Evidence map›Paper›PMID 35577147›Full record

SynthesisContraception2022

Couples-based interventions and postpartum contraceptive uptake: A systematic review.

Daniel E Sack, Lauren S Peetluk, Carolyn M Audet

Abstract readSystematic Review
In one paragraph

Synthesis in Contraception, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

3 authors.

Daniel E SackDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, United States. Electronic address: daniel.e.sack@vanderbilt.edu.
Lauren S PeetlukDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Division of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Carolyn M AudetDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, United States.

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
Partners-based HIV Treatment for Sero-concordant Couples attending Antenatal Care: Increasing family-based support for PrEP adherence among discordant couples through storytellingR01MH113478 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI AUDET, CAROLYN · 2017 to 2021
$3.2M
Traditional Healers as Adherence Partners for PLHIV in Rural MozambiqueK01MH107255 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI AUDET, CAROLYN · 2015 to 2018
$658k
A Couples-Based Intervention and Postpartum Contraceptive Uptake in Zambézia Province, MozambiqueF30MH123219 · NIMH · VANDERBILT UNIVERSITY · PI SACK, DANIEL ELI · 2020 to 2022
$105k
Characterizing the impact of HIV disease severity in prediction models for tuberculosis treatment outcomesF31AI152614 · NIAID · VANDERBILT UNIVERSITY · PI PEETLUK, LAUREN SAAG · 2020 to 2020
$26k
NCATS NIH HHS UL1 TR002243NIAID NIH HHS F31 AI152614NIGMS NIH HHS T32 GM007347NIMH NIH HHS F30 MH123219NIMH NIH HHS K01 MH107255NIMH NIH HHS R01 MH113478
6 · The paper itself

Abstract

objectiveSystematically review the existing evidence about couples-based interventions and postpartum contraceptive uptake and generate recommendations for future research. DATA SOURCES: PubMed, Web of Science, PsycINFO, Embase, and CINAHL through June 7, 2021. STUDY SELECTION AND DATA EXTRACTION: Studies with a couples-based intervention assessing postpartum contraceptive uptake. Two independent reviewers screened studies, extracted data, and assessed risk of bias with RoB-2 (Cochrane Risk of Bias 2) for randomized and ROBINS-I (Risk of Bias in Non-Randomized Studies - Interventions) for observational studies. Data were synthesized in tables, figures, and a narrative review.

resultsA total of 925 papers were identified, 66 underwent full text review, and 17 articles, which included 18 studies - 16 randomized, 2 observational - were included. The lack of intervention and outcome homogeneity precluded meta-analysis and isolating the effect of partner involvement. Four studies were partner-required, where partner involvement was a required component of the intervention, and 14 were partner-optional. Unadjusted risk differences ranged from 0.01 to 0.51 in favor of couples-based interventions increasing postpartum contraceptive uptake versus standard of care. Bias assessment of the 16 randomized studies classified 8, 3, and 5 studies as at a high, some concern, and low risk of bias. Common sources of bias included intervention non-adherence and missing outcome data. One observational study was at a high and the other at a low risk of bias.

conclusionsFuture studies that assess couples-based interventions must clearly define and measure how partners are involved in the intervention and assess how intervention adherence impacts postpartum contraceptive uptake.

Indexed as

Contraceptive AgentsText MessagingContraceptive DevicesFemaleHumansObservational Studies as TopicPostpartum PeriodContraceptive AgentsContraceptionPostpartum periodSexual partnersSpousesSystematic review

Identifiers

PMID35577147
PMCPMC9968552

What OpenQuestion holds

Textmetadata
LicenceTDM
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.