Evidence map›Paper›PMID 35790332›Full record

ArticleBMJ open2022

Protocol for an intervention development and pilot implementation evaluation study of an e-health solution to improve newborn care quality and survival in two low-resource settings, Malawi and Zimbabwe: Neotree.

Emma Wilson, Hannah Gannon, Gwendoline Chimhini, Felicity Fitzgerald, Nushrat Khan, Fabiana Lorencatto, Erin Kesler, Deliwe Nkhoma, Tarisai Chiyaka, Hassan Haghparast-Bidgoli and 10 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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. Trial
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  5. 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

20 authors.

Emma WilsonPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0001-7091-2417
Hannah GannonPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.
Gwendoline ChimhiniUnit of Child and Adolescent Health, Faculty of Medicine and Health Science, University of Zimbabwe, Harare, Zimbabwe.
Felicity FitzgeraldInfection, Immunity and Inflammation Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, London, London, UK.ORCID 0000-0001-9594-3228
Nushrat KhanPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.
Fabiana LorencattoUCL Centre for Behaviour Change, London, UK.
Erin KeslerThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Deliwe NkhomaParent and Child Health Initiative Trust, Lilongwe, Central Region, Malawi.
Tarisai ChiyakaBiomedical Research and Training Institute, Harare, Zimbabwe.
Hassan Haghparast-BidgoliUCL Institute for Global Health, London, UK.ORCID 0000-0001-6365-2944
Monica LakhanpaulPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0002-9855-2043
Mario Cortina BorjaPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.
Alexander G StevensonMbuya Nehanda Maternity Hospital, Harare, Zimbabwe.
Caroline CrehanPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.
Yali SassoonSnowplow Analytics, London, UK.
Tim Hull-BaileyPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.
Kristina CurtisUCL Centre for Behaviour Change, London, UK.
Msandeni ChiumeDepartment of Paediatrics, Kamuzu Central Hospital, Lilongwe, Malawi.
Simbarashe ChimhuyaUnit of Child and Adolescent Health, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Michelle HeysPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK m.heys@ucl.ac.uk.

Funding

Medical Research Council MR/V029126/1Wellcome Trust
6 · The paper itself

Abstract

introductionEvery year 2.4 million deaths occur worldwide in babies younger than 28 days. Approximately 70% of these deaths occur in low-resource settings because of failure to implement evidence-based interventions. Digital health technologies may offer an implementation solution. Since 2014, we have worked in Bangladesh, Malawi, Zimbabwe and the UK to develop and pilot Neotree: an android app with accompanying data visualisation, linkage and export. Its low-cost hardware and state-of-the-art software are used to improve bedside postnatal care and to provide insights into population health trends, to impact wider policy and practice. METHODS AND ANALYSIS: This is a mixed methods (1) intervention codevelopment and optimisation and (2) pilot implementation evaluation (including economic evaluation) study. Neotree will be implemented in two hospitals in Zimbabwe, and one in Malawi. Over the 2-year study period clinical and demographic newborn data will be collected via Neotree, in addition to behavioural science informed qualitative and quantitative implementation evaluation and measures of cost, newborn care quality and usability. Neotree clinical decision support algorithms will be optimised according to best available evidence and clinical validation studies. ETHICS AND DISSEMINATION: This is a Wellcome Trust funded project (215742_Z_19_Z). Research ethics approvals have been obtained: Malawi College of Medicine Research and Ethics Committee (P.01/20/2909; P.02/19/2613); UCL (17123/001, 6681/001, 5019/004); Medical Research Council Zimbabwe (MRCZ/A/2570), BRTI and JREC institutional review boards (AP155/2020; JREC/327/19), Sally Mugabe Hospital Ethics Committee (071119/64; 250418/48). Results will be disseminated via academic publications and public and policy engagement activities. In this study, the care for an estimated 15 000 babies across three sites will be impacted. TRIAL REGISTRATION NUMBER: NCT0512707; Pre-results.

Indexed as

Infant HealthPostnatal CareQuality ImprovementTelemedicineAlgorithmsDecision Support Systems, ClinicalHealth ResourcesHumansInfant, NewbornMalawiMobile ApplicationsPilot ProjectsPovertyProgram DevelopmentQuality of Health CareZimbabwehealth informaticsneonatologyquality in health care

Identifiers

PMID35790332
PMCPMC9258512

What OpenQuestion holds

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LicenceCC BY
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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.