Evidence map›Paper›PMID 38877077›Full record

Trial reportScientific reports2024

Results of a cognitive behavior therapy-based intervention for antenatal anxiety on birth outcomes in Pakistan: a randomized control trial.

Kirsten F Siebach, Jamie Perin, Abid Malik, Najia Atif, Ahmed Zaidi, Atif Rahman, Pamela J Surkan

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03880032 (Happy Mother-Healthy Baby), 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.

NCT03880032 nacompletednot on this map

Happy Mother-Healthy Baby: An Anxiety-focused Early Prenatal Intervention for the Prevention of Common Mental Disorders in Pakistan

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2019 to 2022Enrolled1,200ConditionsPostpartum Depression, Small for Gestational Age at Delivery, Preterm Birth, AnxietyArmsCognitive Behavioral Therapy Intervention for Anxiety
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  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

7 authors.

Kirsten F SiebachDepartment of International Health, Johns Hopkins School of Public Health, 615 N. Wolfe Street, Room E5523, Baltimore, MD, 21205, USA.
Jamie PerinDepartment of International Health, Johns Hopkins School of Public Health, 615 N. Wolfe Street, Room E5523, Baltimore, MD, 21205, USA.
Abid MalikHealth Services Academy, Chak Shahzad, Islamabad, Pakistan.
Najia AtifHuman Development Research Foundation, Rwalpindi, Pakistan.
Ahmed ZaidiHuman Development Research Foundation, Rwalpindi, Pakistan.
Atif RahmanInstitute of Population Health, University of Liverpool, Liverpool, UK.
Pamela J SurkanDepartment of International Health, Johns Hopkins School of Public Health, 615 N. Wolfe Street, Room E5523, Baltimore, MD, 21205, USA. psurkan@jhu.edu.

Funding

An anxiety-focused early prenatal intervention for the prevention of common mental disorders in PakistanR01MH111859 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SURKAN, PAMELA J · 2017 to 2021
$4.5M
Global Mental Health Training ProgramT32MH103210 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Judith Karen Bass, Sarah Sutherlin-McIvor Murray · 2015 to 2026
$4.0M
NIMH NIH HHS R01 MH111859NIMH NIH HHS RO1 MH111859NIMH NIH HHS T32 MH103210
6 · The paper itself

Abstract

Antenatal anxiety is among the risk factors for adverse birth outcomes, which are common in Pakistan. Between 2019 and 2022, we conducted a randomized controlled trial to evaluate the effects of the Happy Mother-Healthy Baby program, designed to reduce anxiety during pregnancy through use of Cognitive Behavior Therapy, on birth outcomes with 796 women in Rwalpindi, Pakistan. We performed intent-to-treat analysis and per protocol analyses. Intention-to-treat analyses showed no difference in the odds of low birthweight (LBW) (Adj. OR = 0.82, 95% CI 0.55-1.28 p = 0.37), preterm birth (PTB) (Adj. OR = 1.20 95% CI 0.83-1.71, p = 0.33) or small-for-gestational age (SGA) birth, (Adj. OR = 0.76, 95% CI 0.56-1.09, p = 0.16). Among completers who received ≥ 5 intervention sessions, the odds of LBW and SGA were 39% and 32% lower (Adj. OR = 0.61, 95% CI 0.43-0.87, p < 0.01; Adj. OR = 0.68, 95% CI 0.53-0.89, p < 0.01). The significant LBW and SGA results among the intervention completers suggest that the program may be effective when a sufficient dose is received. However, confirmation of these findings is needed due to the fact that randomization is not maintained in completer analyses.Clinical Trial Registration: ClinicalTrials.gov Identifier: NCT03880032, 19/03/2019.

Indexed as

AnxietyCognitive Behavioral TherapyAdultFemaleHumansInfant, Low Birth WeightInfant, NewbornInfant, Small for Gestational AgePakistanPregnancyPregnancy ComplicationsPregnancy OutcomePremature BirthPrenatal CareYoung Adult

Identifiers

PMID38877077
PMCPMC11178914

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.