Evidence map›Paper›PMID 41757788›Full record

Observational studyWomen's health (London, England)

Evaluating the statewide expansion of an educational intervention to address urgent maternal warning signs.

Elizabeth K Stierman, Bre Calhoun, Sneha Mitra, Shreya K Pereira, Maxine Reed Vance, Teneele M Bruce, Dona Mullen, Mairead Minihane, Kelly M Bower, Andreea A Creanga and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Women's health (London, England). 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
–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

0 citing papers in PubMed.

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

11 authors.

Elizabeth K StiermanUniversity of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-3866-3542
Bre CalhounJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0002-5932-243X
Sneha MitraJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0009-0008-9615-6451
Shreya K PereiraJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Maxine Reed VanceBaltimore Healthy Start, Inc., MD, USA.
Teneele M BruceBaltimore Healthy Start, Inc., MD, USA.
Dona MullenMaryland Department of Health, Baltimore, MD, USA.
Mairead MinihaneUniversity of Maryland School of Medicine, Baltimore, MD, USA.
Kelly M BowerJohns Hopkins University School of Nursing, Baltimore, MD, USA.
Andreea A CreangaUniversity of Maryland School of Medicine, Baltimore, MD, USA.
EMPOWER Community of Practice *

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecognizing the signs of life-threatening maternal complications and receiving timely, quality care can help prevent pregnancy-related deaths and adverse health consequences.

objectivesThis study evaluated the scale-up of the EMPOWER Moms initiative, one of the first statewide efforts to strengthen and standardize maternal warning signs education provided in home and community settings.

designThe EMPOWER Moms initiative supported home visitors, community nurses, and other family support staff with training and tools to educate families in Maryland and Washington D.C. on urgent maternal warning signs. Support included online training for these educators, monthly collaborative calls, an implementation manual, and a client education toolkit with a 3-min video, illustrated handout, magnet, and discussion guide.

methodsThis mixed-methods, observational study evaluated implementation and behavioral outcomes among educators and their clients using surveys, monitoring forms, and semi-structured interviews.

resultsTwo hundred and thirty-seven educators completed the training, and more than 3,300 pregnant and 3,600 postpartum clients received education between July 2022 and December 2023. The use of standardized printed materials on warning signs increased from 50.0% before training to 92.5% after (

conclusionWe found EMPOWER training and tools were effective in improving educators' confidence and skills to engage families in conversations about pregnancy-related complications and to support them in recognizing and obtaining prompt care.

Indexed as

Health EducationPatient Education as TopicPregnancy ComplicationsAdultDistrict of ColumbiaFemaleHumansMarylandMaternal Health ServicesPregnancycommunity outreachhealth educationhome visitingmaternal healthpatient engagementurgent maternal warning signs

Identifiers

PMID41757788
PMCPMC12950854

What OpenQuestion holds

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LicenceCC BY-NC
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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.