Objectives: To explore the perspectives of Māori and Pacific women who participated in the Fish Oil study to ascertain what barriers and facilitators may exist for successfully recruiting Māori and Pacific women into clinical trials.

Design: A Kaupapa Māori qualitative study.

Setting: Auckland, New Zealand.

Participants: 16 Māori and Pacific women who participated in the fish oil supplementation during pregnancy study (ACTRN12617001078347p) between 1 January 2017 and 31 December 2020.

Main Outcome Measures: Semistructured in-depth interviews were conducted, recorded and transcribed and then subjected to inductive thematic analysis to identify key themes related to barriers and facilitators of successful Māori and Pacific women recruitment into a clinical trial.

Results: Of 37 eligible Māori and Pacific women who participated in the original Fish Oil study, 16 women consented to participate in this study. Three key themes were identified: (1) relationships matter, (2) privileges and barriers and (3) the study experience. Key facilitators for recruitment included having solid relationships with research team members, practising exemplary professionalism, having clear communication and having the ability to establish rapport and research team flexibility. The desire to create a better future for participants' babies and to give back to Māori and Pacific communities through participating in a clinical trial were also key drivers of successful recruitment. In contrast, the major barriers described were time pressures and the distance to the research facility.

Conclusions: Sixteen Māori and Pacific women who participated in a double-blinded randomised controlled trial shared that successful recruitment of Māori and Pacific women into clinical trials can be promoted by research flexibility participants' whānau/family responsibilities, effective and culturally safe communication, and research teams striving to build and maintain relationships with participants throughout the trial.

Trial Registeration Number: Australian New Zealand Clinical Trials Registry, ACTRN12617001078347p. Universal Trial Number (U1111-1199-5860).

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2024-089542DOI Listing

Publication Analysis

Top Keywords

māori pacific
36
pacific women
32
women participated
16
fish oil
12
māori
10
pacific
9
women
8
clinical trial
8
kaupapa māori
8
māori qualitative
8

Similar Publications

'It's so heavy on my mind': The lived experience of diabetes in pregnancy and postpartum mother and infant lifestyle.

BMC Pregnancy Childbirth

September 2024

Department of Obstetrics and Gynaecology, Health New Zealand - Te Whatu Ora Counties Manukau District, Auckland, New Zealand.

Article Synopsis
  • Diabetes during pregnancy can cause health problems for both mothers and babies, especially in certain groups like Pacific and Maaori families.
  • After giving birth, many mothers don't get enough extra support for their diabetes, so researchers want to find out what they need to help them and their families better.
  • Through interviews with 19 parents, the study found that balancing professional care with personal needs, having culturally specific support, involving family, and recognizing the ongoing impact of diabetes on mental health are very important.
View Article and Find Full Text PDF

Inequities in pre-pregnancy folic acid use in Central and South Auckland: secondary analysis from a postpartum contraception survey.

J Prim Health Care

December 2023

Department of Obstetrics and Gynaecology, Waipapa Taumata Rau University of Auckland; Auckland, New Zealand; and Department of Women's Health, Te Whatu Ora Te Toka Tumai, Auckland, New Zealand.

Introduction In Aotearoa New Zealand (NZ), there is inequity in rates of neural tube defects (NTDs). Among Maaori, NTD occur in 4.58/10 000 live births, and for Pacific peoples, it is 4.

View Article and Find Full Text PDF

Aim: Socio-economic status (SES) and ethnicity have been associated with worse maternal and fetal outcomes. Counties Manukau is a region of New Zealand which has a high portion of the population living in areas of low SES and has a higher population of ethnic minorities (Pacific Islander, Asian and Maaori). To determine whether SES and ethnicity are associated with worse mortality and morbidity in preterm infants in Counties Manukau Hospital, New Zealand.

View Article and Find Full Text PDF

Lack of housing, hospital treatment and premature mortality: a cohort study of people in Counties Manukau district.

N Z Med J

August 2016

Associate-Professor of Biostatistics, Section of Epidemiology and Biostatistics, University of Auckland, New Zealand.

Aim: We considered risk factors for mortality in people admitted to Counties Manukau inpatient facilities, who were also identified by medical staff to have insufficient housing.

Method: A cohort study of people aged 15 to 75 years admitted to Counties Manukau inpatient facilities were selected between 2002 and 2014, with ICD-10 codes for insufficient housing. Diagnostic records identified people with substance use and other clinical conditions.

View Article and Find Full Text PDF

Aim: Estimating Primary Health Organisation (PHO) enrolment rates with a census-derived estimated resident population denominator may provide misleading results because of numerator and denominator mismatch. This study uses the Health Service Utilisation (HSU) population denominator as an alternative.

Method: A HSU population was generated by record linkage of routinely collected datasets from the Ministry of Health via encrypted National Health Index (NHI).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!