Cross-over trial comparing maternal acceptance of two fetal movement charts

Objective: To compare two daily fetal movement charting techniques to determine which chart was preferred by patients and which promoted more patient adherence. Methods: This randomized trial included patients with singleton gestations between 28 and 34 weeks' gestation, with intact membranes a...

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Veröffentlicht in:The journal of maternal-fetal & neonatal medicine 2003-08, Vol.14 (2), p.118-122
Hauptverfasser: Christensen, F. C., Olson, K., Rayburn, W. F.
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container_title The journal of maternal-fetal & neonatal medicine
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creator Christensen, F. C.
Olson, K.
Rayburn, W. F.
description Objective: To compare two daily fetal movement charting techniques to determine which chart was preferred by patients and which promoted more patient adherence. Methods: This randomized trial included patients with singleton gestations between 28 and 34 weeks' gestation, with intact membranes and not in labor. Consenting women were given a Hollister® chart and a 'count to 10' chart in a cross-over manner over two consecutive 1-week periods. Each patient answered a questionnaire establishing which chart was preferred. All returned charts were evaluated for patient adherence. Data were analyzed using either the Yates-corrected χ2 test or Fisher's exact test when appropriate. Results: Forty patients agreed to participate, and 31 completed and returned both charts. The 'count to 10' chart was clearly preferred over the Hollister chart (29 vs. 2; p = 0.002) because of the shorter recording period (median 23 min vs. 1 h; p < 0.01). The proportion of patients who fully completed the 'count to 10' chart during the week was significantly higher than the proportion completing the Hollister chart (68% vs. 26%; p < 0.001). Conclusion: The 'count to 10' fetal movement chart was clearly preferred and promoted a higher level of adherence.
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C. ; Olson, K. ; Rayburn, W. F.</creator><creatorcontrib>Christensen, F. C. ; Olson, K. ; Rayburn, W. F.</creatorcontrib><description>Objective: To compare two daily fetal movement charting techniques to determine which chart was preferred by patients and which promoted more patient adherence. Methods: This randomized trial included patients with singleton gestations between 28 and 34 weeks' gestation, with intact membranes and not in labor. Consenting women were given a Hollister® chart and a 'count to 10' chart in a cross-over manner over two consecutive 1-week periods. Each patient answered a questionnaire establishing which chart was preferred. All returned charts were evaluated for patient adherence. Data were analyzed using either the Yates-corrected χ2 test or Fisher's exact test when appropriate. Results: Forty patients agreed to participate, and 31 completed and returned both charts. The 'count to 10' chart was clearly preferred over the Hollister chart (29 vs. 2; p = 0.002) because of the shorter recording period (median 23 min vs. 1 h; p &lt; 0.01). The proportion of patients who fully completed the 'count to 10' chart during the week was significantly higher than the proportion completing the Hollister chart (68% vs. 26%; p &lt; 0.001). 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C.</creatorcontrib><creatorcontrib>Olson, K.</creatorcontrib><creatorcontrib>Rayburn, W. F.</creatorcontrib><title>Cross-over trial comparing maternal acceptance of two fetal movement charts</title><title>The journal of maternal-fetal &amp; neonatal medicine</title><addtitle>J Matern Fetal Neonatal Med</addtitle><description>Objective: To compare two daily fetal movement charting techniques to determine which chart was preferred by patients and which promoted more patient adherence. Methods: This randomized trial included patients with singleton gestations between 28 and 34 weeks' gestation, with intact membranes and not in labor. Consenting women were given a Hollister® chart and a 'count to 10' chart in a cross-over manner over two consecutive 1-week periods. Each patient answered a questionnaire establishing which chart was preferred. All returned charts were evaluated for patient adherence. Data were analyzed using either the Yates-corrected χ2 test or Fisher's exact test when appropriate. Results: Forty patients agreed to participate, and 31 completed and returned both charts. The 'count to 10' chart was clearly preferred over the Hollister chart (29 vs. 2; p = 0.002) because of the shorter recording period (median 23 min vs. 1 h; p &lt; 0.01). The proportion of patients who fully completed the 'count to 10' chart during the week was significantly higher than the proportion completing the Hollister chart (68% vs. 26%; p &lt; 0.001). Conclusion: The 'count to 10' fetal movement chart was clearly preferred and promoted a higher level of adherence.</description><subject>Adult</subject><subject>Antenatal Testing</subject><subject>Cross-Over Studies</subject><subject>Documentation - methods</subject><subject>Female</subject><subject>Fetal Monitoring - methods</subject><subject>Fetal Movement</subject><subject>Fetal Movement Chart</subject><subject>Fetal Surveillance</subject><subject>Humans</subject><subject>Medical Records</subject><subject>New Mexico</subject><subject>Patient Compliance</subject><subject>Patient Satisfaction</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, Third</subject><subject>Surveys and Questionnaires</subject><issn>1476-7058</issn><issn>1476-4954</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kEtrGzEURkVpaR7tPqswZNHdTK9e1qhZFZNHaaCb7IWsuarHjEauJDfk31fGhtBCupK4Ot_H1SHkgkJHoYfPm-A7KjrWUdp3lLE35JQKtWiFluLt8a5A9ifkLOcNAKMC5HtyQsWCadD8lHxfpphzG39jakoa7dS4GLY2jfPPJtiCaa4j6xxui50dNtE35Sk2HkudhxoLOJfGrW0q-QN55-2U8ePxPCePtzePy_v24cfdt-XXh9ZxAaUV1jGlvQM_KKV7JbV2g3LY0_rONFs5gX6hQHEEGAaQgxRyQFghSic1PyefDrXbFH_tMBcTxuxwmuyMcZeNorznWuzBq3_ATdztP5QNA8oZpwtWIThAbi8ioTfbNAabng0Fs5dsqmRDhWGmSjZVco1cHnt3q4DDS-BotQLXB2CcfUzBPsU0DabY5ykmn6rHMRv-n_ovf6XXaKeydjbhy_6vhv8AKx-f3Q</recordid><startdate>20030801</startdate><enddate>20030801</enddate><creator>Christensen, F. 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source MEDLINE; Taylor & Francis Journals Complete
subjects Adult
Antenatal Testing
Cross-Over Studies
Documentation - methods
Female
Fetal Monitoring - methods
Fetal Movement
Fetal Movement Chart
Fetal Surveillance
Humans
Medical Records
New Mexico
Patient Compliance
Patient Satisfaction
Pregnancy
Pregnancy Trimester, Third
Surveys and Questionnaires
title Cross-over trial comparing maternal acceptance of two fetal movement charts
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