Evidence map›Paper›PMID 31759397›Full record

ArticleSystematic reviews2019

Implementation strategies to improve preconception and antenatal care for tobacco smoking, alcohol consumption and weight management: a systematic review protocol.

Emma Doherty, Melanie Kingsland, Luke Wolfenden, John Wiggers, Julia Dray, Jenna Hollis, Elizabeth J Elliott, Justine B Daly, Kylie A Bailey, John Attia and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Systematic reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

15 authors.

Emma DohertyHunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, New South Wales, 2287, Australia. emma.doherty@health.nsw.gov.au.ORCID 0000-0001-8445-6766
Melanie KingslandHunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, New South Wales, 2287, Australia.
Luke WolfendenHunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, New South Wales, 2287, Australia.
John WiggersHunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, New South Wales, 2287, Australia.
Julia DraySchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Jenna HollisSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Elizabeth J ElliottFaculty of Medicine and Health and Discipline of Child and Adolescent Health, University of Sydney, Sydney, New South Wales, Australia.
Justine B DalyHunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, New South Wales, 2287, Australia.
Kylie A BaileySchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
John AttiaSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Mandy HunterMaternity and Gynaecology John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Ian SymondsAdelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia.
Belinda TullyHunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, New South Wales, 2287, Australia.
Danika TremainHunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, New South Wales, 2287, Australia.
Rebecca K HodderHunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, New South Wales, 2287, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite existing best practice care recommendations for addressing tobacco smoking, alcohol consumption and weight management in preconception and antenatal care, such recommendations are often not implemented into routine practice. Effective strategies that target known barriers to implementation are key to reducing this evidence to practice gap. The aim of this review is to synthesise the evidence on the effectiveness of implementation strategies in improving the provision of preconception and antenatal care for these modifiable risk factors.

methodsRandomised and non-randomised study designs will be eligible for inclusion if they have a parallel control group. We will include studies that either compare an implementation strategy to usual practice or compare two or more strategies. Participants may include any health service providing preconception or antenatal care to women and/or the health professionals working within such a service. The primary outcome will be any measure of the effectiveness of implementation strategies to improve preconception and/or antenatal care for tobacco smoking, alcohol consumption and/or weight management (including care to improve nutrition and/or physical activity). Secondary outcomes will include the effect of the implementation strategy on women's modifiable risk factors, estimates of absolute costs or cost-effectiveness and any reported unintentional consequences. Eligible studies will be identified via searching Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Maternity and Infant Care, CINAHL, ProQuest Dissertations and Theses and other sources (e.g. contacting experts in the field). Study selection, data extraction and risk of bias will be assessed independently by two review authors and differences resolved by a third reviewer. If data permits, we will conduct fixed-effects or random-effects meta-analysis where appropriate. If studies do not report the same outcome or there is significant heterogeneity, results will be summarised narratively. DISCUSSION: This review will identify which implementation strategies are effective in improving the routine provision of preconception and antenatal care for tobacco smoking, alcohol consumption and weight management. Such a review will be of interest to service providers, policy makers and implementation researchers seeking to improve women's modifiable risk factors in preconception and antenatal care settings. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42019131691.

Indexed as

Body WeightQuality ImprovementSmoking CessationAlcohol DrinkingFemaleHumansPreconception CarePregnancyPrenatal CareProgram DevelopmentResearch DesignSystematic Reviews as TopicAntenatalImplementationModifiable risk factorsPreconception

Identifiers

PMID31759397
PMCPMC6874816

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.