Evidence map›Paper›PMID 33245529›Full record

ArticleMaternal and child health journal2021

Interventions to Increase Multivitamin Use Among Women in the Interconception Period: An IMPLICIT Network Study.

Mario P DeMarco, Maha Shafqat, Michael A Horst, Sukanya Srinivasan, Daniel J Frayne, Lisa Schlar, Wendy Brooks Barr

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In one paragraph

Article in Maternal and child health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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  3. 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

7 authors at 6 institutions in 1 country.

Mario P DeMarcoDepartment of Family Medicine and Community Health, University of Pennsylvania, 51 N. 39th Street, Philadelphia, PA, 19104, USA. mario.demarco@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-3269-0996
Maha ShafqatPenn Medicine Lancaster General Health Research Institute, Lancaster, PA, USA.
Michael A HorstPenn Medicine Lancaster General Health Research Institute, Lancaster, PA, USA.
Sukanya SrinivasanUPMC McKeesport Family Medicine Residency, Pittsburgh, PA, USA.
Daniel J FrayneUNC Health Sciences at MAHEC, Asheville, NC, USA.
Lisa SchlarUPMC Shadyside Family Medicine Residency, Pittsburgh, PA, USA.
Wendy Brooks BarrDepartment of Family Medicine, Tufts University School of Medicine, Boston, USA.
Lancaster General Hospital · USMountain Area Health Education Center · USShadyside Hospital · USTufts University · USUniversity of Pennsylvania · USUPMC McKeesport · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEach year, 3% of infants in the Unites States (US) are born with congenital anomalies, including 3000 with neural tube defects. Multivitamins (MVIs) including folic acid reduce the incidence of these birth defects. Most women do not take recommended levels of folic acid prior to conception or during the interconception period.

methodsThe Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Techniques (IMPLICIT) ICC model was implemented to screen mothers who attend well child visits (WCVs) for their children aged 0-24 months. Mothers were queried for maternal behavioral risks known to affect pregnancy including multivitamin use and use of family planning methods to enhance birth spacing. When appropriate, interventions targeted at those at risk behaviors are offered. A mixed effects logistic regression model was used to calculate the odds ratio (OR) of behavior change in MVI use among mothers who reported not using MVIs.

results37.7% of mothers reported not using MVIs at WCVs. 64.0% of mothers received an intervention to improve MVI use in this model. Mothers who received an intervention were more likely to report taking an MVI at the subsequent WCV if they received advice to take MVIs (OR 1.64) or directly received MVI samples (OR 3.09).

conclusionsDedicated maternal counseling during pediatric WCVs is an opportunity to influence behavioral change in women at risk of becoming pregnant. Direct provision of MVIs increases the odds that women will report taking them at a higher rate than provider advice or no counseling at all.

Indexed as

AdultFemaleFolic AcidHumansIncidenceInfant, Low Birth WeightMothersNeural Tube DefectsPreconception CarePremature BirthVitaminsFolic AcidVitaminsCongenital anomaliesFolic acidInterconception careMultivitaminNeural tube defectsPreconception

Identifiers

PMID33245529
OpenAlexW3107067184

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.