The interaction of personal, contextual, and study characteristics and their effect on recruitment and participation of pregnant women in research: a qualitative study in Lebanon

<h3>Background </h3><p dir="ltr">Declining participation rates are impeding health research. Little is known about factors influencing the decision to participate in low- and middle-income countries (LMIC). Therefore, this paper reports on the various individual factors a...

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Main Author: Jennifer J. Ayoub (6905624) (author)
Other Authors: MINA Collaborators (18805963) (author), May Abiad (6032027) (author), Michele R. Forman (11234919) (author), Gladys Honein-AbouHaidar (3721450) (author), Farah Naja (3436367) (author)
Published: 2018
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author Jennifer J. Ayoub (6905624)
author2 MINA Collaborators (18805963)
May Abiad (6032027)
Michele R. Forman (11234919)
Gladys Honein-AbouHaidar (3721450)
Farah Naja (3436367)
author2_role author
author
author
author
author
author_facet Jennifer J. Ayoub (6905624)
MINA Collaborators (18805963)
May Abiad (6032027)
Michele R. Forman (11234919)
Gladys Honein-AbouHaidar (3721450)
Farah Naja (3436367)
author_role author
dc.creator.none.fl_str_mv Jennifer J. Ayoub (6905624)
MINA Collaborators (18805963)
May Abiad (6032027)
Michele R. Forman (11234919)
Gladys Honein-AbouHaidar (3721450)
Farah Naja (3436367)
dc.date.none.fl_str_mv 2018-11-29T06:00:00Z
dc.identifier.none.fl_str_mv 10.1186/s12874-018-0616-5
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/The_interaction_of_personal_contextual_and_study_characteristics_and_their_effect_on_recruitment_and_participation_of_pregnant_women_in_research_a_qualitative_study_in_Lebanon/26015884
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Reproductive medicine
Commerce, management, tourism and services
Human resources and industrial relations
Qualitative study
Lebanon
Barriers
Facilitators
Participation
Recruitment
Focus groups
In-depth interviews
dc.title.none.fl_str_mv The interaction of personal, contextual, and study characteristics and their effect on recruitment and participation of pregnant women in research: a qualitative study in Lebanon
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background </h3><p dir="ltr">Declining participation rates are impeding health research. Little is known about factors influencing the decision to participate in low- and middle-income countries (LMIC). Therefore, this paper reports on the various individual factors and their with contextual factors in influencing participation in research among pregnant women and the recommendations to enhance their recruitment in Lebanon. </p><h3>Methods </h3><p dir="ltr">This study used a qualitative research design drawing on focus groups and in-depth interviews. The Theoretical Domain Framework guided data collection and analysis. The three participant groups included: Group 1-Pregnant women (n = 25) attending public pre-natal events and antenatal clinics in Beirut; Group 2-Pregnant women (n = 6) already enrolled in the ongoing Mother and Infant Nutritional Assessment birth cohort study; Group 3-Key informants (n = 13) including health care workers involved in recruiting pregnant women. Conversations were audio recorded, transcribed, translated into English, and thematically analyzed. </p><h3>Results </h3><p dir="ltr">Three main factors influencing participation were revealed, with each factor encompassing several sub-themes: (1) personal factors (altruism, self-confidence, personal interest in the topic, previous understanding of the nature and purpose of research, education level, and previous research experience), (2) contextual factors (societal factors, family and friends), and (3) study characteristics (burden of the study, ethical considerations, incentives, and research interpersonal skills and physician endorsement to participate). The results suggested a dynamic interaction among the identified factors, forming two intersecting axes, with a four-quadrant configuration. The y- and x-axes represented personal factors and contextual factors, respectively. Individuals positioned on the lower-left quadrant were the least likely to participate; those on the upper-right quadrant were the most likely to participate; while those on the upper-left and lower-right quadrants were indecisive. Study characteristics seemed to affect the decision of pregnant women to participate situated in any of the four quadrants. Specific recommendations to improve participation were also identified. </p><h3>Conclusions </h3><p dir="ltr">Our findings suggested an interaction of personal factors, contextual factors, and study characteristics affecting subjects’ participation. This interaction integrates factors into a novel dynamic framework that could be used in future studies. The recommendations identified may help improve participation of pregnant women in health research hence enhancing the quality and generalizability of research findings in LMIC.</p><h2>Other Information</h2><p dir="ltr">Published in: BMC Medical Research Methodology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s12874-018-0616-5" target="_blank">https://dx.doi.org/10.1186/s12874-018-0616-5</a></p>
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identifier_str_mv 10.1186/s12874-018-0616-5
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/26015884
publishDate 2018
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rights_invalid_str_mv CC BY 4.0
spelling The interaction of personal, contextual, and study characteristics and their effect on recruitment and participation of pregnant women in research: a qualitative study in LebanonJennifer J. Ayoub (6905624)MINA Collaborators (18805963)May Abiad (6032027)Michele R. Forman (11234919)Gladys Honein-AbouHaidar (3721450)Farah Naja (3436367)Biomedical and clinical sciencesReproductive medicineCommerce, management, tourism and servicesHuman resources and industrial relationsQualitative studyLebanonBarriersFacilitatorsParticipationRecruitmentFocus groupsIn-depth interviews<h3>Background </h3><p dir="ltr">Declining participation rates are impeding health research. Little is known about factors influencing the decision to participate in low- and middle-income countries (LMIC). Therefore, this paper reports on the various individual factors and their with contextual factors in influencing participation in research among pregnant women and the recommendations to enhance their recruitment in Lebanon. </p><h3>Methods </h3><p dir="ltr">This study used a qualitative research design drawing on focus groups and in-depth interviews. The Theoretical Domain Framework guided data collection and analysis. The three participant groups included: Group 1-Pregnant women (n = 25) attending public pre-natal events and antenatal clinics in Beirut; Group 2-Pregnant women (n = 6) already enrolled in the ongoing Mother and Infant Nutritional Assessment birth cohort study; Group 3-Key informants (n = 13) including health care workers involved in recruiting pregnant women. Conversations were audio recorded, transcribed, translated into English, and thematically analyzed. </p><h3>Results </h3><p dir="ltr">Three main factors influencing participation were revealed, with each factor encompassing several sub-themes: (1) personal factors (altruism, self-confidence, personal interest in the topic, previous understanding of the nature and purpose of research, education level, and previous research experience), (2) contextual factors (societal factors, family and friends), and (3) study characteristics (burden of the study, ethical considerations, incentives, and research interpersonal skills and physician endorsement to participate). The results suggested a dynamic interaction among the identified factors, forming two intersecting axes, with a four-quadrant configuration. The y- and x-axes represented personal factors and contextual factors, respectively. Individuals positioned on the lower-left quadrant were the least likely to participate; those on the upper-right quadrant were the most likely to participate; while those on the upper-left and lower-right quadrants were indecisive. Study characteristics seemed to affect the decision of pregnant women to participate situated in any of the four quadrants. Specific recommendations to improve participation were also identified. </p><h3>Conclusions </h3><p dir="ltr">Our findings suggested an interaction of personal factors, contextual factors, and study characteristics affecting subjects’ participation. This interaction integrates factors into a novel dynamic framework that could be used in future studies. The recommendations identified may help improve participation of pregnant women in health research hence enhancing the quality and generalizability of research findings in LMIC.</p><h2>Other Information</h2><p dir="ltr">Published in: BMC Medical Research Methodology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s12874-018-0616-5" target="_blank">https://dx.doi.org/10.1186/s12874-018-0616-5</a></p>2018-11-29T06:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s12874-018-0616-5https://figshare.com/articles/journal_contribution/The_interaction_of_personal_contextual_and_study_characteristics_and_their_effect_on_recruitment_and_participation_of_pregnant_women_in_research_a_qualitative_study_in_Lebanon/26015884CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/260158842018-11-29T06:00:00Z
spellingShingle The interaction of personal, contextual, and study characteristics and their effect on recruitment and participation of pregnant women in research: a qualitative study in Lebanon
Jennifer J. Ayoub (6905624)
Biomedical and clinical sciences
Reproductive medicine
Commerce, management, tourism and services
Human resources and industrial relations
Qualitative study
Lebanon
Barriers
Facilitators
Participation
Recruitment
Focus groups
In-depth interviews
status_str publishedVersion
title The interaction of personal, contextual, and study characteristics and their effect on recruitment and participation of pregnant women in research: a qualitative study in Lebanon
title_full The interaction of personal, contextual, and study characteristics and their effect on recruitment and participation of pregnant women in research: a qualitative study in Lebanon
title_fullStr The interaction of personal, contextual, and study characteristics and their effect on recruitment and participation of pregnant women in research: a qualitative study in Lebanon
title_full_unstemmed The interaction of personal, contextual, and study characteristics and their effect on recruitment and participation of pregnant women in research: a qualitative study in Lebanon
title_short The interaction of personal, contextual, and study characteristics and their effect on recruitment and participation of pregnant women in research: a qualitative study in Lebanon
title_sort The interaction of personal, contextual, and study characteristics and their effect on recruitment and participation of pregnant women in research: a qualitative study in Lebanon
topic Biomedical and clinical sciences
Reproductive medicine
Commerce, management, tourism and services
Human resources and industrial relations
Qualitative study
Lebanon
Barriers
Facilitators
Participation
Recruitment
Focus groups
In-depth interviews