Evidence map›Paper›PMID 40578323›Full record

Trial reportRheumatology (Oxford, England)2025

An educational tool to improve PREeclamPsia knowledge and Aspirin adheRence in lupus prEgnancies: the PREPARE trial.

Joo-Young Esther Lee, Arielle Mendel, Isabelle Malhamé, Megan R W Barber, Ann E Clarke, Paul R Fortin, John G Hanly, Alexandra Legge, Christine Peschken, Carl A Laskin and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03749044 (Aspirin Patterns of Use and Adherence for Prevention of Preeclampsia in SLE Pregnancies), which is not on this 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.

NCT03749044 nacompletednot on this map

Aspirin Patterns of Use and Adherence for Prevention of Preeclampsia in SLE Pregnancies

TypeinterventionalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2018 to 2024Enrolled73ConditionsPre-Eclampsia, Pregnancy Complications, Systemic LupusArmsPatient Educational Tool
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  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

14 authors.

Joo-Young Esther LeeCentre for Outcomes Research and Evaluation (CORE), Research Institute of McGill University Health Centre, Montréal, QC, Canada.
Arielle MendelCentre for Outcomes Research and Evaluation (CORE), Research Institute of McGill University Health Centre, Montréal, QC, Canada.ORCID 0000-0001-9732-616X
Isabelle MalhaméDivision of General Internal Medicine, Department of Medicine, McGill University Health Centre, Montreal, QC, Canada.ORCID 0000-0002-9140-8735
Megan R W BarberCumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-1055-1335
Ann E ClarkeCumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-3112-9646
Paul R FortinCentre ARThrite-CHU de Québec, - Université Laval, Quebec, QC, Canada.
John G HanlyQueen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS, Canada.
Alexandra LeggeQueen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS, Canada.
Christine PeschkenUniversity of Manitoba, Winnipeg, MB, Canada.
Carl A LaskinUniversity of Toronto, Toronto, ON, Canada.
Zahi ToumaUniversity of Toronto, Toronto, ON, Canada.ORCID 0000-0001-5177-2076
Murray B UrowitzUniversity of Toronto, Toronto, ON, Canada.
Sasha BernatskyCentre for Outcomes Research and Evaluation (CORE), Research Institute of McGill University Health Centre, Montréal, QC, Canada.ORCID 0000-0002-9515-2802
Évelyne VinetCentre for Outcomes Research and Evaluation (CORE), Research Institute of McGill University Health Centre, Montréal, QC, Canada.ORCID 0000-0001-7727-5879

Funding

Canadian Initiative for Outcomes in Rheumatology CareFonds de Recherche Santé Québec
6 · The paper itself

Abstract

objectiveTo evaluate the effect of an educational tool on preeclampsia knowledge, as well as aspirin (ASA) use and adherence in pregnant SLE women.

methodsA two-arm parallel randomized controlled trial was conducted recruiting pregnant SLE women up to 17 weeks' gestation. Participants were randomly assigned to receive either usual-care alone or usual-care plus the tool (laminated card incorporating infographics on preeclampsia in SLE and ASA for prevention). The primary outcome was difference in preeclampsia knowledge scores at the second-trimester visit.

resultsOf 73 women included, 38 were randomized to the intervention. In the primary analysis of ongoing pregnancies, increase in the mean preeclampsia knowledge scores was 4.0 points (95% CI: 2.4, 5.6) in the intervention group and 2.0 points (95% CI: 0.3, 3.9) in controls, with a mean difference of 1.8 points higher (95% CI: -0.5, 4.2) favouring the intervention. Including end-of-pregnancy scores of women with fetal loss (six in each group), the difference was 4.8 points (95% CI: 3.3, 6.9) in the intervention group and 1.9 points (95% CI: 0.3, 3.6) in controls, with a mean increase of 2.5 points (95% CI: 0.3, 4.8) more for the intervention. Using electronic pharmacy data, there was a trend for higher ASA adherence in the intervention group (81%) vs controls (65%; difference 15%, 95% CI: -9, 37%).

conclusionWomen with SLE who received an educational tool had greater improvement in preeclampsia knowledge vs controls. This tool may improve ASA use in SLE pregnancies and help optimize outcomes.

trial registrationClinicalTrials.gov, http://clinicaltrials.gov, NCT03749044.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalAspirinHealth Knowledge, Attitudes, PracticeLupus Erythematosus, SystemicMedication AdherencePatient Education as TopicPre-EclampsiaAdultFemaleHumansPregnancyYoung AdultAnti-Inflammatory Agents, Non-SteroidalAspirinadherenceaspirinclinical trialeducational toolknowledgepreeclampsiapregnancysystemic lupus erythematosus

Identifiers

PMID40578323
PMCPMC12596062

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.