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7 May 2012

UK: The effectiveness of a web-based intervention following miscarriage

This article describes an external pilot study of a modified 'partially randomised patient preference' trial comparing a web-based intervention (designed to promote mental wellbeing) with standard care post-miscarriage. From BJOG.

Assessment comprised an online administration of baseline measures with follow-up at 3 months following registration. Baseline data were obtained from 60 women (and seven partners) post-discharge from one of two Early Pregnancy Assessment Units. ‘Intention to treat’ versus a ‘per protocol’ sensitivity analysis showed the effects of introducing a ‘preference’ option post-randomisation, and highlights the benefits compared with a randomised controlled trial design to enable a robust evaluation of the website in promoting mental wellbeing after miscarriage.

© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.

Aberdeen Centre for Trauma Research, Institute for Health and Welfare Research, Robert Gordon University, Aberdeen, UK.

Evaluating the effectiveness of a web-based intervention to promote mental wellbeing in women and partners following miscarriage, using a modified patient preference trial design: an external pilot. Klein S, Cumming GP, Lee AJ, Alexander DA, Bolsover D. BJOG. 2012 May;119(6):762-7. doi: 10.1111/j.1471-0528.2012.03302.x. Epub 2012 Mar 20