Evidence map›Paper›PMID 37948400›Full record

Trial reportPloS one2023

Evaluating the impact of sling provision and training upon maternal mental health, wellbeing and parenting: A randomised feasibility trial.

Helen Wigglesworth, Vyv Huddy, Rosie Knowles, Abigail Millings

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06502860 (Skin-to-Skin Contact With a Sling in Primipar Mothers Who Delivered by Cesarean Section), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

NCT06502860 nacompletednot on this mapstarted 2024, after this paper: background citation

Skin-to-Skin Contact With a Sling in Primipar Mothers Who Delivered by Cesarean Section

TypeinterventionalSponsorAcibadem UniversityRan2024 to 2025Enrolled78ConditionsBreast Feeding, Caesarean Section, StillbirthArmsskin to skin with sling
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

4 authors.

Helen WigglesworthSheffield Children's NHS FT, Sheffield, United Kingdom.
Vyv HuddyClinical Psychology Unit, University of Sheffield, Sheffield, United Kingdom.
Rosie KnowlesSheffield Sling Surgery and Library, Carrying Matters, Sheffield, United Kingdom.
Abigail MillingsCentre for Behavioural Science and Applied Psychology, Sheffield Hallam University, Sheffield, United Kingdom.ORCID 0000-0002-7849-6048

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClose body contact interventions such as Kangaroo Mother Care have been shown to improve maternal mental health following birth. Infant carriers ('slings') facilitate hands-free close body contact. No studies have specifically examined whether sling use improves maternal mental health. A full-scale efficacy study is needed to examine whether sling use is beneficial to maternal mental health. The current study is a feasibility study designed to gather information to support the design of a future RCT, such as acceptability and study parameters, including recruitment rates, consent rate and attrition.

methodMothers of infants aged 0-6 weeks were randomised to one of two conditions: intervention (n = 35) vs. waitlist control (n = 32). Intervention participants received sling training, support, and free sling hire for 12 weeks. Participants completed self-report measures of mood, wellbeing and parenting at baseline (Time 1), and 6- (Time 2) and 12- (Time 3) weeks post-baseline.

resultsEligibility and consent rates met feasibility objectives, though there were some difficulties with retention of participants in the study. Preliminary effectiveness analyses showed a non-significant improvement with a small effect size in postnatal depression from T1 to T3, and a significant improvement with a medium effect size in maternal self-efficacy from T1 to T3. Qualitative feedback indicated acceptability of the intervention and study participation. Intervention participants attributed greater autonomy, bonding with their baby, and parental self-confidence, to the intervention.

conclusionsThese findings indicate a randomised study of the impact of a sling and related support intervention upon maternal mental health is feasible. These findings should be interpreted within the context of sampling bias (due to the use of volunteer sampling methods), an absence of feedback from those who discontinued participation in the study, and the study not being adequately powered.

trial registrationRegistration number ISRCTN88575352.

Indexed as

Kangaroo-Mother Care MethodMental HealthFeasibility StudiesFemaleHumansInfantInfant, NewbornMothersParenting

Identifiers

PMID37948400
PMCPMC10637655

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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.