Evidence map›Paper›PMID 31464190›Full record

Observational studyJMIR mHealth and uHealth2019

Relationship Between Adherence to Remote Monitoring and Patient Characteristics: Observational Study in Women With Pregnancy-Induced Hypertension.

Thijs Vandenberk, Dorien Lanssens, Valerie Storms, Inge M Thijs, Lotte Bamelis, Lars Grieten, Wilfried Gyselaers, Eileen Tang, Patrick Luyten

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03509272 (LimPrOn), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 16% 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.

NCT03509272 narecruitingnot on this map

LimPrOn: Limburg Pre-eclampsia Investigation

TypeinterventionalSponsorHasselt UniversityRan2016 to 2030Enrolled2,000ConditionsPregnancy, Pre-eclampsiaArmsremote monitoring
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Evaluation of the uptake and usability of the pregnant women surveillance system (SIMG): A cross-sectional pilot study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  5. Informatics Interventions for Maternal Morbidity: Scoping Review.Interactive journal of medical research · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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 3 institutions in 2 countries.

Thijs Vandenberk *Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.ORCID 0000-0002-4956-0872
Dorien Lanssens *Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.ORCID 0000-0003-2442-656X
Valerie StormsFaculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.ORCID 0000-0001-9344-0248
Inge M ThijsFaculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.ORCID 0000-0002-9713-8721
Lotte BamelisCentre for Translational Psychological Research TRACE, Ziekenhuis Oost-Limburg, Genk, Belgium.ORCID 0000-0003-4710-6825
Lars GrietenFaculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.ORCID 0000-0001-5452-6137
Wilfried GyselaersFaculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.ORCID 0000-0002-5778-434X
Eileen TangFaculty of Psychology and Educational Sciences, Katholieke Universiteit Leuven, Leuven, Belgium.ORCID 0000-0003-1792-8545
Patrick LuytenFaculty of Psychology and Educational Sciences, Katholieke Universiteit Leuven, Leuven, Belgium.ORCID 0000-0002-1161-2817
Ziekenhuis Oost-Limburg · BEKU Leuven · BEUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy-induced hypertension (PIH) is associated with high levels of morbidity and mortality in mothers, fetuses, and newborns. New technologies, such as remote monitoring (RM), were introduced in 2015 into the care of patients at risk of PIH in Ziekenhuis Oost-Limburg (Genk, Belgium) to improve both maternal and neonatal outcomes. In developing new strategies for obstetric care in pregnant women, including RM, it is important to understand the psychosocial characteristics associated with adherence to RM to optimize care.

objectiveThe aim of this study was to explore the role of patients' psychosocial characteristics (severity of depression or anxiety, cognitive factors, attachment styles, and personality traits) in their adherence to RM.

methodsQuestionnaires were sent by email to 108 mothers the day after they entered an RM program for pregnant women at risk of PIH. The Generalized Anxiety Disorder Assessment-7 and Patient Health Questionnaire-9 (PHQ-9) were used to assess anxiety and the severity of depression, respectively; an adaptation of the Pain Catastrophizing Scale was used to assess cognitive factors; and attachment and personality were measured with the Experiences in Close Relationships-Revised Scale (ECR-R), the Depressive Experiences Questionnaire, and the Multidimensional Perfectionism Scale, respectively.

resultsThe moderate adherence group showed significantly higher levels of anxiety and depression, negative cognitions, and insecure attachment styles, especially compared with the over adherence group. The low adherence group scored significantly higher than the other groups on other-oriented perfectionism. There were no significant differences between the good and over adherence groups. Single linear regression showed that the answers on the PHQ-9 and ECR-R questionnaires were significantly related to the adherence rate.

conclusionsThis study demonstrates the relationships between adherence to RM and patient characteristics in women at risk of PIH. Alertness toward the group of women who show less than optimal adherence is essential. These findings call for further research on the management of PIH and the importance of individual tailoring of RM in this patient group.

trial registrationClinicalTrials.gov NCT03509272; https://clinicaltrials.gov/ct2/show/NCT03509272.

Indexed as

Human CharacteristicsAdultBelgiumFemaleHumansHypertension, Pregnancy-InducedPregnancyPregnant PeoplePsychologyPsychometricsRemote Sensing TechnologySurveys and QuestionnairesTreatment Adherence and Compliancegestational hypertensive diseaseshypertension, pregnancy-inducedmonitoring, ambulatoryremote monitoringsurveys and questionnairestreatment adherence and compliance

Identifiers

PMID31464190
PMCPMC6737887
OpenAlexW2940252859

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.