Evidence map›Paper›PMID 36990483›Full record

Trial reportBMJ open2023

Women and health professionals' perspectives on a conditional cash transfer programme to improve pregnancy follow-up: a qualitative analysis of the NAITRE randomised controlled study.

Marc Bardou, Nicolas Meunier-Beillard, Aurélie Godard-Marceau, Philippe Deruelle, Claude Virtos, Astrid Eckman-Lacroix, Elodie Debras, Thomas Schmitz, NAITRE Study group

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02402855 (Impact of Conditional Financial Support on Pregnancy Outcomes in Pregnant Women With Low Incomes), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
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.

NCT02402855 nacompletednot on this map

Impact of Conditional Financial Support on Pregnancy Outcomes in Pregnant Women With Low Incomes: Pragmatic Randomized Cluster Trial, With Parallel Arms

TypeinterventionalSponsorCentre Hospitalier Universitaire DijonRan2016 to 2020Enrolled3,787ConditionsPregnancyArmsDelivery of a prepaid payment card, Interview with a sociologist, No intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  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

9 authors at 8 institutions in 3 countries.

Marc BardouCIC-P INSERM 1432, Centre Hospitalier Universitaire de Dijon, Dijon, France marc.bardou@u-bourgogne.fr.ORCID 0000-0003-0028-1837
Nicolas Meunier-BeillardCIC, Centre Hospitalier Universitaire de Dijon, Dijon, France.
Aurélie Godard-MarceauLaboratoire de Recherches Intégratives en Neurosciences et Psychologie Cognitive EA 481, Université Bourgogne Franche-Comté, Besancon, Franche-Comté, France.
Philippe DeruelleDepartment of Obstetrics and Gynaecology, Strasbourg University Hospital, Starsbourg, France.
Claude VirtosService de Gynécologie et Obstétruique, Centre Hospitalier de Dreux, Dreux, France.
Astrid Eckman-LacroixDépartement de Gynécologie et d'Obstétrioque, Centre Hospitalier et Universitaire de Besançon, Besançon, France.
Elodie DebrasService de Gynécologie et obstrétrique, CHU de Bicêtre DAR, Le Kremlin-Bicetre, Île-de-France, France.
Thomas SchmitzObstetrical Perinatal and Pediatric Epidemiology Research Team, Université de Paris, Paris, France.
NAITRE Study group
Centre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire Henri-Mondor · FRCHU Dijon Bourgogne · FRInserm · FRService de la Santé Publique · CHUniversité Bourgogne Franche-Comté · FRUniversité de Strasbourg · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWomen of low socioeconomic status have been described as having suboptimal prenatal care, which in turn has been associated with poor pregnancy outcomes. Many types of conditional cash transfer (CCT) programmes have been developed, including programmes to improve prenatal care or smoking cessation during pregnancy, and their effects demonstrated. However, ethical critiques have included paternalism and lack of informed choice. Our objective was to determine if women and healthcare professionals (HPs) shared these concerns.

designProspective qualitative research.

settingWe included economically disadvantaged women, as defined by health insurance data, who participated in the French NAITRE randomised trial assessing a CCT programme during prenatal follow-up to improve pregnancy outcomes. The HP worked in some maternities participating in this trial.

participants26 women, 14 who received CCT and 12 who did not, mostly unemployed (20/26), and - 7 HPs.

interventionsWe conducted a multicentre cross-sectional qualitative study among women and HPs who participated in the NAITRE Study to assess their views on CCT. The women were interviewed after childbirth.

resultsWomen did not perceive CCT negatively. They did not mention feeling stigmatised. They described CCT as a significant source of aid for women with limited financial resources. HP described the CCT in less positive terms, for example, expressing concern about discussing cash transfer at their first medical consultation with women. Though they emphasised ethical concerns about the basis of the trial, they recognised the importance of evaluating CCT.

conclusionsIn France, a high-income country where prenatal follow-up is free, HPs were concerned that the CCT programme would change their relationship with patients and wondered if it was the best use of funding. However, women who received a cash incentive said they did not feel stigmatised and indicated that these payments helped them prepare for their baby's birth. TRIAL REGISTRATION NUMBER: NCT02402855.

Indexed as

Pregnancy OutcomePrenatal CareCross-Sectional StudiesFemaleHumansPregnancyProspective StudiesResearch Designethics (see medical ethics)health policyorganisation of health servicesreproductive medicine

Identifiers

PMID36990483
PMCPMC10069550
OpenAlexW4361295517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.