Evidence map›Paper›PMID 28886747›Full record

Trial reportTrials2017

Women's views and experiences of two alternative consent pathways for participation in a preterm intrapartum trial: a qualitative study.

Alexandra Sawyer, Celine Chhoa, Susan Ayers, Angela Pushpa-Rajah, Lelia Duley

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Randomised trial of cord clamping at very preterm birth: outcomes at 2 years.Archives of disease in childhood. Fetal and neonatal edition · 2020
    Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Emergency Verbal Consent for Intrapartum Research: A Grounded Theory Study.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alexandra SawyerCentre for Health Research, School of Health Sciences, University of Brighton, Falmer, BN1 9PH, UK. a.sawyer@brighton.ac.uk.ORCID 0000-0001-7098-6467
Celine ChhoaCentre for Maternal and Child Health Research, School of Health Sciences, City University London, London, EC1R 1UW, UK.
Susan AyersCentre for Maternal and Child Health Research, School of Health Sciences, City University London, London, EC1R 1UW, UK.
Angela Pushpa-RajahDepartment of Dermatology, Guy's Hospital, London, SE1 9RT, UK.
Lelia DuleyNottingham Clinical Trials Unit, University of Nottingham, Nottingham, NG7 2UH, UK.

Funding

Department of Health RP-PG-0609-10107
6 · The paper itself

Abstract

backgroundThe Cord Pilot Trial compared alternative policies for timing of cord clamping at very preterm birth at eight UK hospitals. In addition to standard written consent, an oral assent pathway was developed for use when birth was imminent. The aim of this study was to explore women's views and experiences of two alternative consent pathways to participate in the Cord Pilot Trial.

methodsWe conducted a qualitative study using semi-structured interviews. A total of 179 participants in the Cord Pilot Trial were sent a postal invitation to take part in interviews. Women who agreed were interviewed in person or by telephone to explore their experiences of two consent pathways for a preterm intrapartum trial. Data were analysed using inductive systematic thematic analysis.

resultsTwenty-three women who gave either written consent (n = 18) or oral assent followed by written consent (n = 5) to participate in the trial were interviewed. Five themes were identified: (1) understanding of the implications of randomisation, (2) importance of staff offering participation, (3) information about the trial and time to consider participation, (4) trial secondary in women's minds and (5) reasons for agreeing to take part in the trial. Experiences were similar for the two consent pathways. Women recruited by the oral assent pathway reported being given less information about the trial but felt it was sufficient to make a decision regarding participation. There were gaps in women's understanding of the trial and intervention, regardless of the consent pathway.

conclusionsOverall, women were positive about their experiences of being invited to participate in the trial. The oral assent pathway seems an acceptable option for women if the intervention is low-risk and time is limited.

trial registrationISRCTN Registry, ISRCTN21456601 . Registered on 28 February 2013.

Indexed as

Informed ConsentPatient SelectionVerbal BehaviorWritingAccess to InformationAdultComprehensionConstrictionFemaleGestational AgeHealth Knowledge, Attitudes, PracticeHumansInfant, PrematureInterviews as TopicPatient Education as TopicPilot ProjectsClinical trialsConsentEthicsOral assentPreterm birth

Identifiers

PMID28886747
PMCPMC5591564

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.