Evidence map›Paper›PMID 36575817›Full record

ArticleBMJ open2022

EMAeHealth, a digital tool for the self-management of women's health needs during pregnancy, childbirth and the puerperium: protocol for a hybrid effectiveness-implementation study.

Maite Espinosa Cifuentes, Isabel Artieta-Pinedo, Carmen Paz-Pascual, Paola Bully-Garay, Arturo García-Alvarez, ema-Q Group

Registry-linked trialAbstract 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. It is linked to trial NCT04937049 (Effectiveness and Usability of a Web Tool for the Self-management of Women's Health Needs During Pregnancy, Childbirth and the Puerperium), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT04937049 naunknown statusnot on this map

Effectiveness and Usability of a Web Tool for the Self-management of Women's Health Needs During Pregnancy, Childbirth and the Puerperium: EMAeHealth

TypeinterventionalSponsorBiobizkaia Health Research InstituteRan2022 to 2023Enrolled1,080ConditionsPregnant Women, Postpartum PeriodArmsEMAeHealth digital tool
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  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

6 authors.

Maite Espinosa CifuentesPrimary Care Subdirectorate, Osakidetza-Basque Health Service, Vitoria-Gazteiz, Spain maite.espinosacifuentes@osakidetza.eus.ORCID 0000-0003-4886-3270
Isabel Artieta-PinedoPrimary Health Care Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Carmen Paz-PascualPrimary Health Care Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Paola Bully-GarayPB, Methodological and Statistical Consulting, Bizkaia, Spain.
Arturo García-AlvarezPrimary Care Subdirectorate, Osakidetza-Basque Health Service, Vitoria-Gazteiz, Spain.
ema-Q Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEHealth can help health service users take a more active role in decision-making and help health professionals guide the patient in this process. A digital tool has been designed to support maternal education (ME), and it is organised into four areas: (1) information, (2) communication, (3) health self-management and (4) clinical data. The main objective of the study is to evaluate the effectiveness of the EMAeHealth digital tool, and assess its usability and acceptability under routine conditions. METHODS AND ANALYSIS: Hybrid implementation-effectiveness design: (1) A cluster randomised, prospective, longitudinal, multicentre clinical trial to evaluate the effectiveness of EMAeHealth in (A) improving health-related quality of life (primary outcome), (B) improving self-efficacy for labour and childbirth and self-efficacy in breast feeding and (C) reducing the number of visits to the obstetric emergency services and health centre in situations of 'non-pathological pregnancy', 'false labour pains' and 'non-pathological puerperium'. The EMAeHealth intervention plus usual care will be compared with receiving only usual care, which includes traditional ME. N=1080 participants, 540 for each study arm. Two measurements will be made throughout the pregnancy and three in the first 16 weeks post partum. (2) A mixed-method study to evaluate the usability and acceptability of the tool, barriers and facilitators for its use, and implementation in our health system: focus groups (women, professionals and agents involved) and a quantitative analysis of implementation indicators. ANALYSIS: It will be carried out by intention to treat, using mixed models taking into account the hierarchical structure of the data and per protocol to evaluate the effectiveness of the express use of the digital tool. ETHICS AND DISSEMINATION: Clinical Research Ethics Committee of Euskadi, Spain, (Ref: PI2020044) approved this study. The results will be actively disseminated through manuscript publications and conference presentations. TRIAL REGISTRATION NUMBER: NCT04937049.

Indexed as

Self-ManagementFemaleHumansMulticenter Studies as TopicParturitionPostpartum PeriodPregnancyProspective StudiesQuality of LifeRandomized Controlled Trials as TopicWomen's Healtheducation & training (see medical education & training)maternal medicineprimary carequality in health caretelemedicine

Identifiers

PMID36575817
PMCPMC9438065

What OpenQuestion holds

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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.