scholarly journals Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial

BMJ ◽  
2008 ◽  
Vol 337 (jul08 1) ◽  
pp. a339-a339 ◽  
Author(s):  
J. Webster ◽  
S. Clarke ◽  
D. Paterson ◽  
A. Hutton ◽  
S. v. Dyk ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Routine Care ◽  
Randomised Controlled ◽  
Intravenous Catheters

scholarly journals Exploratory randomised trial of face-to-face and mobile phone counselling against usual care for tobacco cessation in Indian primary care: a randomised controlled trial protocol for project CERTAIN

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e048628
Author(s):  
Rajmohan Panda ◽  
Rumana Omar ◽  
Rachael Hunter ◽  
Rajath R Prabhu ◽  
Arti Mishra ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomised Controlled Trial ◽  
Mobile Phone ◽  
Smokeless Tobacco ◽  
Tobacco Cessation ◽  
Controlled Trial ◽  
Routine Care ◽  
Ethics Committee ◽  
Face To Face ◽  
Randomised Controlled

IntroductionDespite widespread use of smokeless tobacco products by people within the Indian subcontinent, there is little awareness among Indians of its health hazards when compared with smoked tobacco. We hypothesise that mobile phone counselling will be feasible and effective for smokeless tobacco cessation intervention in India. This paper presents the protocol of the development and conduct of an exploratory trial before progression to a full randomised controlled trial.Methods and analysisAn exploratory randomised controlled trial will be conducted in urban primary health centres in the state of Odisha, India. A total of 250 smokeless tobacco users will be recruited to the study (125 in each arm). Participants in the intervention arm will receive routine care together with a face-to-face counselling intervention followed by advice and reminder mobile messages. The control arm will receive routine care, delivered by a primary care physician based on ‘Ask’ and ‘Advice’. All participants will be followed up for 3 months from the first counselling session. The primary outcome of this trial is to assess the feasibility to carry out a full randomised controlled trial.Ethics and disseminationEthical approvals were obtained from the Institutional Ethics Committee of Public Health Foundation of India, Health Ministry’s Screening Committee, Odisha State Ethics Board and also from University College London Research Ethics Committee, UK. The study findings will be published in a peer-reviewed scientific journal.Trial registration numberCTRI/2019/05/019484.

scholarly journals Effect of mobile phone text message reminders on improving completeness and timeliness of routine childhood vaccinations in North-West, Ethiopia: a study protocol for randomised controlled trial

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e031254 ◽  
Author(s):  
Zeleke Abebaw Mekonnen ◽  
Binyam Tilahun ◽  
Kassahun Alemu ◽  
Martin Were
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Text Message ◽  
Routine Care ◽  
Childhood Vaccination ◽  
Continuous Growth ◽  
North West ◽  
North West Ethiopia ◽  
Randomised Controlled

IntroductionNon-attendance and delay in vaccination schedules remain a big challenge to healthcare workers. With the continuous growth of mobile network coverage and exponential penetration of mobile devices in the developing world, adoption of short message service has been shown to increase attendance for health services by targeting participant characteristics such as forgetfulness. Therefore, the aim of this trial is to determine the effect of mobile text message reminders on completeness and timeliness of childhood vaccination in North-West, Ethiopia.Methods and analysisA two-arm, parallel, superiority, randomised controlled trial study will be employed. The study arms are the intervention group (text message reminders plus routine care) and the control group (routine care only). Mother–infant pairs will be randomised to one of the groups during enrolment. The trial will consider a sample size of 434 mother–infant pairs with 1:1 allocation ratio. Mothers assigned to the intervention group will receive text message reminder 1 day before the scheduled vaccination visit at 6 weeks, 10 weeks, 14 weeks and at 9 months. Initially, descriptive statistics will be computed. For the primary outcome log-binomial regression model will be used to identify associated factors, and relative risk with 95% CI will be reported. Primarily, iIntention-to-treat analysis principle will be applied. STATA V.14 software will be used for the analysis.Ethics and disseminationThis study obtained ethical approval from the University of Gondar Institutional Ethical Review Board. The trial findings on the effectiveness of mobile text message reminders in improving vaccination uptake will help to inform decision makers on the use of mobile health interventions in developing countries like Ethiopia. The scientific findings of the trial will also be published in reputable journals.Trial registration numberPACTR201901533237287.

scholarly journals Country of birth, educational level and other predictors of seeking care due to decreased fetal movements: an observational study in Sweden using data from a cluster-randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e050621
Author(s):  
Ingela Radestad ◽  
Karin Pettersson ◽  
Helena Lindgren ◽  
Viktor Skokic ◽  
Anna Akselsson
Keyword(s):  
Randomised Controlled Trial ◽  
Educational Level ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Routine Care ◽  
Country Of Birth ◽  
Cluster Randomised ◽  
Fetal Movements ◽  
Randomised Controlled ◽  
Maternity Clinics

ObjectivesTo identify predictors of seeking care for decreased fetal movements and assess whether care-seeking behaviour is influenced by Mindfetalness.DesignObservational study with data from a cluster-randomised controlled trial.Setting67 maternity clinics and 6 obstetrical clinics in Sweden.ParticipantsAll pregnant women with a singleton pregnancy who contacted the obstetrical clinic due to decreased fetal movements from 32 weeks’ gestation of 39 865 women.MethodsData were collected from a cluster-randomised controlled trial where maternity clinics were randomised to Mindfetalness or routine care. Mindfetalness is a self-assessment method for women to use daily to become familiar with the unborn baby’s fetal movement pattern.Outcome measuresPredictors for contacting healthcare due to decreased fetal movements.ResultsOverall, 5.2% (n=2059) of women contacted healthcare due to decreased fetal movements, among which 1287 women (62.5%) were registered at a maternity clinic randomised to Mindfetalness and 772 women (37.5%) were randomised to routine care. Predictors for contacting healthcare due to decreased fetal movements were age, country of birth, educational level, parity, prolonged pregnancy and previous psychiatric care (p<0.001). The main differences were seen among women born in Africa as compared with Swedish-born women (2% vs 6%, relative risk (RR) 0.34, 95% CI 0.25 to 0.44) and among women with low educational level compared with women with university-level education (2% vs 5.4%, RR 0.36, 95% CI 0.19 to 0.62). Introducing Mindfetalness in maternity care increased the number of women seeking care due to decreased fetal movements overall.ConclusionWomen with country of birth outside Sweden and low educational level sought care for decreased fetal movements to a lesser extent compared with women born in Sweden and those with university degrees. Future research could explore whether pregnancy outcomes can be improved by motivating women in these groups to contact healthcare if they feel a decreased strength or frequency of fetal movements.Trial registration numberNCT02865759.

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