Evidence map›Paper›PMID 33620714›Full record

Trial reportJournal of racial and ethnic health disparities2022

Increasing Prenatal Care Compliance in At-Risk Black Women: Findings from a RCT of Patient Navigation and Behavioral Incentives.

Dace S Svikis, Sydney S Kelpin, Lori Keyser-Marcus, Diane L Bishop, Anna Beth Parlier-Ahmad, Heather Jones, Gabriela Villalobos, Sara B Varner, Susan M Lanni, Nicole W Karjane and 3 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

13 authors at 1 institution in 1 country.

Dace S SvikisDepartment of Psychology and Institute for Women's Health, Virginia Commonwealth University, 806 W Franklin St, Richmond, VA, 23284, USA. dssvikis@vcu.edu.ORCID 0000-0002-7258-2367
Sydney S KelpinDepartment of Psychology and Institute for Women's Health, Virginia Commonwealth University, 806 W Franklin St, Richmond, VA, 23284, USA.
Lori Keyser-MarcusDepartment of Psychiatry, Virginia Commonwealth University, Richmond, VA, USA.
Diane L BishopDepartment of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University, Richmond, VA, USA.
Anna Beth Parlier-AhmadDepartment of Psychology and Institute for Women's Health, Virginia Commonwealth University, 806 W Franklin St, Richmond, VA, 23284, USA.
Heather JonesDepartment of Psychology and Institute for Women's Health, Virginia Commonwealth University, 806 W Franklin St, Richmond, VA, 23284, USA.
Gabriela VillalobosDepartment of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University, Richmond, VA, USA.
Sara B VarnerDepartment of Psychiatry, Virginia Commonwealth University, Richmond, VA, USA.
Susan M LanniDepartment of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, VA, USA.
Nicole W KarjaneDepartment of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, VA, USA.
Lauretta A CathersDepartment of Health-Related Sciences, Virginia Commonwealth University, Richmond, VA, USA.
Diane M LanghorstSchool of Social Work, Virginia Commonwealth University, Richmond, VA, USA.
Saba W MashoInstitute for Women's Health, Virginia Commonwealth University, Richmond, VA, USA.
Virginia Commonwealth University · US

Funding

Racial and Ethnic Approaches to Community Health USU58DP000983 · DP · VIRGINIA COMMONWEALTH UNIVERSITY · PI SVIKIS, DACE S · 2007 to 2011
$2.1M
NCCDPHP CDC HHS U58 DP000983
6 · The paper itself

Abstract

backgroundIn the USA, infant mortality remains a major public health concern, particularly for Black women and their infants who continue to experience disproportionately high mortality rates. Prenatal care is a key determinant of infant health, with inadequate prenatal care increasing risk for prematurity, stillbirth, neonatal loss, and infant death. The aim of the present study was to determine if concurrent delivery of patient navigation and behavioral incentives to at-risk Black pregnant women could improve prenatal care attendance and associated maternal and infant outcomes.

methodsParticipants were 150 Black pregnant women recruited at first prenatal visit and screening at risk for adverse maternal and infant outcomes. Women were randomized to either the patient navigation + behavioral incentives intervention (PNBI) or assessment + standard care control (ASC) group. All were followed throughout pregnancy and 12-week postpartum. Group comparisons were made using intention-to-treat and per-protocol sensitivity analyses.

resultsWhile no group differences were found in prenatal care visits, the average number of visits for both groups (9.3 for PNBI and 8.9 for ASC) approached the American College of Obstetricians and Gynecologists (ACOG) recommended guidelines. There were also no group differences in maternal and infant outcomes. Both intention-to-treat and per-protocol sensitivity analyses, however, consistently found PNBI women attended more postpartum visits than ASC controls (p = 0.002).

conclusionsGiven ACOG's redefining of the postpartum period as the fourth trimester, study findings suggest PNBI may facilitate prevention and intervention efforts to more successfully reduce health disparities in outcomes for both mother and infant.

Indexed as

Patient NavigationPrenatal CareFemaleHumansInfantInfant MortalityInfant, NewbornMotivationPostpartum PeriodPregnancyHealth disparities,IncentivesPatient navigation,Pregnancy,Prenatal care,

Identifiers

PMID33620714
OpenAlexW3130218094

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.