Evidence map›Paper›PMID 36179982›Full record

ArticleContemporary clinical trials2022

Evaluating the MyPath web-based reproductive decision support tool in VA primary care: Protocol for a pragmatic cluster randomized trial.

Lisa S Callegari, Samantha K Benson, Siobhan S Mahorter, Karin M Nelson, David E Arterburn, Alison B Hamilton, Leslie Taylor, Rachel Hunter-Merrill, Lori M Gawron, Christine Dehlendorf and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Contemporary clinical trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04584294 (MyPath), which is not on this 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.

NCT04584294 nacompletednot on this map

MyPath: A Patient-Centered Web-Based Intervention to Improve Reproductive Planning for Women Veterans

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2021 to 2025Enrolled465ConditionsContraception, Contraception Behavior, Prepregnancy Health, Reproductive HealthArmsMyPath Web-Based Informational and Decision Support Tool
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  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

11 authors.

Lisa S CallegariHealth Services Research and Development, Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle, USA; Department of Obstetrics & Gynecology, University of Washington School of Medicine, Seattle, USA; Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, USA. Electronic address: Lisa.Callegari@va.gov.
Samantha K BensonHealth Services Research and Development, Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle, USA.
Siobhan S MahorterHealth Services Research and Development, Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle, USA.
Karin M NelsonHealth Services Research and Development, Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle, USA; Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, USA; Department of Medicine, University of Washington School of Medicine, Seattle, USA.
David E ArterburnKaiser Permanente Washington Health Research Institute, Seattle, USA.
Alison B HamiltonHealth Services Research and Development, VA Greater Los Angeles Healthcare System, Los Angeles, USA; Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, USA.
Leslie TaylorHealth Services Research and Development, Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle, USA.
Rachel Hunter-MerrillHealth Services Research and Development, Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle, USA.
Lori M GawronHealth Services Research and Development, VA Salt Lake City Health Care System, Salt Lake City, USA; Department of Obstetrics & Gynecology, University of Utah School of Medicine, Salt Lake City, USA.
Christine DehlendorfDepartment of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco, USA.
Sonya BorreroCenter for Health Equity, Research, and Promotion, VA Pittsburgh Health Care System, Pittsburgh, USA; Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA.

Funding

HSRD VA I01 HX003123
6 · The paper itself

Abstract

backgroundCounseling to identify and support individuals' desires for family formation is a key component of preventive health care that is often absent in primary care visits. This study evaluates a novel, web-based, person-centered intervention to increase the frequency and quality of communication about reproductive goals and healthcare needs in Veterans Health Administration (VA) primary care.

methodsWe describe a hybrid type 1 effectiveness-implementation cluster randomized controlled trial in seven VA healthcare systems testing a web-based reproductive health decision support tool (MyPath). VA primary care providers are enrolled and randomized to intervention or usual care arms. Veterans scheduled to see intervention-arm providers receive a text message inviting them to use MyPath ahead of their appointment; Veterans scheduled to see control-arm providers receive usual care. Target enrollment is 36 providers and 456 Veterans. Outcomes are assessed by Veteran self-report after the visit and at 3- and 6-months follow-up. The primary outcome is occurrence of reproductive health discussions involving shared decision making; secondary outcomes include measures of communication, knowledge, decision conflict, contraceptive utilization, and receipt of services related to prepregnancy health. Data on implementation barriers, facilitators and cost are collected.

resultsThe trial is ongoing with no results to report. We have enrolled 36 primary care providers across 7 VA healthcare systems and recruitment of Veterans is ongoing.

conclusionsResults will inform efforts to increase the quality and person-centeredness of reproductive healthcare delivery in primary care and to operationalize and scale up use of digital decision support tools in clinical settings.

trial registrationhttp://ClinicalTrials.gov Identifier: NCT04584294 Trial Status: Recruiting.

Indexed as

VeteransCounselingDelivery of Health CareHumansInternetPragmatic Clinical Trials as TopicPrimary Health CareRandomized Controlled Trials as TopicContraceptionDecision support toolPreconception healthPrimary careShared decision makingVeteran health

Identifiers

PMID36179982
PMCPMC12915848

What OpenQuestion holds

Textmetadata
LicenceTDM
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.