Evidence map›Paper›PMID 38599564›Full record

ArticleJournal of pediatric and adolescent gynecology2024

Incorporating Cardiovascular Risk Assessment into Adolescent Reproductive Health and Primary Care Visits.

Brianna Karim, Andrew Jergel, Shasha Bai, Kolbi Bradley, Santiago J Arconada Alvarez, Amanda K Gilmore, Morgan Greenleaf, Melissa J Kottke, Maren Parsell, Sierra Patterson and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

13 authors at 3 institutions in 1 country.

Brianna KarimDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Andrew JergelDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Shasha BaiDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Kolbi BradleyDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Santiago J Arconada AlvarezGeorgia Clinical and Translational Science Alliance, Emory University, Atlanta, Georgia; Emory University School of Medicine, Atlanta, Georgia.
Amanda K GilmoreDepartment of Health Policy & Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, Georgia.
Morgan GreenleafGeorgia Clinical and Translational Science Alliance, Emory University, Atlanta, Georgia; Emory University School of Medicine, Atlanta, Georgia.
Melissa J KottkeJane Fonda Center, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia.
Maren ParsellGeorgia Clinical and Translational Science Alliance, Emory University, Atlanta, Georgia; Emory Healthcare, Emory University, Atlanta, Georgia.
Sierra PattersonDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Mercedes Sotos-PrietoDepartment of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain; CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain; IMDEA Food Institute, CEI UAM+CSIC, Madrid, Spain; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Elizabeth ZeichnerEmory University School of Medicine, Atlanta, Georgia.
Holly C GoodingDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia. Electronic address: holly.gooding@emory.edu.
Emory University · USGeorgia State University · USUniversity of North Carolina at Chapel Hill · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Cardiovascular Epidemiology Training GrantT32HL007055 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Wayne D. Rosamond · 1986 to 2026
$10.0M
Technology-Based Prevention for Adolescent Substance Use, Sexual Assault, and Sexual Risk in Primary CareK23DA042935 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GILMORE, AMANDA KATHERINE · 2017 to 2021
$1.1M
Incorporating cardiovascular risk assessment into adolescent and young adult visits to improve cardiovascular healthR03HL155253 · NHLBI · EMORY UNIVERSITY · PI GOODING, HOLLY CATHERINE · 2021 to 2022
$148k
NCATS NIH HHS UL1 TR002378NHLBI NIH HHS R03 HL155253NHLBI NIH HHS T32 HL007055NIDA NIH HHS K23 DA042935
6 · The paper itself

Abstract

STUDY

objectiveThis study aimed to evaluate the usability and feasibility of incorporating a cardiovascular risk assessment tool into adolescent reproductive health and primary care visits. DESIGN, SETTING, AND

participantsWe recruited 60 young women ages 13-21 years to complete the HerHeart web-tool in 2 adolescent clinics in Atlanta, GA.

main outcome measuresParticipants rated the tool's usability via the Website Analysis and Measurement Inventory (WAMMI, range 0-95) and their perceived 10-year and lifetime risk of cardiovascular disease (CVD) on a visual analog scale (range 0-10). Participants' perceived risk, blood pressure, and body mass index were measured at baseline and 3 months after enrollment. Health care providers (HCP, n = 5) completed the WAMMI to determine the usability and feasibility of incorporating the HerHeart tool into clinical practice.

resultsAdolescent participants and HCPs rated the tool's usability highly on the WAMMI with a median of 79 (interquartile range [IQR] 65, 84) and 76 (IQR 71, 84). At the baseline visit, participants' median perceived 10-year risk of a heart attack was 1 (IQR 0, 3), and perceived lifetime risk was 2 (IQR 0, 4). Immediately after engaging with the tool, participants' median perceived 10-year risk was 2 (IQR 1, 4.3), and perceived lifetime risk was 3 (IQR 1.8, 6). Thirty-one participants chose to set a behavior change goal, and 12 participants returned for follow-up. Clinical metrics were similar at the baseline and follow-up visits.

conclusionHerHeart is acceptable to young women and demonstrates potential for changing risk perception and improving health habits to reduce risk of CVD. Future research should focus on improving retention in studies to promote cardiovascular health within reproductive health clinics.

Indexed as

Cardiovascular DiseasesFeasibility StudiesPrimary Health CareReproductive HealthAdolescentAdolescent HealthFemaleHeart Disease Risk FactorsHumansRisk AssessmentYoung AdultAdolescentDigital health interventionHeart diseasemHealthUser-centered design

Identifiers

PMID38599564
PMCPMC11260258
OpenAlexW4394616286

What OpenQuestion holds

Textmetadata
LicenceTDM
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.