Evidence map›Paper›PMID 31463069›Full record

ArticleMaternal health, neonatology and perinatology2019

How effective is the early support program

Christine Klapp, Silvia Fisch, Theresa Keller, Ulrike Stasun, Nurina Nazmy, Cynthia Hohmann, Larry Hinkson, Wolfgang Henrich, Karl E Bergmann, Renate L Bergmann and 1 more

Abstract read
In one paragraph

Article in Maternal health, neonatology and perinatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

11 authors.

Christine Klapp1Department of Obstetrics, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.
Silvia Fisch2Department of Neonatology, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.
Theresa Keller3Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.
Ulrike Stasun3Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.
Nurina Nazmy1Department of Obstetrics, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.
Cynthia Hohmann3Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.
Larry Hinkson1Department of Obstetrics, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.
Wolfgang Henrich1Department of Obstetrics, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.
Karl E Bergmann1Department of Obstetrics, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.
Renate L Bergmann1Department of Obstetrics, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.
Thomas Keil3Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, 10098 Berlin, Germany.ORCID 0000-0002-9108-3360

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur aim was to examine the effects of an early perinatal prevention program offered to mothers and families suffering from significant psychosocial burden.

methodsAll mothers giving birth in a Berlin university hospital during Jan-Aug 2013 were screened with a standardized 27-item questionnaire by trained staff. Mothers with a screening-score ≥ 3, who were not enrolled in other public support programs, were defined as psychosocially burdened. They received a detailed needs assessment and were followed up with counseling. When necessary, affected mothers were voluntarily guided through to specialized 'early support' institutions during the 12-month-intervention period. The historical control group (care-as-usual) consisted of children born at the same hospital the year before.At 12 months postnatally, we interviewed mothers in both groups to assess their stress burden and coping skills by Parenting Stress Index and assessed the current childcare condition. Differences between the groups were compared by multivariable logistic regression analyses adjusting for potential confounders.

resultsThe intervention group and the control group included 225 and 157 families, respectively. After 12-months, mothers in the 'early support' intervention group had significantly less often depression (adjusted odds ratio 0.25, 95%-confidence interval 0.07-0.94), less often a disturbed relationship with the parenting partner (0.34, 0.10-1.14) and reported reduced stress due to the child's demands (0.40, 0.15-1.10) compared to the control group. Childcare indicators did not differ between the 2 groups.

conclusionsIn mothers at high psychosocial risk, the 'early support' intervention program

Indexed as

Child welfareEarly supportInfantsIntervention studyMaternal depressionParenting Stress IndexPostnatal depressionPreventionPsychosocial risk

Identifiers

PMID31463069
PMCPMC6704712

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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.