{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T14:31:21Z","timestamp":1793716281568,"version":"4.6.1"},"reference-count":39,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100009324","name":"Tommy&apos;s","doi-asserted-by":"publisher","award":["1060508"],"award-info":[{"award-number":["1060508"]}],"id":[{"id":"10.13039\/501100009324","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000380","name":"Guy&apos;s and St Thomas&apos; Charity","doi-asserted-by":"publisher","award":["1160316"],"award-info":[{"award-number":["1160316"]}],"id":[{"id":"10.13039\/501100000380","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014461","name":"NIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust\/Institute of Cancer Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014461","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000764","name":"King&apos;s College London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000764","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014653","name":"Manchester Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015091","name":"NIHR Collaboration for Leadership in Applied Health Research and Care South London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100015091","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004941","name":"Guy&apos;s and St Thomas&apos; NHS Foundation Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004941","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Midwifery"],"published-print":{"date-parts":[[2021,1]]},"DOI":"10.1016\/j.midw.2020.102864","type":"journal-article","created":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T01:12:43Z","timestamp":1603156363000},"page":"102864","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"special_numbering":"C","title":["Impact of a medical mobile phone app (QUiPP) for predicting preterm birth on the anxiety and decisional conflicts faced by women in threatened preterm labour"],"prefix":"10.1016","volume":"92","author":[{"given":"N.","family":"Carlisle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.A.","family":"Watson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.T.","family":"Seed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Carter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Kuhrt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.M.","family":"Tribe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.H.","family":"Shennan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.midw.2020.102864_bib0001","first-page":"122","article-title":"Evaluation of a quantitative fetal fibronectin test for spontaneous preterm birth in symptomatic women","volume":"208","author":"Abbott","year":"2013"},{"issue":"12","key":"10.1016\/j.midw.2020.102864_bib0002","first-page":"18","article-title":"Communication skills 1: benefits of effective communication for patients","volume":"113","author":"Ali","year":"2017","journal-title":"Nursing Times"},{"key":"10.1016\/j.midw.2020.102864_bib0003","first-page":"15","article-title":"The Effect of Music on Postoperative Pain and Anxiety","volume":"11","author":"Allred","year":"2010"},{"key":"10.1016\/j.midw.2020.102864_bib0004","series-title":"BJOG: An International Journal of Obstetrics & Gynaecology","article-title":"Quantitative fetal fibronectin testing in combination with cervical length measurement in the prediction of spontaneous preterm delivery in symptomatic women","author":"Bruijn","year":"2015"},{"key":"10.1016\/j.midw.2020.102864_bib0005","doi-asserted-by":"crossref","DOI":"10.1016\/j.midw.2018.06.001","article-title":"Threatened preterm labour: Women's experiences of risk and care management: A qualitative study","author":"Carter","year":"2018","journal-title":"Midwifery"},{"key":"10.1016\/j.midw.2020.102864_bib0006","article-title":"Development and validation of prediction models for the QUiPP App v.2: a tool for predicting preterm birth in women with symptoms of threatened preterm labor","volume":"0","author":"Carter","year":"2019"},{"key":"10.1016\/j.midw.2020.102864_bib0007","doi-asserted-by":"crossref","first-page":"j2224","DOI":"10.1136\/bmj.j2224","article-title":"Montgomery and informed consent: where are we now?","volume":"357","author":"Chan","year":"2017","journal-title":"BMJ"},{"key":"10.1016\/j.midw.2020.102864_bib0008","doi-asserted-by":"crossref","DOI":"10.1016\/j.neubiorev.2011.07.005","article-title":"Psychoneuroimmunology in pregnancy: Immune pathways linking stress with maternal health, adverse birth outcomes, and fetal development","author":"Christian","year":"2012","journal-title":"Neuroscience and Biobehavioral Reviews"},{"issue":"3","key":"10.1016\/j.midw.2020.102864_bib0009","doi-asserted-by":"crossref","first-page":"233.e1","DOI":"10.1016\/j.ajog.2012.12.015","article-title":"Improving the screening accuracy for preterm labor: is the combination of fetal fibronectin and cervical length in symptomatic patients a useful predictor of preterm birth? A systematic review","volume":"208","author":"DeFranco","year":"2013","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"10.1016\/j.midw.2020.102864_bib0010","unstructured":"Department of Health (2017) Safer Maternity Care - The National Maternity Safety Strategy - Progress and Next Steps. Available at: http:\/\/www.euro.who.int\/__data\/assets\/pdf_file\/0004\/277735\/Born-too-soon_preterm-birth-in-Europe-trends,-causes-and-prevention.pdf?ua=1."},{"issue":"1","key":"10.1016\/j.midw.2020.102864_bib0011","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1186\/s12884-016-0906-z","article-title":"Measuring the course of anxiety in women giving birth by caesarean section: a prospective study","volume":"16","author":"Hepp","year":"2016","journal-title":"BMC Pregnancy and Childbirth"},{"key":"10.1016\/j.midw.2020.102864_bib0012","doi-asserted-by":"crossref","DOI":"10.1097\/PEC.0b013e31818ea04c","article-title":"Emergency department waiting room stress: Can music or aromatherapy improve anxiety scores?","author":"Holm","year":"2008","journal-title":"Pediatric Emergency Care"},{"key":"10.1016\/j.midw.2020.102864_bib0013","first-page":"339","article-title":"The Visual Analogue Scale for Anxiety: A Validation Study","volume":"10","author":"Hornblow","year":"1976"},{"key":"10.1016\/j.midw.2020.102864_bib0014","first-page":"250","article-title":"Frequency of Uterine Contractions and the Risk of Spontaneous Preterm Delivery","volume":"346","author":"Iams","year":"2002"},{"issue":"1","key":"10.1016\/j.midw.2020.102864_bib0015","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/1472-6947-13-50","article-title":"Development and validation of the Japanese version of the Decisional Conflict Scale to investigate the value of pharmacists\u2019 information: a before and after study","volume":"13","author":"Kawaguchi","year":"2013","journal-title":"BMC Medical Informatics and Decision Making"},{"key":"10.1016\/j.midw.2020.102864_bib0016","first-page":"297","article-title":"Validation of the Decisional Conflict Scale for Evaluating Advance Care Decision Conflict in Community-dwelling Older Adults","volume":"11","author":"Kim","year":"2017"},{"issue":"1","key":"10.1016\/j.midw.2020.102864_bib0017","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1002\/uog.14865","article-title":"Development and validation of a tool incorporating cervical length and quantitative fetal fibronectin to predict spontaneous preterm birth in asymptomatic high-risk women","volume":"47","author":"Kuhrt","year":"2016","journal-title":"Ultrasound in Obstetrics and Gynecology"},{"key":"10.1016\/j.midw.2020.102864_bib0018","doi-asserted-by":"crossref","DOI":"10.1016\/j.jmwh.2008.08.001","article-title":"The Interaction Between Chronic Stress and Pregnancy: Preterm Birth from A Biobehavioral Perspective","author":"Latendresse","year":"2009","journal-title":"Journal of Midwifery and Women's Health"},{"key":"10.1016\/j.midw.2020.102864_bib0019","doi-asserted-by":"crossref","DOI":"10.1016\/S0140-6736(16)31593-8","article-title":"Global, regional, and national causes of under-5 mortality in 2000\u201315: an updated systematic analysis with implications for the Sustainable Development Goals","author":"Liu","year":"2016","journal-title":"The Lancet"},{"key":"10.1016\/j.midw.2020.102864_bib0020","doi-asserted-by":"crossref","DOI":"10.1016\/j.jemermed.2011.06.138","article-title":"Impact of visual art on patient behavior in the emergency department waiting room","author":"Nanda","year":"2012","journal-title":"Journal of Emergency Medicine"},{"key":"10.1016\/j.midw.2020.102864_bib0021","series-title":"z NHS Long Term Plan\u00a0\u00bb Overview and summary","year":"2019"},{"key":"10.1016\/j.midw.2020.102864_bib0022","series-title":"National Institute for Health and Care Excellence","article-title":"Preterm Labour and Birth","year":"2015"},{"key":"10.1016\/j.midw.2020.102864_bib0023","first-page":"25","article-title":"Validation of a Decisional Conflict Scale","volume":"15","author":"O'Connor","year":"1995"},{"key":"10.1016\/j.midw.2020.102864_bib0024","unstructured":"Office for National Statistics (2018) \u2018Regional ethnic diversity\u2019. Available at: https:\/\/www.ethnicity-facts-figures.service.gov.uk\/uk-population-by-ethnicity\/national-and-regional-populations\/regional-ethnic-diversity\/latest."},{"key":"10.1016\/j.midw.2020.102864_bib0025","unstructured":"Office for National Statistics (2019) Birth characteristics in England and Wales: 2018. Available at: https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/livebirths\/datasets\/birthcharacteristicsinenglandandwales."},{"issue":"3","key":"10.1016\/j.midw.2020.102864_bib0026","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1055\/s-0035-1571202","article-title":"Short- and Long-Term Outcomes for Extremely Preterm Infants","volume":"33","author":"Patel","year":"2016","journal-title":"American journal of perinatology. United States"},{"issue":"1","key":"10.1016\/j.midw.2020.102864_bib0027","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1186\/1471-2393-14-190","article-title":"Women's perspectives of the fetal fibronectin testing process: a qualitative descriptive study","volume":"14","author":"Peterson","year":"2014","journal-title":"BMC Pregnancy and Childbirth"},{"key":"10.1016\/j.midw.2020.102864_bib0028","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2005.01.072","article-title":"Psychosocial stress and neuroendocrine mechanisms in preterm delivery","author":"Rich-Edwards","year":"2005","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"10.1016\/j.midw.2020.102864_bib0029","first-page":"327","article-title":"The importance of patient preferences in treatment decisions\u2014challenges for doctors","author":"Say","year":"2003","journal-title":"BMJ\u00a0: British Medical Journal"},{"key":"10.1016\/j.midw.2020.102864_bib0030","article-title":"Helping pregnant women make better decisions: a systematic review of the benefits of patient decision aids in obstetrics","volume":"1","author":"Say","year":"2011"},{"issue":"3","key":"10.1016\/j.midw.2020.102864_bib0031","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1111\/j.1471-0528.2004.00420.x","article-title":"Fetal fibronectin test predicts delivery before 30 weeks of gestation in high risk women, but increases anxiety","volume":"112","author":"Shennan","year":"2005","journal-title":"BJOG: An International Journal of Obstetrics & Gynaecology"},{"key":"10.1016\/j.midw.2020.102864_bib0032","unstructured":"StataCorp (2017) \u2018Stata Statistical Software: Release 15\u2019. College Station, TX: StataCorp LLC."},{"key":"10.1016\/j.midw.2020.102864_bib0033","unstructured":"The Ottawa Hospital Research Unit (2003) Decisional Conflict Scale User Manual. Available at: https:\/\/decisionaid.ohri.ca\/docs\/develop\/User_Manuals\/UM_Decisional_Conflict.pdf."},{"key":"10.1016\/j.midw.2020.102864_bib0034","article-title":"Prevalence of clinically significant decisional conflict: an analysis of five studies on decision-making in primary care","volume":"6","author":"Thompson-Leduc","year":"2016"},{"key":"10.1016\/j.midw.2020.102864_bib0035","doi-asserted-by":"crossref","DOI":"10.1016\/j.jradnu.2015.04.009","article-title":"Factors Associated With Increased Anxiety in the MRI Waiting Room","author":"Thu","year":"2015","journal-title":"Journal of Radiology Nursing"},{"key":"10.1016\/j.midw.2020.102864_bib0036","first-page":"353","article-title":"Sonographic measurement of cervical length in threatened preterm labor in singleton pregnancies with intact membranes","volume":"25","author":"Tsoi","year":"2005"},{"key":"10.1016\/j.midw.2020.102864_bib0038","article-title":"Re: Preterm labour: summary of NICE guidance","author":"Watson","year":"2015","journal-title":"BMJ\u00a0: British Medical Journal"},{"key":"10.1016\/j.midw.2020.102864_bib0039","first-page":"342","article-title":"The QUIPP app: a safe alternative to a treat-all strategy for threatened preterm labour","volume":"50","author":"Watson","year":"2017"},{"issue":"1","key":"10.1016\/j.midw.2020.102864_bib0040","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1186\/s12884-019-2210-1","article-title":"EQUIPTT: The Evaluation of the QUiPP app for Triage and Transfer protocol for a cluster randomised trial to evaluate the impact of the QUiPP app on inappropriate management for threatened preterm labour","volume":"19","author":"Watson","year":"2019","journal-title":"BMC Pregnancy and Childbirth"}],"container-title":["Midwifery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266613820302369?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266613820302369?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T08:49:56Z","timestamp":1777538996000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0266613820302369"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":39,"alternative-id":["S0266613820302369"],"URL":"https:\/\/doi.org\/10.1016\/j.midw.2020.102864","relation":{},"ISSN":["0266-6138"],"issn-type":[{"value":"0266-6138","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of a medical mobile phone app (QUiPP) for predicting preterm birth on the anxiety and decisional conflicts faced by women in threatened preterm labour","name":"articletitle","label":"Article Title"},{"value":"Midwifery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.midw.2020.102864","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"102864"}}