Maternal participant experience in a South African birth cohort study enrolling healthy pregnant women and their infants

dc.contributor.authorBarnett, Whitney
dc.contributor.authorBrittain, Kirsty
dc.contributor.authorSorsdahl, Katherine
dc.contributor.authorZar, Heather J
dc.contributor.authorStein, Dan J
dc.date.accessioned2016-07-21T13:14:15Z
dc.date.available2016-07-21T13:14:15Z
dc.date.issued2016-07-19
dc.date.updated2016-07-19T18:02:24Z
dc.description.abstractBackground: Critical to conducting high quality research is the ability to attract and retain participants, especially for longitudinal studies. Understanding participant experiences and motivators or barriers to participating in clinical research is crucial. There are limited data on healthy participant experiences in longitudinal research, particularly in low- and middle-income countries. This study aims to investigate quantitatively participant experiences in a South African birth cohort study. Methods: Maternal participant experience was evaluated by a self-administered survey in the Drakenstein Child Health Study, a longitudinal birth cohort study investigating the early life determinants of child health. Pregnant mothers, enrolled during the second trimester, were followed through childbirth and the early childhood years. Satisfaction scores were derived from the participant experience survey and quantitatively analyzed; associations between satisfaction scores and sociodemographic variables were then investigated using a linear regression model. Results: Data were included from 585 pregnant mothers (median age 26.6 years), who had participated in the study for a median time of 16 months. Overall participant satisfaction was high (median score 51/60) and associated with increased attendance of study visits. Reasons for participating were a belief that involvement would improve their health, their child’s health or the health of family and friends. Potential reasons for leaving the study were inconvenience, not receiving clinical or study results, and unexpected changes in study visits or procedures. Variables associated with higher overall satisfaction scores were no prior participation in research, higher socioeconomic status, less intensive follow-up schedules and having experienced stressful life events in the past year. Conclusions: Satisfaction scores were high and associated with increased visit attendance. Participants’ perceived benefits of study participation, most notably the potential for an improvement in the health of their child, were a significant motivator to enroll and remain in the study. The consistent theme of perceived health benefits as a motivator to join and remain in the study raises the question of whether participation in research results in actual improvements in health.en_ZA
dc.identifier.apacitationBarnett, W., Brittain, K., Sorsdahl, K., Zar, H. J., & Stein, D. J. (2016). Maternal participant experience in a South African birth cohort study enrolling healthy pregnant women and their infants. <i>Philosophy, Ethics, and Humanities in Medicine</i>, http://hdl.handle.net/11427/20572en_ZA
dc.identifier.chicagocitationBarnett, Whitney, Kirsty Brittain, Katherine Sorsdahl, Heather J Zar, and Dan J Stein "Maternal participant experience in a South African birth cohort study enrolling healthy pregnant women and their infants." <i>Philosophy, Ethics, and Humanities in Medicine</i> (2016) http://hdl.handle.net/11427/20572en_ZA
dc.identifier.citationPhilosophy, Ethics, and Humanities in Medicine. 2016 Jul 19;11(1):3en_ZA
dc.identifier.issn1747-5341en_ZA
dc.identifier.ris TY - Journal Article AU - Barnett, Whitney AU - Brittain, Kirsty AU - Sorsdahl, Katherine AU - Zar, Heather J AU - Stein, Dan J AB - Background: Critical to conducting high quality research is the ability to attract and retain participants, especially for longitudinal studies. Understanding participant experiences and motivators or barriers to participating in clinical research is crucial. There are limited data on healthy participant experiences in longitudinal research, particularly in low- and middle-income countries. This study aims to investigate quantitatively participant experiences in a South African birth cohort study. Methods: Maternal participant experience was evaluated by a self-administered survey in the Drakenstein Child Health Study, a longitudinal birth cohort study investigating the early life determinants of child health. Pregnant mothers, enrolled during the second trimester, were followed through childbirth and the early childhood years. Satisfaction scores were derived from the participant experience survey and quantitatively analyzed; associations between satisfaction scores and sociodemographic variables were then investigated using a linear regression model. Results: Data were included from 585 pregnant mothers (median age 26.6 years), who had participated in the study for a median time of 16 months. Overall participant satisfaction was high (median score 51/60) and associated with increased attendance of study visits. Reasons for participating were a belief that involvement would improve their health, their child’s health or the health of family and friends. Potential reasons for leaving the study were inconvenience, not receiving clinical or study results, and unexpected changes in study visits or procedures. Variables associated with higher overall satisfaction scores were no prior participation in research, higher socioeconomic status, less intensive follow-up schedules and having experienced stressful life events in the past year. Conclusions: Satisfaction scores were high and associated with increased visit attendance. Participants’ perceived benefits of study participation, most notably the potential for an improvement in the health of their child, were a significant motivator to enroll and remain in the study. The consistent theme of perceived health benefits as a motivator to join and remain in the study raises the question of whether participation in research results in actual improvements in health. DA - 2016-07-19 DB - OpenUCT DO - 10.1186/s13010-016-0036-2 DP - University of Cape Town J1 - Philosophy, Ethics, and Humanities in Medicine LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 SM - 1747-5341 T1 - Maternal participant experience in a South African birth cohort study enrolling healthy pregnant women and their infants TI - Maternal participant experience in a South African birth cohort study enrolling healthy pregnant women and their infants UR - http://hdl.handle.net/11427/20572 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s13010-016-0036-2
dc.identifier.urihttp://hdl.handle.net/11427/20572
dc.identifier.vancouvercitationBarnett W, Brittain K, Sorsdahl K, Zar HJ, Stein DJ. Maternal participant experience in a South African birth cohort study enrolling healthy pregnant women and their infants. Philosophy, Ethics, and Humanities in Medicine. 2016; http://hdl.handle.net/11427/20572.en_ZA
dc.languageengen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.publisher.departmentDepartment of Paediatrics and Child Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)*
dc.rights.holderBarnett et al.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_ZA
dc.sourcePhilosophy, Ethics, and Humanities in Medicineen_ZA
dc.source.urihttp://peh-med.biomedcentral.com/
dc.titleMaternal participant experience in a South African birth cohort study enrolling healthy pregnant women and their infantsen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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