Journal
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
Volume 126, Issue 5, Pages 637-646Publisher
WILEY
DOI: 10.1111/1471-0528.15616
Keywords
Core outcome sets; in-depth patient interviews; outcomes; pre-eclampsia; qualitative research
Categories
Funding
- National Institute for Health Research [DRF-2014-07-051]
- National Institute for Health Research Professorship [NIHR-RP-R2-12-015]
- National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Oxford
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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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