Laken 1995.
Methods | 3‐arm, individually‐randomised RCT conducted in Detroit, USA; recruitment dates not reported. | |
Participants |
Sample size: 205 individuals. Inclusion criteria: low‐income women who entered prenatal care at a local clinic before 32 weeks' gestation and who delivered at a tertiary‐level hospital. Exclusion criteria: not reported. |
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Interventions |
Target: community (financial incentive intervention). Arm 1 (51 women): women received gift certificates for each prenatal appointment. Arm 2 (53 women): women received gift certificates and a chance to win in a $100 raffle. Arm 2 (101 women): no financial incentive. Women in all 3 groups were offered $10 for the postnatal interview. |
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Outcomes |
Triap Primary Outcome: kept appointments for antenatal care and postpartum care Review outcomes reported: Primary: ANC coverage (at least 4 visits). Secondary: maternal mortality, health facility deliveries, perinatal mortality. Follow‐up: 6‐8 weeks postpartum. |
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Notes |
Funders: Michigan Health Care Education and Research Foundation. Authors provided unpublished data for coverage, mortality and health facility deliveries by email on 16/1/15. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | "random numbers were used" for group assignment. |
Allocation concealment (selection bias) | Unclear risk | Not described. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Clinic staff members were blind to assignment, but women would have been aware of their own assignment. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported. |
Recruitment bias (for cluster RCTs) | Low risk | Not applicable. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Missing data < 20% for birth outcomes (low risk) but high loss to follow‐up at the postnatal interview (45%). |
Selective reporting (reporting bias) | Unclear risk | Relevant outcomes reported, but insufficient data provided. |
Analysis bias | Unclear risk | Methods not reported in sufficient detail. |
Other bias | Unclear risk | Insufficient information to make a judgement. |
Overall risk assessment | Unclear risk | Insufficient information to make a judgement. |