Evidence map›Paper›PMID 36127105›Full record

ArticleBMJ open2022

Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol.

Catrin Evans, Kerry Evans, Andrew Booth, Stephen Timmons, Nia Jones, Benash Nazmeen, Candice Sunney, Mark Clowes, Georgia Clancy, Helen Spiby

Abstract read
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

10 authors.

Catrin EvansSchool of Health Sciences, University of Nottingham, Nottingham, UK catrin.evans@nottingham.ac.uk.ORCID 0000-0002-5338-2191
Kerry EvansSchool of Health Sciences, University of Nottingham, Nottingham, UK.
Andrew BoothScHARR, The University of Sheffield, Sheffield, UK.
Stephen TimmonsBusiness School, University of Nottingham, Nottingham, UK.
Nia JonesSchool of Medicine, University of Nottingham, Nottingham, UK.
Benash NazmeenSchool of Allied Health Professionals and Midwifery, University of Bradford, Bradford, UK.
Candice SunneyNottingham Maternity Research Network, Nottingham, UK.
Mark ClowesScHARR, The University of Sheffield, Sheffield, UK.
Georgia ClancySchool of Health Sciences, University of Nottingham, Nottingham, UK.
Helen SpibySchool of Health Sciences, University of Nottingham, Nottingham, UK.

Funding

Department of Health
6 · The paper itself

Abstract

introductionOne of the most commonly reported COVID-19-related changes to all maternity services has been an increase in the use of digital clinical consultations such as telephone or video calling; however, the ways in which they can be optimally used along maternity care pathways remain unclear. It is imperative that digital service innovations do not further exacerbate (and, ideally, should tackle) existing inequalities in service access and clinical outcomes. Using a realist approach, this project aims to synthesise the evidence around implementation of digital clinical consultations, seeking to illuminate how they can work to support safe, personalised and appropriate maternity care and to clarify when they might be most appropriately used, for whom, when, and in what contexts? METHODS AND ANALYSIS: The review will be conducted in four iterative phases, with embedded stakeholder involvement: (1) refining the review focus and generating initial programme theories, (2) exploring and developing the programme theories in light of evidence, (3) testing/refining the programme theories and (4) constructing actionable recommendations. The review will draw on four sources of evidence: (1) published literature (searching nine bibliographic databases), (2) unpublished (grey) literature, including research, audit, evaluation and policy documents (derived from Google Scholar, website searches and e-thesis databases), (3) expertise contributed by service user and health professional stakeholder groups (n=20-35) and (4) key informant interviews (n=12). Included papers will consist of any study design, in English and from 2010 onwards. The review will follow the Realist and Meta-narrative Evidence Synthesis Evolving Standards quality procedures and reporting guidance. ETHICS AND DISSEMINATION: Ethical approval has been obtained from the University of Nottingham, Faculty of Medicine and Health Sciences Ethics Committee (FMHS 426-1221). Informed consent will be obtained for all key informant interviews. Findings will be disseminated in a range of formats relevant to different audiences. PROSPERO REGISTRATION NUMBER: CRD42021288702.

Indexed as

COVID-19Maternal Health ServicesObstetricsFemaleHumansPregnancyReferral and ConsultationResearch DesignReview Literature as TopicSystematic Reviews as TopicMaternal medicineOrganisation of health servicesQUALITATIVE RESEARCHSTATISTICS & RESEARCH METHODSTelemedicine

Identifiers

PMID36127105
PMCPMC9490633

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.