Evidence map›Paper›PMID 29370795›Full record

Observational studyBMC women's health2018

Preparing for a trial to test a postpartum weight retention intervention among low income women: feasibility of a protocol in a community-based organization.

Charmaine Wright, Marjie Mogul, Glamarys Acevedo, Jaya Aysola, Florence Momplaisir, Sandy Schwartz, Judy Shea

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC women's health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02867631 (A Randomized Controlled Trial), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

NCT02867631 nacompletednot on this map

A Randomized Controlled Trial (RCT) of an Intervention to Combat Postpartum Weight Retention

TypeinterventionalSponsorUniversity of PennsylvaniaRan2014 to 2017Enrolled175ConditionsObesity, Hypertension, DepressionArms6 week challenge with 1 year of home visits: health texting, in home exercise supports, social support, healthy eating and feeding classes
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

7 authors.

Charmaine WrightDivision of General Internal Medicine, Blockley Hall, 423 Guardian Dr, Philadelphia, PA, 19104, USA. smich@mail.med.upenn.edu.ORCID 0000-0002-2905-8738
Marjie MogulMaternity Care Coalition, 2000 Hamilton Avenue, Suite 205, Philadelphia, PA, 19130, USA.
Glamarys AcevedoMaternity Care Coalition, 2000 Hamilton Avenue, Suite 205, Philadelphia, PA, 19130, USA.
Jaya AysolaDivision of General Internal Medicine, Blockley Hall, 423 Guardian Dr, Philadelphia, PA, 19104, USA.
Florence MomplaisirDrexel School of Medicine, Department of Medicine, Infectious Diseases, Partnership Comprehensive Care Practice, 1427 Vine Street, 2nd Floor, Philadelphia, PA, 19102, USA.
Sandy SchwartzDivision of General Internal Medicine, Blockley Hall, 423 Guardian Dr, Philadelphia, PA, 19104, USA.
Judy SheaDivision of General Internal Medicine, Blockley Hall, 423 Guardian Dr, Philadelphia, PA, 19104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum weight retention (PPWR) causes intergenerational harm, negatively affecting a mother's cardiovascular health and ability to have future healthy pregnancies. Low-income minority women are at highest risk for PPWR with little guidance concerning timeline or strategy to lose weight after delivery. An academic-community partnership conducted observational and focus group work to develop an intervention for PPWR among low-income mothers. This study's objective is to determine the feasibility of implementing a PPWR intervention trial in partnership with a community-based organization (CBO) serving low-income families with social service support.

methodsWe analyzed five implementation outcomes in this feasibility study: acceptability, adoption, appropriateness, penetration, and sustainability. Other secondary outcomes were the change in psychosocial and clinical outcomes from baseline to one year following the intervention delivery.

resultsAn academic-community partnership developed and piloted a postpartum weight retention intervention among 17 participants that included 1) six weeks of interactive daily health texting, 2) exercise assistance with baby carrier, home exercise program, and pedometer provision, 3) two live healthy eating and baby feeding workshops, and 4) two 45-min home visits over one year to provide social support and acquire followup data. Implementation outcomes demonstrate an intervention supported by the organization and accepted by end-users, with increased capacity of the CBO to test and deliver an effective intervention. Weight loss was achieved by the majority of participants at one year (Md - 5 pounds (IQR = - 14.5 - 0.3).

conclusionWe made protocol enhancements to the developed intervention based on the analysis of this study, and now prepare for a funded randomized controlled trial (RCT) in a community-based setting. Our central hypothesis is that low-income women who participate in a multi-component, low cost-intervention delivered by a CBO will have less postpartum weight retention than those women who do not participate in the program.

trial registrationThe trial was retrospectively registered, ID NCT02867631, 8/11/16.

Indexed as

Clinical ProtocolsCommunity Health ServicesGestational Weight GainWeight Reduction ProgramsAdultExerciseFeasibility StudiesFemaleHumansMothersPilot ProjectsPostpartum PeriodPovertyProgram EvaluationSocial SupportWeight Loss

Identifiers

PMID29370795
PMCPMC5785896

What OpenQuestion holds

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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.