Problems recruiting and retaining postnatal women to a pilot randomised controlled trial of a web-delivered weight loss intervention ISRCTN48086713 ISRCTN

Anna Haste, Ashley J. Adamson, Elaine McColl, Vera Araujo-Soares, Ruth Bell

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Abstract

Objective: This paper highlights recruitment and retention problems identified during a pilot randomised controlled trial and process evaluation. The pilot trial aimed to evaluate the feasibility and acceptability of a web-delivered weight loss intervention for postnatal women and associated trial protocol. Results: General practice database searches revealed low rates of eligible postnatal women per practice. 16 (10%) of the 168 identified women were recruited and randomised, seven to the intervention and nine to the control. 57% (4/7) of the intervention women completed 3 month follow-up measurements in comparison to 56% (5/9) in the control group. By 12 months, retention in the intervention group was 43% (3/7), with 2/7 women active on the website, in comparison to 44% (4/9) of the control group. Interview findings revealed the web as an acceptable method for delivery of the intervention, with the suggestion of an addition of a mobile application. Alternative recruitment strategies, using health visitor appointments, midwifery departments or mother and baby/toddler groups, should be explored. Greater involvement of potential users should enable better recruitment methods to be developed. Trial registration ISRCTN: ISRCTN48086713, Registered 26 October 2012

Original languageEnglish
Article number203
JournalBMC Research Notes
Volume11
Issue number1
DOIs
Publication statusPublished - 27 Mar 2018

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Weight Loss
Randomized Controlled Trials
Mobile Applications
Websites
Control Groups
Community Health Nurses
Health
Network protocols
Midwifery
Clinical Protocols
General Practice
Appointments and Schedules
Mothers
Databases
Interviews

Cite this

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abstract = "Objective: This paper highlights recruitment and retention problems identified during a pilot randomised controlled trial and process evaluation. The pilot trial aimed to evaluate the feasibility and acceptability of a web-delivered weight loss intervention for postnatal women and associated trial protocol. Results: General practice database searches revealed low rates of eligible postnatal women per practice. 16 (10{\%}) of the 168 identified women were recruited and randomised, seven to the intervention and nine to the control. 57{\%} (4/7) of the intervention women completed 3 month follow-up measurements in comparison to 56{\%} (5/9) in the control group. By 12 months, retention in the intervention group was 43{\%} (3/7), with 2/7 women active on the website, in comparison to 44{\%} (4/9) of the control group. Interview findings revealed the web as an acceptable method for delivery of the intervention, with the suggestion of an addition of a mobile application. Alternative recruitment strategies, using health visitor appointments, midwifery departments or mother and baby/toddler groups, should be explored. Greater involvement of potential users should enable better recruitment methods to be developed. Trial registration ISRCTN: ISRCTN48086713, Registered 26 October 2012",
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Problems recruiting and retaining postnatal women to a pilot randomised controlled trial of a web-delivered weight loss intervention ISRCTN48086713 ISRCTN. / Haste, Anna; Adamson, Ashley J.; McColl, Elaine; Araujo-Soares, Vera; Bell, Ruth.

In: BMC Research Notes, Vol. 11, No. 1, 203, 27.03.2018.

Research output: Contribution to journalArticleResearchpeer-review

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