Evidence map›Paper›PMID 32277384›Full record

Trial reportMaternal and child health journal2020

Financial Support to Medicaid-Eligible Mothers Increases Caregiving for Preterm Infants.

Kathryn G Andrews, Michelle W Martin, Elyse Shenberger, Sunita Pereira, Günther Fink, Margaret McConnell

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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.

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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Unconditional cash transfers to low-income preterm infants and their families: a pilot randomized controlled trial.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Trial
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  5. Surrogate skin-to-skin care: the "donor milk" of kangaroo mother care.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
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  17. Ronald McDonald House accommodation and parental presence in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2021
    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

6 authors.

Kathryn G AndrewsDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, USA.
Michelle W MartinDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, USA.
Elyse ShenbergerDepartment of Psychology, University of Illinois at Chicago, Chicago, USA.
Sunita PereiraSwiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland.
Günther FinkTufts Medical Center, Boston, USA.
Margaret McConnellDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, USA. mmcconne@hsph.harvard.edu.

Funding

Abdul Latif Jameel Poverty Action Lab, MIT Health Care Delivery Initiative Round IV grant
6 · The paper itself

Abstract

objectivesTo assess the impact of financial support on maternal caregiving activities for preterm infants.

methodsWe conducted a small randomized controlled trial (RCT) in two Massachusetts Neonatal Intensive Care Units (NICUs). We enrolled 46 Medicaid-eligible mothers of preterm infants between January 2017 and June 2018 and randomly assigned them to a treatment group (up to 3 weekly financial transfers of $200 each while their infant was in the hospital) or a control group. We collected hospital-record data while the infant was admitted. The primary outcome was a binary variable indicating skin-to-skin care (STSC) was provided during a hospital day. Secondary outcomes included daily maternal visitation, daily provision of breastmilk, neonatal growth and length of stay (LOS). Multilevel generalized linear models with random effects were used to estimate treatment effects on daily maternal behaviors and ordinary least squares models were used to estimate impacts on neonatal growth and LOS.

resultsWe assigned 25 women to the intervention and 21 to the control and observed them over 703 days of their infants' hospitalization. Mothers who received financial support were more likely to provide STSC (adjusted risk ratio: 1.85; 95% confidence interval [CI] 1.31-2.62) and breastmilk (adjusted risk ratio: 1.36; 95% CI 1.06-1.75) while their infant was in the NICU. We see no statistically significant impact on neonatal growth outcomes or LOS, though estimated confidence intervals are imprecise.

conclusionsOur evidence demonstrates the potential for financial support to increase mothers' engagement with caregiving behaviors for preterm infants during the NICU stay.

Indexed as

Financial SupportMother-Child RelationsBostonCaregiversHumansInfant CareInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMedicaidSurveys and QuestionnairesUnited StatesBreastmilkNeonatal intensive care unitSkin-to-skin care

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.