Evidence map›Paper›PMID 35304393›Full record

SynthesisBMJ open2022

Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review.

Bethany Ellen Jakubowski, Lisa Hinton, Jaspreet Khaira, Nia Roberts, Richard J McManus, Katherine Louise Tucker

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06835959 (Development of a Mobile Health Intervention to Improve Blood Pressure Management in Pregnancy), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

NCT06835959 narecruitingnot on this mapstarted 2025, after this paper: background citation

Development of a Mobile Health Intervention to Improve Blood Pressure Management in Pregnancy (Moms@Home)

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2025 to 2027Enrolled100ConditionsHypertension in Pregnancy, Chronic Hypertension, Gestational HypertensionArmsMoms@Home, Enhanced Standard of Care
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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  7. A systematic review of the use of burden of treatment theory.Journal of multimorbidity and comorbidity
    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

6 authors.

Bethany Ellen JakubowskiNuffield Department of Primary Healthcare Sciences, University of Oxford, Oxford, UK bethany.jakubowski@phc.ox.ac.uk.ORCID 0000-0003-1033-2730
Lisa HintonTHIS Institute, University of Cambridge, Cambridge, UK.ORCID 0000-0002-6082-3151
Jaspreet KhairaOxford University Hospitals NHS Trust, Oxford, UK.
Nia RobertsBodleian Health Care Libraries, University of Oxford, Oxford, UK.
Richard J McManusNuffield Department of Primary Healthcare Sciences, University of Oxford, Oxford, UK.ORCID 0000-0003-3638-028X
Katherine Louise TuckerNuffield Department of Primary Healthcare Sciences, University of Oxford, Oxford, UK.ORCID 0000-0001-6544-8066

Funding

Department of Health
6 · The paper itself

Abstract

objectiveThis systematic review examines the qualitative literature on women's experiences of self-managing chronic conditions in pregnancy.

designSystematic review of qualitative literature. Searches were performed in PubMed and CINAHL from inception to February 2021. Critical interpretive synthesis informed the coding framework and the analysis of the data. The Burden of Treatment theory emerged during the initial analysis as having the most synergy with the included literature, themes were refined to consider key concepts from this theory.

participantsPregnant women who are self-managing a chronic condition.

resultsA total of 2695 articles were screened and 25 were reviewed in detail. All 16 included studies concerned diabetes self-management in pregnancy. Common themes coalesced around motivations for, and barriers to, self-management. Women self-managed primarily for the health of their baby. Barriers identified were anxiety, lack of understanding and a lack of support from families and healthcare professionals.

conclusionsPregnant women have different motivating factors for self-management than the general population and further research on a range of self-management of chronic conditions in pregnancy is needed. PROSPERO REGISTRATION NUMBER: CRD42019136681.

Indexed as

Self-ManagementChronic DiseaseFemaleHealth BehaviorHumansMotivationPregnancyPregnant PeopleQualitative Researchdiabetes in pregnancyPrenatal diagnosisqualitative research

Identifiers

PMID35304393
PMCPMC8935172

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.