Lupus & antiphospholipid syndrome

An educational tool to improve PREeclamPsia knowledge and Aspirin adheRence in lupus prEgnancies: the PREPARE trial

Rheumatology (Oxford)Published Randomised controlled trial

Primary result · Increase in mean preeclampsia knowledge score (ongoing pregnancies)Result — go to the resultMean difference 1.8 points 95% CI −0.5 to 4.2

Authors' conclusion

Women with SLE who received an educational tool had greater improvement in preeclampsia knowledge vs controls.

Study context

Population
Pregnant women with SLE up to 17 weeks' gestation
Participants
73 women
Comparison
Usual care plus educational tool vs usual care alone
  • Interventionn = 38
Primary endpoint
Difference in preeclampsia knowledge scores
Follow-up
Second-trimester visit
Methodological detailstwo-arm, parallel
  • Two-arm
  • Parallel

Primary result

As reported in the abstract

Increase in mean preeclampsia knowledge score (ongoing pregnancies)

Mean difference

1.8 points

95% CI −0.5 to 4.2

Change by group

Intervention

4.0

mean · 95% CI 2.4–5.6 · points

Controls

2.0

mean · 95% CI 0.3–3.9 · points

Interventionvs Controls
mean difference 1.8 points (95% CI −0.5 to 4.2)

Further findings

Points

OutcomeInterventionControlsMean increase (points) (95% CI)
Increase in preeclampsia knowledge score including end-of-pregnancy scores of women with fetal loss (six in each group)More for the intervention4.8 (95% CI 3.3–6.9)1.9 (95% CI 0.3–3.6)2.5 (0.3–4.8)
OutcomeInterventionControlsDifference (95% CI)
ASA adherence (electronic pharmacy data)Trend for higher adherence81%65%15% (−9 to 37%)

Original publication

An educational tool to improve PREeclamPsia knowledge and Aspirin adheRence in lupus prEgnancies: the PREPARE trial. Rheumatology (Oxford). Published 20 June 2025. doi:10.1093/rheumatology/keaf334

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