Evidence map›Paper›PMID 33584534›Full record

Trial reportFrontiers in endocrinology2020

Using Health Information Technology to Engage African American Women on Nutrition and Supplement Use During the Preconception Period.

Paula Gardiner, Timothy Bickmore, Leanne Yinusa-Nyahkoon, Matthew Reichert, Clevanne Julce, Nireesha Sidduri, Jessica Martin-Howard, Elisabeth Woodhams, Jumana Aryan, Zhe Zhang and 5 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in endocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01827215 (Using Innovative Communication Technology to Improve the Health of Young African American Women), which is not on this map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
5.8field-weighted citation impact, top 4% 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.

NCT01827215 nacompletednot on this map

Using Innovative Communication Technology to Improve the Health of Young African American Women

TypeinterventionalSponsorBoston Medical CenterRan2013 to 2019Enrolled528ConditionsPreconception CareArmsVirtual Patient Advocate (VPA)
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  6. Social Marketing for Health Equity: Promoting Preventive Health Behavior Among Women in Rural Communities.International journal of environmental research and public health · 2026
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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 6 institutions in 1 country.

Paula GardinerDepartment of Family Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
Timothy BickmoreKhoury College of Computer Sciences, Northeastern University, Boston, MA, United States.
Leanne Yinusa-NyahkoonCollege of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, MA, United States.
Matthew ReichertDepartment of Government, Harvard University, Cambridge, MA, United States.
Clevanne JulceDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, United States.
Nireesha SidduriDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, United States.
Jessica Martin-HowardDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, United States.
Elisabeth WoodhamsDepartment of Obstetrics and Gynecology, Boston University School of Medicine and Boston Medical Center, Boston, MA, United States.
Jumana AryanDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, United States.
Zhe ZhangKhoury College of Computer Sciences, Northeastern University, Boston, MA, United States.
Juan FernandezKhoury College of Computer Sciences, Northeastern University, Boston, MA, United States.
Mark LoafmanDepartment of Family Medicine, Cook County Health System, Chicago, IL, United States.
Jayakanth SrinivasanInstitute for Health Systems Innovation and Policy, Boston University, Boston, MA, United States.
Howard CabralDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, United States.
Brian W JackDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, United States.
Boston University · USNortheastern University · USBoston Medical Center · USCook County Health and Hospitals System · USHarvard University · USUniversity of Massachusetts Chan Medical School · US

Funding

Using Innovative Communication Technology to Improve the Health of Young AfricanR01MD006213 · NIMHD · BOSTON MEDICAL CENTER · PI JACK, BRIAN WILLIAM · 2012 to 2016
$1.9M
NIMHD NIH HHS R01 MD006213
6 · The paper itself

Abstract

Importance: Healthy nutrition and appropriate supplementation during preconception have important implications for the health of the mother and newborn. The best way to deliver preconception care to address health risks related to nutrition is unknown. Methods: We conducted a secondary analysis of data from a randomized controlled trial designed to study the impact of conversational agent technology in 13 domains of preconception care among 528 non-pregnant African American and Black women. This analysis is restricted to those 480 women who reported at least one of the ten risks related to nutrition and dietary supplement use. Interventions: An online conversational agent, called "Gabby", assesses health risks and delivers 12 months of tailored dialogue for over 100 preconception health risks, including ten nutrition and supplement risks, using behavioral change techniques like shared decision making and motivational interviewing. The control group received a letter listing their preconception risks and encouraging them to talk to a health care provider. Results: After 6 months, women using Gabby (a) reported progressing forward on the stage of change scale for, on average, 52.9% (SD, 35.1%) of nutrition and supplement risks compared to 42.9% (SD, 35.4) in the control group (IRR 1.22, 95% CI 1.03-1.45, P = 0.019); and (b) reported achieving the action and maintenance stage of change for, on average, 52.8% (SD 37.1) of the nutrition and supplement risks compared to 42.8% (SD, 37.9) in the control group (IRR 1.26, 96% CI 1.08-1.48, P = 0.004). For subjects beginning the study at the contemplation stage of change, intervention subjects reported progressing forward on the stage of change scale for 75.0% (SD, 36.3%) of their health risks compared to 52.1% (SD, 47.1%) in the control group (P = 0.006). Conclusion: The scalability of Gabby has the potential to improve women's nutritional health as an adjunct to clinical care or at the population health level. Further studies are needed to determine if improving nutrition and supplement risks can impact clinical outcomes including optimization of weight. Clinical Trial Registration: ClinicalTrials.gov, identifier NCT01827215.

Indexed as

Dietary SupplementsAdolescentAdultBlack or African AmericanFemaleHumansMedical InformaticsMotivational InterviewingNutritional StatusPreconception CareRisk Reduction BehaviorWomen's HealthYoung Adultdiethealth disparitieshealth information technologynutritionpreconception caresupplement use

Identifiers

PMID33584534
PMCPMC7874041
OpenAlexW3122482106

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.