Evidence map›Paper›PMID 32293391›Full record

ArticleBMC public health2020

Evaluation of a computer-assisted multi-professional intervention to address lifestyle-related risk factors for overweight and obesity in expecting mothers and their infants: protocol for an effectiveness-implementation hybrid study.

Adrienne Alayli, Franziska Krebs, Laura Lorenz, Farah Nawabi, Anne-Madeleine Bau, Isabel Lück, Andrea Moreira, Judith Kuchenbecker, Elena Tschiltschke, Michael John and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Health Literacy among Pregnant Women in a Lifestyle Intervention Trial.International journal of environmental research and public health · 2022
    Trial
  3. Review
  4. Article
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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 at 3 institutions in 1 country.

Adrienne AlayliInstitute of Health Economics and Clinical Epidemiology, University Hospital of Cologne (IGKE), Cologne, Germany. adrienne.alayli@uk-koeln.de.ORCID http://orcid.org/0000-0001-8859-4285
Franziska KrebsInstitute of Health Economics and Clinical Epidemiology, University Hospital of Cologne (IGKE), Cologne, Germany.
Laura LorenzInstitute of Health Economics and Clinical Epidemiology, University Hospital of Cologne (IGKE), Cologne, Germany.
Farah NawabiInstitute of Health Economics and Clinical Epidemiology, University Hospital of Cologne (IGKE), Cologne, Germany.
Anne-Madeleine BauPlatform Nutrition and Physical Activity (peb), Berlin, Germany.
Isabel LückPlatform Nutrition and Physical Activity (peb), Berlin, Germany.
Andrea MoreiraPlatform Nutrition and Physical Activity (peb), Berlin, Germany.
Judith KuchenbeckerPlatform Nutrition and Physical Activity (peb), Berlin, Germany.
Elena TschiltschkePlatform Nutrition and Physical Activity (peb), Berlin, Germany.
Michael JohnFraunhofer Institute for Open Communication Systems (FOKUS), Berlin, Germany.
Stefan KloseFraunhofer Institute for Open Communication Systems (FOKUS), Berlin, Germany.
Benny HäuslerFraunhofer Institute for Open Communication Systems (FOKUS), Berlin, Germany.
Christian GiertzFraunhofer Institute for Open Communication Systems (FOKUS), Berlin, Germany.
Ulrike Korsten-ReckAdiposity-Academy Freiburg, Freiburg, Germany.
Stephanie StockInstitute of Health Economics and Clinical Epidemiology, University Hospital of Cologne (IGKE), Cologne, Germany.
Fraunhofer Institute for Open Communication Systems · DEUniversity Hospital Cologne · DEUniversity of Cologne · DE

Funding

Innovation Fund of the Federal Joint Committee (G-BA) 01NVF17014
6 · The paper itself

Abstract

backgroundThe first 1000 days after conception are a critical period to encourage lifestyle changes to reduce the risk of childhood obesity and early programming of chronic diseases. A healthy lifestyle during pregnancy is also crucial to avoid high post-partum weight retention. Currently, lifestyle changes are not consistently discussed during routine health services in Germany. The objective of this study is to evaluate a novel computer-assisted lifestyle intervention embedded in prenatal visits and infant check-ups. The intervention seeks to reduce lifestyle-related risk factors for overweight and obesity among expecting mothers and their infants.

methodsThe study is designed as a hybrid effectiveness-implementation trial to simultaneously collect data on the effectiveness and implementation of the lifestyle intervention. The trial will take place in eight regions of the German state Baden-Wuerttemberg. Region were matched using propensity score matching. Expecting mothers (n = 1860) will be recruited before 12 weeks of gestation through gynecological practices and followed for 18 months. During 11 routine prenatal visits and infant check-ups gynecologists, midwives and pediatricians provide lifestyle counseling using Motivational Interviewing techniques. The primary outcome measure is the proportion of expecting mothers with gestational weight gain within the recommended range. To understand the process of implementation (focus group) interviews will be conducted with providers and participants of the lifestyle intervention. Additionally, an analysis of administrative data and documents will be carried out. An economic analysis will provide insights into cost and consequences compared to routine health services. DISCUSSION: Findings of this study will add to the evidence on lifestyle interventions to reduce risk for overweight and obesity commenced during pregnancy. Insights gained will contribute to the prevention of early programming of chronic disease. Study results regarding implementation fidelity, adoption, reach and cost-effectiveness of the lifestyle intervention will inform decisions about scale up and public funding.

trial registrationGerman Clinical Trials Register (DRKS00013173). Registered 3rd of January 2019, https://www.drks.de.

Indexed as

Evaluation Studies as TopicHealthy LifestyleInfant CarePrenatal CareAdolescentAdultCounselingFemaleGermanyHealth PersonnelHealth PromotionHumansInfantMaleMothersMotivational InterviewingCostDietEffectivenessGestational weight gainImplementationLifestyleMulti-professional collaborationOverweight and obesity preventionPhysical activityPregnancySubstance use.

Identifiers

PMID32293391
PMCPMC7158079
OpenAlexW3015391862

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.