The odds of receiving each component of developmentally oriented care was 4 to 20 times greater among
intervention than control families (Table 3).
For mothers with depressive symptoms, those who needed help with sadness, or those for whom activities were restricted due to anxiety or depression, a larger percentage of
intervention than control mothers discussed sadness with someone in the practice.
Overall, greater percentages of
intervention than control families reported receiving effective, patient - centered, timely, and efficient care (Table 2).
Figures 2 — 4 show the plotted change over time in mean scores for the outcome measures that showed a significantly greater change in
the intervention than control group at either 6 or 12 months: ECBI intensity scale, SDQ conduct subscale, and GHQ depression scale.
Our observation that the improvement in both the ECBI intensity score, a measure based primarily on problem behaviours, and the SDQ (conduct) scores was significantly greater in
the intervention than the control group provides confidence that the intervention was effective, at least as far as these aspects of children's mental health was concerned.
Results Fewer students receiving full
intervention than control students reported violent delinquent acts (48.3 % vs 59.7 %;P =.04), heavy drinking (15.4 % vs 25.6 %; P =.04), sexual intercourse (72.1 % vs 83.0 %; P =.02), having multiple sex partners (49.7 % vs 61.5 %; P =.04), and pregnancy or causing pregnancy (17.1 % vs 26.4 %; P =.06) by age 18 years.
The predicted probability of identifying Tooth Fracture / Attrition / Abrasion is 34 % higher in
the intervention than control group (95 % CI: 7 % to 62 %).
The predicted probability of identifying recessions is 83 % higher in
the intervention than control group (95 % CI: 65 % to 98 %);
The predicted probability of identifying furcations is 52 % higher in
the intervention than control group (95 % CI 27 % to 77 %);
Because mean child IQ scores at age 6.5 years, verbal IQ scores in particular, were higher among children in
the intervention than the control group, 16 we might expect that socioeconomic inequalities in child IQ would be widened in the intervention group, owing to the increase in observed inequalities in breastfeeding.
Not exact matches
We wanted to have
control over the parts of the birth process you can have
control over, like avoiding routine
interventions, knowing all the attendants, being comfortable in our surroundings, and making choices ourselves rather
than having doctors or nurses make choices for us.
• A
controlled trial of a brief (one postpartum session) group
intervention with mothers and fathers, addressing infant behaviour and couple - relationship management, found dramatically lower instances of depression / anxiety among women who had attended the couples - group - session
than among those who had met with a health visitor at home (Fisher et al, 2010).
One is fear based, often absurd, seeing pregnancy as illness, believing that
interventions make benefit greater
than risk and using safety as a canard for
control.
But this doesn't make sense for everything we do in health care, and we know the information we get from randomized
controlled trials doesn't always translate well to real life because 1) the restrictions we put on eligibility for studies rarely allows the results to be generalized to the population as a whole and 2) Adherence to the
intervention tends to be higher in a randomized
controlled trial
than in real life which makes the effect seem «better»
than it is.
Mothers in the
intervention group (77 %) reported enjoying breastfeeding more
than mothers in the
control group (69 %) whose partner did not receive the antenatal education session
intervention.
Despite the widened socioeconomic inequalities by the
intervention in rates of prolonged exclusive and any breastfeeding, breastfeeding rates were even higher among mothers with the lowest education (secondary school or less) in the
intervention group
than they were among mothers who completed university in the
control group.
Verbal IQ deficits among children of mothers with lower education compared with those who completed university were somewhat smaller in the
intervention group
than in the
control group: 5.2 (95 % CI: 3.1, 7.3) vs 6.5 (95 % CI: 5.6, 7.4) points deficit among mothers with partial university education and 10.7 (95 % CI: 8.4, 12.9) vs 11.7 (95 % CI: 10.2, 13.2) points among those with secondary education or less.
No socioeconomic inequalities were observed in the
control group, whereas a small gradient was seen in the
intervention group (RD = 0.06, 95 % CI: 0.03, 0.09 for mothers with partial university education; RD = 0.10, 95 % CI: 0.06, 0.14 for mothers with no more
than secondary education).
Mean verbal IQ scores of children in the lowest maternal education category in the
intervention were also substantially higher
than those of their counterparts in the
control group.
«It is crucial that we have more randomized
controlled trials on
interventions to increase breastfeeding rather
than relying on heavily confounded observational studies or biased expert opinion.»
Rather
than heralding this life - saving medical
intervention as progress, she says, «Hospitals tend to turn birth into an organised, sanitised affair over which the professionals, rather
than mothers have
control.»
In the study by Merewood et al. (27), the rate of any breastfeeding at 12 wk PP was considerably higher in the
intervention group
than in
controls (OR: 2.81, 95 % CI: 1.11 — 7.14; P = 0.03).
Given the desirability of breastfeeding, it is possible that women in the
intervention group felt more guilty about discontinuing breastfeeding
than control women because of relationships developed with the peer counselor, and thus, they did not answer telephone calls when the research assistant called to ascertain feeding status.
The
intervention tested by Bonuck et al. (31) yielded impressive results with significantly higher rates of any breastfeeding through 20 wk PP, with the exception of week 18 (53 vs. 39 %, P < 0.05) and greater breastfeeding intensity (defined as more
than half of feedings derived from breast milk in this study) through 9 wk (46 vs. 33 %, P < 0.05) in the
intervention (vs.
control) group.
At 4 wk PP, the
intervention group had a significantly higher rate of exclusive breastfeeding
than controls (based on 24 - h recall).
Regardless of outcomes,
interventions used, or paths taken, will a woman who feels in
control of her birth choices go on to take more
control of other areas of her life
than a women who choices a passive role?
At 4 months of age, based on since birth recall, the breastfeeding proportion was significantly higher in the
intervention group
than in
control group (20.6 % in the
intervention group vs. 11.3 % in the
control group, p < 0.01).
In support of these themes, Wolfberg et al. found that breastfeeding initiation rates were higher (74 %) when fathers attended a two hour prenatal
intervention than in a
control group (41 %)[43].
Demographics: 57 % male children; 60 % of
intervention and 52 % of
control mothers had less
than 8 years schooling; 73 % of
intervention and 67 % of
controls had low annual incomes (< USD 3000); 34 % of mothers were not in paid work; 70 % of children were living with mother and father; almost half of the mothers were overweight
Potential confounders: women were excluded from
intervention group following randomisation if they had received fewer
than 2 prenatal lactation consultations; ITT analysis not performed (8 women in
control group who met LC excluded);
intervention included input by staff caring for both
intervention and
control groups.
However, writes Andreas T. Schmidt (University of Groningen), within an environment where private companies frequently adopt nudge strategies, public policy nudges need not have greater implications for democracy and transparency
than other forms of government
intervention, and can be one tool in exerting democratic
control over private sector nudge tactics.
All five of the experimental
interventions worked better
than the
control, in which the participant simply wrote down a different early childhood memory each night for a week.
Despite the
intervention's brevity, the black children who received the affirmative assignment scored one fourth to one third of a grade point higher in that course
than the black
control group at the end of the term, and the difference showed up in other classes, too.
This means younger people with diabetes are more at risk of microvascular complications since they are more likely to have diabetes for longer over their lifetimes
than those diagnosed at an older age, and should be targeted for more intensive
interventions to help
control their blood sugar.
«The shift in assertiveness is small — HEART participants were 5 percent more assertive
than the
control group — but one of the key findings here is that a short, one - time
intervention can have a measureable impact on behavior,» Widman says.
Although randomized
control trials can tell researchers whether an
intervention has worked on average, they can't explain why certain programs work better
than others under different conditions, he says.
One year after completing the
intervention, women in the EAAA program experienced 46 % fewer completed rapes and 63 % fewer attempted rapes
than women in the
control group.
After one month, participants in the
intervention group sat down for 71 minutes less in an 8 hour work day
than the
control group.
Rates of testing were 45 percent higher in
intervention communities
than in
control communities, especially among men and young people.
English language learners who participated in the
intervention also scored significantly higher in math
than their peers in the
control group.
A second study, which was another joint effort by UW and UCSF, randomized more
than 600 people across the United States assessed as moderately or mildly depressed to one of three
interventions: Akili's Project: EVO; iPST, an app deployment of problem - solving therapy; or a placebo
control (an app called Health Tips, which offered healthy suggestions).
In the lifestyle
intervention group, however, hs - TnI levels remained significantly higher
than in the
control group (2.15 vs 0.90 ng / L, p = 0.003).
The number diagnosed with prostate cancer was higher in the
intervention group (n = 8054; 4.3 %)
than in the
control group (n = 7853; 3.6 %)(RR, 1.19 [95 % CI, 1.14 to 1.25]; P <.001).
More prostate cancer tumors with a Gleason grade of 6 or lower were identified in the
intervention group (n = 3263/189 386 [1.7 %]-RRB-
than in the
control group (n = 2440/219 439 [1.1 %]-RRB-(difference per 1000 men, 6.11 [95 % CI, 5.38 to 6.84]; P <.001).
Husbands in the
intervention group had significantly lower post treatment 24 - hour systolic blood pressure
than the
control group.
Investigators plan to enroll more
than 250 individuals in this randomized
controlled trial of this cognitive - behavioral
intervention.
Some important studies include: • Beneficial effects of a high carbohydrate, high fiber diet on hyperglycemic diabetic men (1976) • Response of non-insulin-dependent diabetic patients to an intensive program of diet and exercise (1982) • Diet and exercise in the treatment of NIDDM: The need for early emphasis (1994) • Toward improved management of NIDDM: A randomized,
controlled, pilot
intervention using a low fat, vegetarian diet (1999) • The effects of a low - fat, plant - based dietary
intervention on body weight, metabolism, and insulin sensitivity (2005) • A low - fat vegan diet improves glycemic
control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes (2006) • A low - fat vegan diet and a conventional diabetes diet in the treatment of type 2 diabetes: a randomized,
controlled, 74 - wk clinical trial (2009) • Vegetarian diet improves insulin resistance and oxidative stress markers more
than conventional diet in subjects with Type 2 diabetes (2011) • Glycemic and cardiovascular parameters improved in type 2 diabetes with the high nutrient density (HND) diet (2012)
A positive relative percent difference means that the score improved more in the
intervention group
than in the
control group.
The guidelines state «Low GI diets are associated with less frequent insulin use and lower birth weight
than in
control diets, suggesting that it is the most appropriate dietary
intervention to be prescribed to patients with GDM.»
After 1 week of
intervention, the positive feelings were significantly greater
than the
control group (
intervention = +48,
control = +15; Figure 3A)(p = 0.00, 95 % CI: − 1.14 to − 4.97, r = 0.10).