Feasibility of a longitudinal study of women anticipating first pregnancy and assessed by multiple pelvic exams: Recruitment and retention challenges
Feasibility of a longitudinal study of women anticipating first pregnancy and assessed by multiple pelvic exams: Recruitment and retention challenges
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DOI：
10.1016/j.cct.2010.08.001
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发表时间：
2010-11-01
影响因子：
2.2
通讯作者：
Miller, Janis M.
中科院分区：
文献类型：
--
作者：
Zielinski, Ruth;Ackerson, Kelly;Miller, Janis M.
目的：为了更好地了解分娩和骨盆底疾病之间的关系，理想的研究设计将在第一次怀孕前开始收集数据，并在产后随访参与者。我们进行了一项可行性研究，以确定以下内容：a）希望怀孕的女性是否同意收集孕前数据，包括一次性导尿管测量和重复骨盆检查，以确定怀孕6个月内的基线; B）各种招募和保留方法的有效性。c）实现怀孕的人数，然后d）表示愿意继续跟进，通过怀孕和产后。方法：广告包括报纸广告，有针对性的电子邮件和传单。入组后。安排了四次数据收集访问，每6个月进行一次或直到怀孕。如果怀孕发生，妇女被要求表明他们愿意继续assessment.Results：招聘和保留最成功的广告策略是当地报纸广告。94名女性询问了这项研究，30人参加了研究。基线后保留为6个月时23名女性，12个月时17名，18个月时13名。9的30名妇女实现怀孕，两个仍然符合条件，并愿意参加通过怀孕和postparty.Conclusions：这项研究提供了招募妇女建立近怀孕的临床基线措施，包括盆腔检查的可行性数据。接近30%的人在研究开始后2年内和最近一次盆腔检查后6个月内怀孕。在那些怀孕的人中，22%的人表示愿意继续随访到生育年。(C)2010年爱思唯尔公司All rights reserved.
Objective: To better understand the relationship between childbirth and pelvic floor disorders the ideal study design would begin with data collection prior to but close in time to first pregnancy and follow participants through postpartum. We conducted a feasibility study to determine the following: a) whether women desiring to get pregnant would agree to pre-pregnancy data collection including a one-time urethral catheter measure and repeat pelvic exams to ascertain a baseline within 6 months of pregnancy; b) effectiveness of various recruitment and retention methods. c) number achieving pregnancy, and then d) number expressing willingness to continue follow-up through pregnancy and postpartum.Methods: Advertising included newspaper ads, targeted emails and flyers. Post-enrollment. four data collection visits were scheduled and occurred every 6 months or until pregnant. If pregnancy occurred, women were asked to indicate their willingness to continue assessments.Results: The most successful advertising strategy for both recruitment and retention was local newspaper ads. Ninety-four women inquired about the study, 30 enrolled. Post-baseline retention was 23 women at 6 months, 17 at 12 months, and 13 at 18 months. Nine of the 30 women achieved pregnancy; two remained eligible and willing to participate through pregnancy and postpartum.Conclusions: This study provides data on feasibility of recruiting women to establish near-pregnancy clinical baseline measures that include pelvic exams. Close to 30% reached pregnancy within 2 years of study start and within 6 months of most recent pelvic exam measure. Of those who became pregnant, 22% expressed willingness to continue follow-up into the childbearing year. (C) 2010 Elsevier Inc. All rights reserved.