Facilitators and challenges in recruiting pregnant women to an infant obesity prevention programme delivered via telephone calls or text messages
Facilitators and challenges in recruiting pregnant women to an infant obesity prevention programme delivered via telephone calls or text messages
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DOI：
10.1186/s13063-018-2871-5
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发表时间：
2018-09-15
期刊：
影响因子：
2.5
通讯作者：
Rissel, Chris
中科院分区：
文献类型：
--
作者：
Ekambareshwar, Mahalakshmi;Mihrshahi, Seema;Rissel, Chris
背景：招募孕妇参加试验是一项挑战，许多因素加剧了这一挑战，其中包括严格的资格标准。几乎没有对涉及孕妇的试验的招募过程进行深入研究。本文介绍了一项研究的结果，该研究旨在确定招募孕妇参加电话交流健康开端建议 (CHAT) 随机对照试验的促进因素和挑战，该试验旨在降低婴儿和儿童肥胖的患病率。 (2) 与招聘人员面谈，了解招聘人员在招聘过程中的经验； (3) 分析招聘人员实地记录的接触/招聘的女性人数以及她们不同意参与的原因。对获得的数据进行三角测量，以深入了解招募孕妇的过程。结果：在 5 个月内总共招募了 1155 名孕妇（平均孕龄 31.5 周）。女性同意参加该研究的主要原因是通过电话或短信的项目交付方式的便利性、利他主义以及该项目是免费的。女性不同意的主要原因是缺乏兴趣、语言障碍/英语说困难，有些人认为由于以前作为母亲的经验，她们不需要信息和支持。促进者包括组织支持、与招聘人员的融洽关系以及一些没有其他孩子需要建议的妇女。尽管存在挑战，但通过电话或短信提供干预的方式、妇女参与所需的最小努力、牵头站点的组织支持以及招募人员对试验的了解和承诺，都有助于招募成功。结论：尽管在招募孕妇参加婴儿肥胖预防计划方面存在一些挑战，但招募过程中的一些促进因素包括通过电话或短信提供干预计划的方式、妇女参与所需的最小努力、牵头站点的组织支持以及招募人员对试验的了解和承诺。审判。
Background: Recruitment of pregnant women into trials is a challenge exacerbated by a number of factors, including strict eligibility criteria. There has been little in-depth examination of the recruitment process to trials involving pregnant women. This paper presents the findings of a study conducted to identify facilitators and challenges in recruiting pregnant women to the Communicating Healthy Beginnings Advice by Telephone (CHAT) randomised controlled trial, which aims to reduce the prevalence of infant and childhood obesity.Methods: Data were collected from (1) administration of a short questionnaire to women at the time of recruitment exploring women's reasons for consent and non-consent; (2) interviews with recruiters to capture recruiters' experiences of the recruitment process; and (3) analysis of field notes taken by recruiters on the number of women approached/ recruited and reasons as to why they did not consent to participate. Data obtained were triangulated to gain insights into the process of recruiting pregnant women.Results: A total of 1155 pregnant women (mean gestational age 31.5 weeks) were enrolled over 5 months. The main reasons for women consenting to participate in the study were convenience in programme delivery mode via telephone calls or text messages, altruism and because the programme was free of charge. The main reasons for women not consenting were lack of interest, language challenges/difficulty speaking English and some felt they did not need information and support due to prior experience as a mother. Facilitators included organisational support, rapport with recruiters and some women with no other children who needed advice. Despite the challenges, the mode of delivery of intervention via telephone calls or text messages, the minimal effort required of women to participate, organisational support from the lead site and recruiters' knowledge of and commitment towards the trial contributed towards successful recruitment.Conclusion: Despite some challenges in recruiting pregnant women to an infant obesity prevention programme, some of the facilitators in recruitment included mode of delivery of the intervention programme via telephone calls or text messages, the minimal effort required for women to participate, organisational support from the lead site, and recruiters' knowledge of and commitment towards the trial.