Evidence map›Paper›PMID 35882461›Full record

ArticleBMJ open2022

Iterative delivery of an implementation support package to increase and sustain the routine provision of antenatal care addressing alcohol consumption during pregnancy: study protocol for a stepped-wedge cluster trial.

Emma Doherty, John Wiggers, Nicole Nathan, Alix Hall, Luke Wolfenden, Belinda Tully, Elizabeth J Elliott, John Attia, Adrian John Dunlop, Ian Symonds and 5 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Emma DohertySchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia emma.doherty@health.nsw.gov.au.ORCID 0000-0001-8445-6766
John WiggersSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Nicole NathanSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.ORCID 0000-0002-7726-1714
Alix HallSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Luke WolfendenSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Belinda TullyPopulation Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Elizabeth J ElliottFaculty of Medicine and Health and Discipline of Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia.
John AttiaSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.ORCID 0000-0001-9800-1308
Adrian John DunlopDrug and Alcohol Clinical Services Research, Hunter New England Local Health District, New Lambton, New South Wales, Australia.
Ian SymondsAdelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia.
Tracey W TsangFaculty of Medicine and Health and Discipline of Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia.
Penny ReevesHealth Research Economics, Hunter Medical Research Institute, New Lambton, New South Wales, Australia.
Tameka McFadyenPopulation Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Olivia WynneSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Melanie KingslandSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAntenatal care addressing alcohol consumption during pregnancy is not routinely delivered in maternity services. Although a number of implementation trials have reported significant increases in such care, the majority of women still did not receive all recommended care elements, and improvements dissipated over time. This study aims to assess the effectiveness of an iteratively developed and delivered implementation support package in: (1) increasing the proportion of pregnant women who receive antenatal care addressing alcohol consumption and (2) sustaining the rate of care over time. METHODS AND ANALYSIS: A stepped-wedge cluster trial will be conducted as a second phase of a previous trial. All public maternity services within three sectors of a local health district in Australia will receive an implementation support package that was developed based on an assessment of outcomes and learnings following the initial trial. The package will consist of evidence-based strategies to support increases in care provision (remind clinicians; facilitation; conduct educational meetings) and sustainment (develop a formal implementation blueprint; purposely re-examine the implementation; conduct ongoing training). Measurement of outcomes will occur via surveys with women who attend antenatal appointments each week. Primary outcomes will be the proportion of women who report being asked about alcohol consumption at subsequent antenatal appointments; and receiving complete care (advice and referral) relative to alcohol risk at initial and subsequent antenatal appointments. Economic and process evaluation measures will also be reported. ETHICS AND DISSEMINATION: Ethical approval was obtained through the Hunter New England (16/11/16/4.07, 16/10/19/5.15) and University of Newcastle Human Research Ethics Committees (H-2017-0032, H-2016-0422) and the Aboriginal Health and Medical Research Council (1236/16). Trial findings will be disseminated to health service decision makers to inform the feasibility of conducting additional cycles to further improve antenatal care addressing alcohol consumption as well as at scientific conferences and in peer-reviewed journals. TRIAL REGISTRATION NUMBER: Australian and New Zealand Clinical Trials Registry (ACTRN12622000295741).

Indexed as

Alcohol DrinkingPrenatal CareAustraliaFemaleHumansPregnancyOBSTETRICSOrganisational developmentProtocols & guidelinesPUBLIC HEALTHQuality in health care

Identifiers

PMID35882461
PMCPMC9330336

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.