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What outcomes should researchers select, collect and report in pre-eclampsia research? A qualitative study exploring the views of women with lived experience of pre-eclampsia

What outcomes should researchers select, collect and report in pre-eclampsia research? A qualitative study exploring the views of women with lived experience of pre-eclampsia
What outcomes should researchers select, collect and report in pre-eclampsia research? A qualitative study exploring the views of women with lived experience of pre-eclampsia

Objective: to identify outcomes relevant to women with lived experience of pre-eclampsia. 

Design: qualitative interview study. Setting: A national study conducted in the United Kingdom. 

Sample: purposive sample of women with lived experience of pre-eclampsia.

Methods: thematic analysis of qualitative interview transcripts. 

Results: thirty women with lived experience of pre-eclampsia were interviewed. Thematic analysis identified 71 different treatment outcomes. Fifty-nine of these had been previously reported by pre-eclampsia trials. Outcomes related to maternal and neonatal morbidity, commonly reported by pre-eclampsia trials, were frequently discussed by women with lived experience of pre-eclampsia. Twelve outcomes had not been previously reported by pre-eclampsia trials. When compared with published research, it was evident that the outlook of women with lived experience of pre-eclampsia was broader. They considered pre-eclampsia in relation to the ‘whole’ person and attached special significance to outcomes relating to emotional wellbeing and the future health, development and wellbeing of their offspring. 

Conclusions: selecting, collecting and reporting outcomes relevant to women with pre-eclampsia should ensure that future pre-eclampsia research has the necessary reach and relevance to inform clinical practice. Future core outcome set development studies should use qualitative research methods to ensure that the long list of potential core outcomes holds relevance to patients. 

core outcome sets, in-depth patient interviews, outcomes, pre-eclampsia, qualitative research
1470-0328
637-646
Duffy, J. M.N.
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Thompson, T.
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Hinton, L.
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Salinas, M.
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McManus, R. J.
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Ziebland, S.
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Barnard, Ann Marie
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Crawford, Carole
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Dennis, Tracey
6adb7ffc-0153-4421-a17a-e3c67642550c
Johnson, Mark
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Khan, Rehan Uddin
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Newhouse, Lisa
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Sandhu, Gurmukh
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Shalofsky, Teresa
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Waite, Louisa
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Wilson, Mathew
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Khan, Khalid S.
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the International Collaboration to Harmonise Outcomes in Pre-eclampsia (iHOPE) Qualitative Research Group
Duffy, J. M.N.
52892122-a1e2-4bf8-98dc-c8faf6903e8d
Thompson, T.
67b4521c-07ac-498e-a2fc-948a79485d6a
Hinton, L.
177e60b0-f34c-4c40-b3b4-c130eea37f93
Salinas, M.
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McManus, R. J.
76c479d9-9990-4e03-830a-cf60fc9fcb21
Ziebland, S.
9a00bdc5-7b90-4dae-a503-1799f5e80b17
Barnard, Ann Marie
e67a7d77-71db-4739-8f3e-804537e8afde
Crawford, Carole
2d782db3-375d-469a-9505-56ba8dde9cee
Dennis, Tracey
6adb7ffc-0153-4421-a17a-e3c67642550c
Johnson, Mark
ce07b5dd-b12b-47df-a5df-cd3b9447c9ed
Khan, Rehan Uddin
a9e25b32-10be-4ded-8ad3-d3871214f9a4
Newhouse, Lisa
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Sandhu, Gurmukh
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Shalofsky, Teresa
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Waite, Louisa
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Wilson, Mathew
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Khan, Khalid S.
31bc2d01-b61c-479d-908c-784c94487b72

the International Collaboration to Harmonise Outcomes in Pre-eclampsia (iHOPE) Qualitative Research Group (2019) What outcomes should researchers select, collect and report in pre-eclampsia research? A qualitative study exploring the views of women with lived experience of pre-eclampsia. BJOG: An International Journal of Obstetrics and Gynaecology, 126 (5), 637-646. (doi:10.1111/1471-0528.15616).

Record type: Article

Abstract

Objective: to identify outcomes relevant to women with lived experience of pre-eclampsia. 

Design: qualitative interview study. Setting: A national study conducted in the United Kingdom. 

Sample: purposive sample of women with lived experience of pre-eclampsia.

Methods: thematic analysis of qualitative interview transcripts. 

Results: thirty women with lived experience of pre-eclampsia were interviewed. Thematic analysis identified 71 different treatment outcomes. Fifty-nine of these had been previously reported by pre-eclampsia trials. Outcomes related to maternal and neonatal morbidity, commonly reported by pre-eclampsia trials, were frequently discussed by women with lived experience of pre-eclampsia. Twelve outcomes had not been previously reported by pre-eclampsia trials. When compared with published research, it was evident that the outlook of women with lived experience of pre-eclampsia was broader. They considered pre-eclampsia in relation to the ‘whole’ person and attached special significance to outcomes relating to emotional wellbeing and the future health, development and wellbeing of their offspring. 

Conclusions: selecting, collecting and reporting outcomes relevant to women with pre-eclampsia should ensure that future pre-eclampsia research has the necessary reach and relevance to inform clinical practice. Future core outcome set development studies should use qualitative research methods to ensure that the long list of potential core outcomes holds relevance to patients. 

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More information

Accepted/In Press date: 2 January 2019
e-pub ahead of print date: 24 February 2019
Published date: 4 March 2019
Additional Information: Funding Information: This report is independent research arising from a doctoral fellowship (DRF-2014-07-051) supported by the National Institute for Health Research. Prof. Richard McManus is supported by a National Institute for Health Research Professorship (NIHR-RP-R2-12-015) and the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Oxford. Prof. Sue Ziebland is a National Institute for Health Research Senior Investigator. The views expressed in this publication are those of the authors and not necessarily those of the National Health Service, the National Institute for Health Research, or the Department of Health. Funding Information: This is independent research arising from a doctoral fellowship (DRF-2014-07-051) supported by the National Institute for Health Research, awarded following external peer review. The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Funding Information: The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. This report is independent research arising from a doctoral fellowship (DRF-2014-07-051) supported by the National Institute for Health Research. Prof. Richard McManus is supported by a National Institute for Health Research Professorship (NIHR-RP-R2-12-015) and the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Oxford. Prof. Sue Ziebland is a National Institute for Health Research Senior Investigator. The views expressed in this publication are those of the authors and not necessarily those of the National Health Service, the National Institute for Health Research, or the Department of Health. We would like to thank the women who participated in this study. We would like to thank the Radcliffe Women's Health Patient Participation group, Action on Pre-eclampsia, and our patient and public representatives who assisted with study design, data interpretation and planned dissemination. We would like to thank Prof. Louise Locock, Health Services Research Unit, University of Aberdeen, who conducted several interviews contained within the University of Oxford Archive; Prof. Khalid Khan, Queen Mary, University of London who assisted with securing study funding; and Romola Watts for transcribing the interviews. We would like to thank colleagues at the Nuffield Department of Primary Care Health Sciences, University of Oxford including Jacqui Belcher, Carla Betts, Lucy Curtin, Dawn Evans, Caroline Jordan, Sarah King, Sam Monaghan, Dan Richards-Doran, Nicola Small, and Clare Wickings for administrative, technical and material support. We would like to thank colleagues at the Women's Health Research Unit, Queen Mary, University of London including Tracy Holtham and Rehan Khan for administrative and technical support, and subject-specific expertise. We would like to thank David J. Mills for administrative and material support.
Keywords: core outcome sets, in-depth patient interviews, outcomes, pre-eclampsia, qualitative research

Identifiers

Local EPrints ID: 478824
URI: http://eprints.soton.ac.uk/id/eprint/478824
ISSN: 1470-0328
PURE UUID: 720ac990-eebb-4709-998f-80e9bcc78065
ORCID for Mark Johnson: ORCID iD orcid.org/0000-0003-1829-9912

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Date deposited: 11 Jul 2023 16:55
Last modified: 18 Mar 2024 03:47

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Contributors

Author: J. M.N. Duffy
Author: T. Thompson
Author: L. Hinton
Author: M. Salinas
Author: R. J. McManus
Author: S. Ziebland
Author: Ann Marie Barnard
Author: Carole Crawford
Author: Tracey Dennis
Author: Mark Johnson ORCID iD
Author: Rehan Uddin Khan
Author: Lisa Newhouse
Author: Gurmukh Sandhu
Author: Teresa Shalofsky
Author: Louisa Waite
Author: Mathew Wilson
Author: Khalid S. Khan
Corporate Author: the International Collaboration to Harmonise Outcomes in Pre-eclampsia (iHOPE) Qualitative Research Group

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