Evidence map›Paper›PMID 29435357›Full record

ArticlePilot and feasibility studies2018

Right from the start: protocol for a pilot study for a randomised trial of the New Baby Programme for improving outcomes for children born to socially vulnerable mothers.

Geraldine Macdonald, Fiona Alderdice, Mike Clarke, Oliver Perra, Fiona Lynn, Theresa McShane, Sharon Millen

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2018. 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
–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

2 citing papers in PubMed.

  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

7 authors.

Geraldine Macdonald1School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 4BQ UK.
Fiona Alderdice2National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Oxford, OX3 7LF UK.
Mike Clarke4School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Health Sciences Building, 97 Lisburn Road, Belfast, BT9 7BL Northern Ireland, UK.
Oliver Perra3School of Nursing and Midwifery, Queen's University Belfast, Health Sciences Building, 97 Lisburn Road, Belfast, BT9 7BL Northern Ireland, UK.
Fiona Lynn3School of Nursing and Midwifery, Queen's University Belfast, Health Sciences Building, 97 Lisburn Road, Belfast, BT9 7BL Northern Ireland, UK.
Theresa McShane3School of Nursing and Midwifery, Queen's University Belfast, Health Sciences Building, 97 Lisburn Road, Belfast, BT9 7BL Northern Ireland, UK.
Sharon Millen3School of Nursing and Midwifery, Queen's University Belfast, Health Sciences Building, 97 Lisburn Road, Belfast, BT9 7BL Northern Ireland, UK.

Funding

Medical Research Council G0901530
6 · The paper itself

Abstract

backgroundChildren born to mothers who experience social complexity (e.g. substance misuse, intimate partner violence, mental ill health, a history of maltreatment) are at increased risk for a range of adverse outcomes at birth and during development. Home visiting programmes have been advocated as a strategy for improving outcomes for disadvantaged mothers and children, such as the Nurse-Family Partnership for young, socially disadvantaged first-time mothers. However, no evidence-based programme is available for multiparous women or older first-time mothers. The New Baby Programme was developed in Northern Ireland. It augments the universal health visiting service available in the UK with a content designed to promote maternal health and well-being in pregnancy, maximise secure attachments of children and parents and enhance sensitive parenting and infant cognitive development. METHODS/

designThis pilot study is designed to investigate whether it is possible to recruit and retain socially vulnerable mothers in a randomised trial that compares the effects of the New Baby Programme with standard antenatal and postnatal care. Feasibility issues include the referral/recruitment pathway (including inclusion and exclusion criteria), the consent and randomisation, the ability to maintain researcher blinding, the acceptability of the intervention to participants, and the feasibility and acceptability of the outcome measures. The results of the study will inform a definitive phase-3 RCT. DISCUSSION: Trials of complex social interventions often encounter challenges that lead to the trial being abandoned (e.g. because of problems in recruitment) or present considerable analytic challenges relating to dropout, attrition and bias. This pilot study aims to maximise the chances of successful implementation.

trial registrationISRCTN35456296 retrospectively registered.

Indexed as

AttachmentChild maltreatmentEarly interventionHealth visitingHome visitingPregnancySocial complexity

Identifiers

PMID29435357
PMCPMC5797371

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Registered trials

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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.