Evidence map›Paper›PMID 39908241›Full record

Trial reportPloS one2025

Assessing the application of adapted theory of planned behaviour in predicting postpartum family planning intentions in a pragmatic randomized control trial in Western Kenya.

Morris Senghor Shisanya, Mary Kipmerewo, Everlyne Morema, Collins Ouma

Abstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  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.

Morris Senghor ShisanyaDepartment of Community Health Nursing, School of Nursing, Kibabii University, Bungoma, Kenya.ORCID https://orcid.org/0000-0002-4425-6249
Mary KipmerewoDepartment of Reproductive Health, Midwifery and Child Health, School of Nursing, Midwifery and Paramedical Sciences (SONMAPS), Masinde Muliro University of Science and Technology (MMUST), Kakamega, Kenya.
Everlyne MoremaDepartment of Reproductive Health, Midwifery and Child Health, School of Nursing, Midwifery and Paramedical Sciences (SONMAPS), Masinde Muliro University of Science and Technology (MMUST), Kakamega, Kenya.ORCID https://orcid.org/0000-0002-6818-3208
Collins OumaDepartment of Biomedical Sciences and Technology, Maseno University, Maseno, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn developing countries like Kenya, addressing the high population growth rate necessitates a focus on early Postpartum Family Planning (PPFP) use. Despite the critical need for PPFP, few researchers explore the application of health behaviour change theories to enhance FP use among postpartum women. This study assesses the application of adapted Theory of Planned Behaviour (TPB) in predicting intention for early PPFP in postpartum women in Western Kenya.

methodsThis randomized control trial included pregnant women aged 15 to 49 attending Antenatal Care (ANC) clinics, randomly assigned to the "Nurses' arm," "Community arm," or "Control arm." The intervention provided family planning (FP) counseling. Trained nurses and Community Health Workers (CHW) delivered counseling in their respective arms, while the control arm received routine care. Adapted TPB was integrated into client exit interviews to identify constructs influencing early PPFP intentions. Structural equation modeling (SEM) was used to predict the intention for early PPFP in the adapted TPB.

resultsThe SEM was optimized with the removal of client knowledge on early PPFP. The final model retained satisfaction with PPFP counseling, perceived normative beliefs, attitude towards PPFP, behaviour control of PPFP choice, and perceived risk of early postpartum pregnancy. Only satisfaction with counseling (P = 0.001), perceived normative beliefs (P<0.0001), attitude towards PPFP (P<0.0001), and behaviour control of PPFP choice (P = 0.018) significantly influenced early PPFP intention.

conclusionThe study demonstrates a viable application of the adapted TPB model in predicting early PPFP intention in an interventional study.

trial registrationThe study was registered by the Pan African Clinical Trial Registry on 03 July 2021 with a Trial Registration Number PACTR202107891858045. The trial was prospectively registered.

Indexed as

Family Planning ServicesIntentionPostpartum PeriodAdolescentAdultCounselingFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHumansKenyaMiddle AgedPregnancyPrenatal CareYoung Adult

Identifiers

PMID39908241
PMCPMC11798486

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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.