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. 2018 Aug 16;18(1):334.
doi: 10.1186/s12884-018-1966-z.

Engaging pregnant women in observational research: a qualitative exploratory study

Affiliations

Engaging pregnant women in observational research: a qualitative exploratory study

Evelyne Muggli et al. BMC Pregnancy Childbirth. .

Abstract

Background: Recruitment of pregnant women to population health research can be challenging, especially if the research topic is sensitive. While many pregnant women may be inherently interested in research about pregnancy, there is the possibility that the nature and timing of the project may give rise to anxiety in some women, especially if the topic is sensitive or it brings about new awareness of potential pregnancy complications. Research staff undertaking recruitment need to be skilled at strategies to manage the environment, and have well developed communication and interpersonal skills to explain and promote the study and facilitate each woman's informed decision-making regarding participation. However, the skills needed by recruitment staff to successfully engage pregnant women with a research topic are not well understood. This study aimed to address this evidence gap by providing insight into the dynamics between a pregnant woman and recruitment staff at the time of the offer to participate in an observational study about alcohol use in pregnancy.

Methods: Naturalistic inquiry guided a qualitative exploratory descriptive approach. Experienced recruitment staff from the Asking Questions about Alcohol in Pregnancy (AQUA) study (Muggli et al., BMC Pregnancy Childbirth 14:302, 2014) participated in individual semi-structured interviews and were asked about their experiences and approaches to engaging pregnant women. Interviews were transcribed verbatim and analysed using inductive content analysis.

Results: Pregnant women brought with them an inherent interest or disinterest in alcohol research, or in research in general, which formed the basis for engagement. Women responded favourably to the invitation to participate being delivered without pressure, and as part of a two-way conversation. Engagement with a sensitive topic such as alcohol use in pregnancy was facilitated by a non-judgmental and non-targeted approach. Influences such as privacy, distractions, partner's opinion, time factors and level of clinical support either facilitated or hindered a woman's engagement with the research.

Conclusions: These results provide an in-depth explanation of barriers and enablers to recruitment of pregnant women in antenatal clinics to studies that may inform strategies and the training of recruitment staff.

Keywords: Alcohol use in pregnancy; Perinatal research; Recruitment.

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Conflict of interest statement

Ethics approval and consent to participate

Ethics approval was granted by Royal Children’s Hospital Human Research Ethics Committee, Parkville, Australia (approval number 32157A). All participants were provided information sheets and participants provided informed, written consent prior to any data collection.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Influences on pregnant women’s engagement with observational research

References

    1. Webster GM, Teschke K, Janssen PA. Recruitment of healthy first-trimester pregnant women: lessons from the chemicals, Health & Pregnancy study (CHirP) Matern Child Health J. 2012;16(2):430–438. doi: 10.1007/s10995-010-0739-8. - DOI - PubMed
    1. Kerver JM, Elliott MR, Norman GS, Sokol RJ, Keating DP, Copeland GE, Johnson CC, Cislo KK, Alcser KH, Kruger-Ndiaye SR, et al. Pregnancy recruitment for population research: the National Children's study vanguard experience in Wayne County, Michigan. Paediatr Perinat Epidemiol. 2013;27(3):303–311. doi: 10.1111/ppe.12047. - DOI - PMC - PubMed
    1. Leung BM, McDonald SW, Kaplan BJ, Giesbrecht GF, Tough SC. Comparison of sample characteristics in two pregnancy cohorts: community-based versus population-based recruitment methods. BMC Med Res Methodol. 2013;13:149. doi: 10.1186/1471-2288-13-149. - DOI - PMC - PubMed
    1. Nechuta S, Mudd LM, Biery L, Elliott MR, Lepkowski JM, Paneth N. Attitudes of pregnant women towards participation in perinatal epidemiological research. Paediatr Perinat Epidemiol. 2009;23(5):424–430. doi: 10.1111/j.1365-3016.2009.01058.x. - DOI - PubMed
    1. Coleman T, Antoniak M, Britton J, Thornton J, Lewis S, Watts K. Recruiting pregnant smokers for a placebo-randomised controlled trial of nicotine replacement therapy. BMC Health Serv Res. 2004;4(1):29. doi: 10.1186/1472-6963-4-29. - DOI - PMC - PubMed