Implementation and Effects of Risk-Dependent Obstetric Care in the Netherlands (Expect Study II): Protocol for an Impact Study

Pim van Montfort; Jessica P. P. M. Willemse; Carmen D. Dirksen; Ivo M. A. van Dooren; Linda J. E. Meertens; Marc E. A. Spaanderman; Maartje Zelis; Iris M. Zwaan; Hubertina C. J. Scheepers; Luc J. M. Smits

doi:10.2196/10066

Implementation and Effects of Risk-Dependent Obstetric Care in the Netherlands (Expect Study II): Protocol for an Impact Study

Pim van Montfort^*, Jessica P. P. M. Willemse, Carmen D. Dirksen, Ivo M. A. van Dooren, Linda J. E. Meertens, Marc E. A. Spaanderman, Maartje Zelis, Iris M. Zwaan, Hubertina C. J. Scheepers, Luc J. M. Smits

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Recently, validated risk models predicting adverse obstetric outcomes combined with risk-dependent care paths have been made available for early antenatal care in the southeastern part of the Netherlands. This study will evaluate implementation progress and impact of the new approach in obstetric care.

OBJECTIVE: The objective of this paper is to describe the design of a study evaluating the impact of implementing risk-dependent care. Validated first-trimester prediction models are embedded in daily clinical practice and combined with risk-dependent obstetric care paths.

METHODS: A multicenter prospective cohort study consisting of women who receive risk-dependent care is being performed from April 2017 to April 2018 (Expect Study II). Obstetric risk profiles will be calculated using a Web-based tool, the Expect prediction tool. The primary outcomes are the adherence of health care professionals and compliance of women. Secondary outcomes are patient satisfaction and cost-effectiveness. Outcome measures will be established using Web-based questionnaires. The secondary outcomes of the risk-dependent care cohort (Expect II) will be compared with the outcomes of a similar prospective cohort (Expect I). Women of this similar cohort received former care-as-usual and were prospectively included between July 1, 2013 and December 31, 2015 (Expect I).

RESULTS: Currently, women are being recruited for the Expect Study II, and a total of 300 women are enrolled.

CONCLUSIONS: This study will provide information about the implementation and impact of a new approach in obstetric care using prediction models and risk-dependent obstetric care paths.

TRIAL REGISTRATION: Netherlands Trial Register NTR4143; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4143 (Archived by WebCite at http://www.webcitation.org/6t8ijtpd9).

Original language	English
Article number	10066
Number of pages	9
Journal	JMIR Research Protocols
Volume	7
Issue number	5
DOIs	https://doi.org/10.2196/10066
Publication status	Published - 4 May 2018

Keywords

cohort study
pregnancy
decision support techniques
prediction model
implementation
prevention
pre-eclampsia
gestational diabetes mellitus
QUALITY-OF-LIFE
EXTERNAL VALIDATION
PRETERM BIRTH
PREGNANCY
QUESTIONNAIRES
PREECLAMPSIA
METAANALYSIS
ASPIRIN
HEALTH
WOMEN

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Cite this

van Montfort, P., Willemse, J. P. P. M., Dirksen, C. D., van Dooren, I. M. A., Meertens, L. J. E., Spaanderman, M. E. A., Zelis, M., Zwaan, I. M., Scheepers, H. C. J., & Smits, L. J. M. (2018). Implementation and Effects of Risk-Dependent Obstetric Care in the Netherlands (Expect Study II): Protocol for an Impact Study. JMIR Research Protocols, 7(5), Article 10066. https://doi.org/10.2196/10066

@article{04d44c624b244fad9195389d516068e6,

title = "Implementation and Effects of Risk-Dependent Obstetric Care in the Netherlands (Expect Study II): Protocol for an Impact Study",

abstract = "BACKGROUND: Recently, validated risk models predicting adverse obstetric outcomes combined with risk-dependent care paths have been made available for early antenatal care in the southeastern part of the Netherlands. This study will evaluate implementation progress and impact of the new approach in obstetric care.OBJECTIVE: The objective of this paper is to describe the design of a study evaluating the impact of implementing risk-dependent care. Validated first-trimester prediction models are embedded in daily clinical practice and combined with risk-dependent obstetric care paths.METHODS: A multicenter prospective cohort study consisting of women who receive risk-dependent care is being performed from April 2017 to April 2018 (Expect Study II). Obstetric risk profiles will be calculated using a Web-based tool, the Expect prediction tool. The primary outcomes are the adherence of health care professionals and compliance of women. Secondary outcomes are patient satisfaction and cost-effectiveness. Outcome measures will be established using Web-based questionnaires. The secondary outcomes of the risk-dependent care cohort (Expect II) will be compared with the outcomes of a similar prospective cohort (Expect I). Women of this similar cohort received former care-as-usual and were prospectively included between July 1, 2013 and December 31, 2015 (Expect I).RESULTS: Currently, women are being recruited for the Expect Study II, and a total of 300 women are enrolled.CONCLUSIONS: This study will provide information about the implementation and impact of a new approach in obstetric care using prediction models and risk-dependent obstetric care paths.TRIAL REGISTRATION: Netherlands Trial Register NTR4143; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4143 (Archived by WebCite at http://www.webcitation.org/6t8ijtpd9).",

keywords = "cohort study, pregnancy, decision support techniques, prediction model, implementation, prevention, pre-eclampsia, gestational diabetes mellitus, QUALITY-OF-LIFE, EXTERNAL VALIDATION, PRETERM BIRTH, PREGNANCY, QUESTIONNAIRES, PREECLAMPSIA, METAANALYSIS, ASPIRIN, HEALTH, WOMEN",

author = "{van Montfort}, Pim and Willemse, {Jessica P. P. M.} and Dirksen, {Carmen D.} and {van Dooren}, {Ivo M. A.} and Meertens, {Linda J. E.} and Spaanderman, {Marc E. A.} and Maartje Zelis and Zwaan, {Iris M.} and Scheepers, {Hubertina C. J.} and Smits, {Luc J. M.}",

year = "2018",

month = may,

day = "4",

doi = "10.2196/10066",

language = "English",

volume = "7",

journal = "JMIR Research Protocols",

issn = "1929-0748",

publisher = "JMIR Publications Inc.",

number = "5",

}

TY - JOUR

T1 - Implementation and Effects of Risk-Dependent Obstetric Care in the Netherlands (Expect Study II)

T2 - Protocol for an Impact Study

AU - van Montfort, Pim

AU - Willemse, Jessica P. P. M.

AU - Dirksen, Carmen D.

AU - van Dooren, Ivo M. A.

AU - Meertens, Linda J. E.

AU - Spaanderman, Marc E. A.

AU - Zelis, Maartje

AU - Zwaan, Iris M.

AU - Scheepers, Hubertina C. J.

AU - Smits, Luc J. M.

PY - 2018/5/4

Y1 - 2018/5/4

N2 - BACKGROUND: Recently, validated risk models predicting adverse obstetric outcomes combined with risk-dependent care paths have been made available for early antenatal care in the southeastern part of the Netherlands. This study will evaluate implementation progress and impact of the new approach in obstetric care.OBJECTIVE: The objective of this paper is to describe the design of a study evaluating the impact of implementing risk-dependent care. Validated first-trimester prediction models are embedded in daily clinical practice and combined with risk-dependent obstetric care paths.METHODS: A multicenter prospective cohort study consisting of women who receive risk-dependent care is being performed from April 2017 to April 2018 (Expect Study II). Obstetric risk profiles will be calculated using a Web-based tool, the Expect prediction tool. The primary outcomes are the adherence of health care professionals and compliance of women. Secondary outcomes are patient satisfaction and cost-effectiveness. Outcome measures will be established using Web-based questionnaires. The secondary outcomes of the risk-dependent care cohort (Expect II) will be compared with the outcomes of a similar prospective cohort (Expect I). Women of this similar cohort received former care-as-usual and were prospectively included between July 1, 2013 and December 31, 2015 (Expect I).RESULTS: Currently, women are being recruited for the Expect Study II, and a total of 300 women are enrolled.CONCLUSIONS: This study will provide information about the implementation and impact of a new approach in obstetric care using prediction models and risk-dependent obstetric care paths.TRIAL REGISTRATION: Netherlands Trial Register NTR4143; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4143 (Archived by WebCite at http://www.webcitation.org/6t8ijtpd9).

AB - BACKGROUND: Recently, validated risk models predicting adverse obstetric outcomes combined with risk-dependent care paths have been made available for early antenatal care in the southeastern part of the Netherlands. This study will evaluate implementation progress and impact of the new approach in obstetric care.OBJECTIVE: The objective of this paper is to describe the design of a study evaluating the impact of implementing risk-dependent care. Validated first-trimester prediction models are embedded in daily clinical practice and combined with risk-dependent obstetric care paths.METHODS: A multicenter prospective cohort study consisting of women who receive risk-dependent care is being performed from April 2017 to April 2018 (Expect Study II). Obstetric risk profiles will be calculated using a Web-based tool, the Expect prediction tool. The primary outcomes are the adherence of health care professionals and compliance of women. Secondary outcomes are patient satisfaction and cost-effectiveness. Outcome measures will be established using Web-based questionnaires. The secondary outcomes of the risk-dependent care cohort (Expect II) will be compared with the outcomes of a similar prospective cohort (Expect I). Women of this similar cohort received former care-as-usual and were prospectively included between July 1, 2013 and December 31, 2015 (Expect I).RESULTS: Currently, women are being recruited for the Expect Study II, and a total of 300 women are enrolled.CONCLUSIONS: This study will provide information about the implementation and impact of a new approach in obstetric care using prediction models and risk-dependent obstetric care paths.TRIAL REGISTRATION: Netherlands Trial Register NTR4143; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4143 (Archived by WebCite at http://www.webcitation.org/6t8ijtpd9).

KW - cohort study

KW - pregnancy

KW - decision support techniques

KW - prediction model

KW - implementation

KW - prevention

KW - pre-eclampsia

KW - gestational diabetes mellitus

KW - QUALITY-OF-LIFE

KW - EXTERNAL VALIDATION

KW - PRETERM BIRTH

KW - PREGNANCY

KW - QUESTIONNAIRES

KW - PREECLAMPSIA

KW - METAANALYSIS

KW - ASPIRIN

KW - HEALTH

KW - WOMEN

U2 - 10.2196/10066

DO - 10.2196/10066

M3 - Article

SN - 1929-0748

VL - 7

JO - JMIR Research Protocols

JF - JMIR Research Protocols

IS - 5

M1 - 10066

ER -