Evidence map›Paper›PMID 32958031›Full record

ArticleBMC health services research2020

Study protocol for the implementation of the Gabby Preconception Care System - an evidence-based, health information technology intervention for Black and African American women.

Angela Wangari Walter, Clevanne Julce, Nireesha Sidduri, Leanne Yinusa-Nyahkoon, Jessica Howard, Matthew Reichert, Timothy Bickmore, Brian W Jack

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04514224 (Implementation of a Health Information Technology System for Young African American Women Into Community-Based Clinical Sites), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 30% 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.

NCT04514224 completednot on this map

Implementation of a Health Information Technology System for Young African American Women Into Community-Based Clinical Sites

TypeobservationalSponsorBoston Medical CenterRan2017 to 2022Enrolled125ConditionsPreconception CareArmsGabby implementation, Evaluate the Gabby implementation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. 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

8 authors at 4 institutions in 1 country.

Angela Wangari WalterDepartment of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, 61 Wilder Street, O'Leary Library, Suite 540-M, Lowell, MA, 01854, USA. angela_walter@uml.edu.ORCID http://orcid.org/0000-0003-0098-6802
Clevanne JulceDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, 1 BMC Place, Boston, MA, 02118, USA.
Nireesha SidduriDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, 1 BMC Place, Boston, MA, 02118, USA.
Leanne Yinusa-NyahkoonCollege of Health and Rehabilitation Sciences: Sargent College, Boston University, 635 Commonwealth Avenue, Boston, MA, 02215, USA.
Jessica HowardDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, 1 BMC Place, Boston, MA, 02118, USA.
Matthew ReichertDepartment of Government, Harvard University, 86 Brattle Street, Cambridge, MA, 02138, USA.
Timothy BickmoreKhoury College of Computer Sciences, Northeastern University, 360 Huntington Avenue, Boston, MA, 02115, USA.
Brian W JackDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, 1 BMC Place, Boston, MA, 02118, USA.
Boston University · USHarvard University · USNortheastern University · USUniversity of Massachusetts Lowell · US

Funding

Agency for Healthcare Research and Quality R18HS025131AHRQ HHS R18 HS025131
6 · The paper itself

Abstract

backgroundImproving the health of women before pregnancy and throughout a woman's lifespan could mitigate disparities and improve the health and wellbeing of women, infants and children. The preconception period is important for reducing health risks associated with poor maternal, perinatal and neonatal outcomes, and eliminating racial and ethnic disparities in maternal and child health. Low cost health information technology interventions provided in community-based settings have the potential to reach and reduce disparities in health outcomes for socially disadvantaged, underserved and health disparity populations. These interventions are particularly important for Black and African American women who have a disproportionate burden of pregnancy-related complications and infant mortality rates compared to any other racial and ethnic group in the U.S.

methodsThis is a hybrid type II implementation-effectiveness cohort study aimed at evaluating appropriateness, acceptability and feasibility implementation outcomes, while also systematically examining the clinical effectiveness of a preconception care (PCC) intervention, the Gabby System, for Black and African American women receiving health services in community-based sites. The intervention will be implemented in six Community Health Centers and six Healthy Start programs across the U.S. Each study site will recruit and enroll 25-50 young Black and African American women who will participate in the intervention for a 6-month period. Appropriateness, acceptability and feasibility of implementing the PCC intervention will be assessed using: 1) Qualitative data derived from individual interviews with Gabby System end-users (clients and patients) and site staff; and, 2) Quantitative data from staff surveys, Gabby System usage and uptake. Aggregate health risk and utilization measures collected directly from the Gabby server will be used to examine the effectiveness of the Gabby System on self-reported behavior change. DISCUSSION: This study will examine implementation outcomes and clinical effectiveness of an evidence-based PCC intervention for Black and African American women receiving services in Healthy Start programs and Community Health Centers. Contextual factors that influence uptake and appropriate implementation strategies will be identified to inform future scalability of the intervention.

trial registrationClinicalTrials.gov NCT04514224 . Date of registration: August 14, 2020. Retrospectively Registered.

Indexed as

Black PeopleInternet-Based InterventionAdolescentAdultBlack or African AmericanCohort StudiesEthnicityFemaleHealth PromotionHealth StatusHumansMedical InformaticsPreconception CareRisk Reduction BehaviorSurveys and QuestionnairesYoung AdultBlack and African American womenCommunity Health centersHealth information technologyHealthy Start programImplementationPreconception carePreconception Health

Identifiers

PMID32958031
PMCPMC7504872
OpenAlexW3087321997

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.