Evidence map›Paper›PMID 30219067›Full record

Trial reportTrials2018

Facilitators and challenges in recruiting pregnant women to an infant obesity prevention programme delivered via telephone calls or text messages.

Mahalakshmi Ekambareshwar, Seema Mihrshahi, Li Ming Wen, Sarah Taki, Greer Bennett, Louise A Baur, Chris Rissel

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Trial collaborators' perceptions of the process of delivering Healthy Beginnings advice via telephone calls or text messages.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2022
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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

7 authors.

Mahalakshmi EkambareshwarSydney School of Public Health, Sydney Medical School, University of Sydney, Sydney, Australia. mahalakshmi.ekambareshwar@sydney.edu.au.ORCID http://orcid.org/0000-0003-1936-7120
Seema MihrshahiSydney School of Public Health, Sydney Medical School, University of Sydney, Sydney, Australia.
Li Ming WenSydney School of Public Health, Sydney Medical School, University of Sydney, Sydney, Australia.
Sarah TakiNHMRC Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Sydney School of Public Health, University of Sydney, Sydney, Australia.
Greer BennettHealth Promotion Unit, Sydney Local Health District, Sydney, Australia.
Louise A BaurSydney School of Public Health, Sydney Medical School, University of Sydney, Sydney, Australia.
Chris RisselSydney School of Public Health, Sydney Medical School, University of Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecruitment 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.

methodsData 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.

resultsA 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.

conclusionDespite 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.

trial registrationThe CHAT RCT is registered with the Australian Clinical Trial Registry ( ACTRN12616001470482p ); Ethics Review Committee of Sydney Local Health District (Protocol No. X16-0360 & LNR/16/RPAH/495).

Indexed as

Patient SelectionTelephoneText MessagingAdultAltruismFemaleHealth Knowledge, Attitudes, PracticeHumansInformed ConsentMothersNew South WalesPediatric ObesityPregnancyPrevalenceResearch PersonnelResearch SubjectsChallengesFacilitatorsPregnant womenProcess evaluationRecruitmentTelephoneText messagesTrials

Identifiers

PMID30219067
PMCPMC6139132

What OpenQuestion holds

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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.