Project was developed to address these knowledge gaps. The primary aims of the PIPA Project are to examine the clinical- and cost-effectiveness of two alternative models of integrated psychosocial care during pregnancy: 'care as usual' (the SAFE START model) and an alternative model (the PIPA model). The acceptability and perceived benefit of each model of care from the perspective of both pregnant women and their healthcare providers will also be assessed. Our secondary aim is to examine the psychometric properties of a number of symptom-based screening tools for depression and anxiety when used in pregnancy.

methodsThis is a comparative-effectiveness study comparing 'care as usual' to an alternative model sequentially over two 12-month periods. Data will be collected from women at Time 1 (initial antenatal psychosocial assessment), Time 2 (2-weeks after Time 1) and from clinicians at Time 3 for each condition. Primary aims will be evaluated using a between-groups design, and the secondary aim using a within group design. DISCUSSION: The PIPA Project will provide evidence relating to the clinical- and cost- effectiveness of psychosocial assessment integrated with electronic clinician decision making prompts, and referral options that are tailored to the woman's psychosocial risk, in the maternity care setting. It will also address research recommendations from the Australian (2011) and NICE (2015) Clinical Practice Guidelines.

trial registrationACTRN12617000932369.

Indexed as

AnxietyClinical ProtocolsComparative Effectiveness ResearchCost-Benefit AnalysisDecision Support Systems, ClinicalDepressionFemaleHumansPerinatal CarePregnancyPregnancy ComplicationsPsychometricsSymptom AssessmentAntenatalClinical effectivenessCost effectivenessDepression screeningMaternal mental healthPsychosocial assessment

Identifiers

PMID28728552
PMCPMC5520328
OpenAlexW2737852641

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.