Evidence map›Paper›PMID 41964085›Full record

ArticlePilot and feasibility studies2026

Conversation cards for pregnancy: a protocol for a multi-method study.

Angela S Alberga, Vida Forouhar, Valentina Lurye, Kristi B Adamo, Susan Avery, Geoff D C Ball, Biagina-Carla Farnesi, Laura Gaudet, Taniya S Nagpal, Helena Piccinini-Vallis and 7 more

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Article in Pilot and feasibility studies, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Angela S AlbergaDepartment of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, QC, Canada. angela.alberga@concordia.ca.ORCID http://orcid.org/0000-0003-3858-9482
Vida ForouharDepartment of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, QC, Canada.
Valentina LuryeFaculty of Land and Food Systems, Nutrition and Health, University of British Columbia, Vancouver, BC, Canada.
Kristi B AdamoFaculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada.
Susan AveryFaculty of Medicine, Memorial University of Newfoundland, St. John's, NF, Canada.
Geoff D C BallDepartment of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Biagina-Carla FarnesiMcGill University Health Center, Montreal, QC, Canada.
Laura GaudetQueens University, Ottawa, ON, Canada.
Taniya S NagpalFaculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada.
Helena Piccinini-VallisDepartment of Family Medicine, Dalhousie University, Halifax, NS, Canada.
Ximena Ramos SalasDepartment of Psychology, Lund University, Lund, Sweden.
Ryan E RhodesSchool of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.
Michael VallisDepartment of Family Medicine, Dalhousie University, Halifax, NS, Canada.
Jocelynn CookThe Society of Obstetricians and Gynecologists of Canada, Ottawa, Canada.
Taryn M Graham, Toronto, ON, Canada.
Karah Stanworth-BellevilleÉquiLibre, Montreal, QC, Canada.
Tamara R CohenDepartment of Pediatrics, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.

Funding

Institute of Human Development, Child and Youth Health MRC 177443
6 · The paper itself

Abstract

backgroundConversations regarding health behaviours, mental health, and socioeconomic contexts are recommended during prenatal visits to optimize maternal and fetal health outcomes. This study was designed to develop and evaluate the acceptability of a clinical dialogue tool called Conversation Cards for Pregnancy (PregnancyCards for short). PregnancyCards are being designed as a practical, person-centered clinical dialogue tool to empower pregnant individuals to talk with their prenatal care providers about potentially sensitive topics regarding health behaviours that are important to them during their prenatal visits.

methodsThis two-step, 3-year, multi-method study, guided by the Obesity-Related Behavioural Interventions Trial (ORBIT) model, is grounded in the Capability, Opportunity, and Motivation (COM-B) framework for understanding behaviour. Pregnant individuals and prenatal care providers will be recruited by our partners from across Canada, in clinical and community settings. Step 1: Identify topics of interest related to health behaviours by conducting virtual semi-structured interviews with pregnant individuals (n ~ 20) and prenatal health care providers (n ~ 10-15) and by analyzing data using thematic analysis. Step 2: Topics generated in Step 1 will be used to create a prototype deck of PregnancyCards that will be evaluated in clinical settings with pregnant individuals (n ~ 40) to assess acceptability, appropriateness, and feasibility, and qualitative experiences of using the cards. Prenatal care providers (n ~ 15) will be recruited at one time point to capture their perceptions of usability, acceptability and likability of the prototype cards as well.

resultsCurrently, a total of 21 pregnant individuals and 14 prenatal care providers have already participated in Step 1 of this study. All participants (pregnant individuals and prenatal care providers) engaged in semi-structured interviews to determine the topics of interest related to health behaviours. Thematic analysis of interview data has been completed and the results informed the development of a prototype deck of PregnancyCards, which will be tested in Step 2. DISCUSSION: We seek to gain a better understanding of pregnant individuals' perceived needs for conversations related to health behaviours and provide insight into the acceptability, appropriateness, and feasibility of PregnancyCards in clinical settings. PregnancyCards has the potential to serve as a practical clinical dialogue tool to help empower pregnant individuals and optimize discussions about health behaviours that matter to them during pregnancy. The two studies outlined in this protocol paper will inform future research to test the efficacy and effectiveness of PregnancyCards as a behavioural intervention aimed at improving health behaviours in pregnancy.

Indexed as

CommunicationConversation cardsDialogue toolGestational weight gainHealth behavioursPregnancyPrenatal care providersPrenatal educationProtocol

Identifiers

PMID41964085
PMCPMC13188653

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.