NHMRC Centre of Research Excellence in Stillbirth, Mater Research Institute-The University of Queensland, Brisbane, QLD, Australia
NHMRC Centre of Research Excellence in Stillbirth, Mater Research Institute-The University of Queensland, Brisbane, QLD, Australia.
BMJ Open. 2022 Sep 5;12(9):e061550. doi: 10.1136/bmjopen-2022-061550.
Globally, the COVID-19 pandemic has significantly disrupted the provision of healthcare and efficiency of healthcare systems and is likely to have profound implications for pregnant and postpartum women and their families including those who experience the tragedy of stillbirth or neonatal death. This study aims to understand the psychosocial impact of COVID-19 and the experiences of parents who have accessed maternity, neonatal and bereavement care services during this time.
An international, cross-sectional, online and/or telephone-based/face-to-face survey is being administered across 15 countries and available in 11 languages. New, expectant and bereaved parents during the COVID-19 pandemic will be recruited. Validated psychometric scales will be used to measure psychosocial well-being. Data will be analysed descriptively and by assessing multivariable associations of the outcomes with explanatory factors. In seven of these countries, bereaved parents will be recruited to a nested, qualitative interview study. The data will be analysed using a grounded theory analysis (for each country) and thematic framework analysis (for intercountry comparison) to gain further insights into their experiences.
Ethics approval for the multicountry online survey, COCOON, has been granted by the Mater Misericordiae Human Research Ethics Committee in Australia (reference number: AM/MML/63526). Ethics approval for the nested qualitative interview study, PUDDLES, has been granted by the King's College London Biomedical & Health Sciences, Dentistry, Medicine and Natural & Mathematical Sciences Research Ethics Subcommittee (reference number: HR-19/20-19455) in the UK. Local ethics committee approvals were granted in participating countries where required. Results of the study will be published in international peer-reviewed journals and through parent support organisations. Findings will contribute to our understanding of delivering maternity care services, particularly bereavement care, in high-income, lower middle-income and low-income countries during this or future health crises.
在全球范围内，COVID-19 大流行极大地扰乱了医疗保健的提供和医疗保健系统的效率，并且可能对孕妇和产后妇女及其家庭产生深远的影响，包括那些经历死产或新生儿死亡悲剧的家庭。本研究旨在了解 COVID-19 的心理社会影响，以及在此期间获得产妇、新生儿和丧亲护理服务的父母的经历。
正在 15 个国家进行一项国际性、横断面、在线和/或电话/面对面调查，该调查提供 11 种语言。将招募 COVID-19 大流行期间的新、预期和丧亲父母。将使用经过验证的心理测量量表来衡量心理社会幸福感。将对数据进行描述性分析，并通过评估与解释因素的多变量关联来评估结果。在这七个国家中，将招募丧亲父母参加嵌套的定性访谈研究。将使用扎根理论分析（针对每个国家）和主题框架分析（用于国家间比较）来分析数据，以更深入地了解他们的经历。
COCOON 多国家在线调查已获得澳大利亚仁慈圣母人类研究伦理委员会（参考编号：AM/MML/63526）的伦理批准。嵌套定性访谈研究 PUDDLES 已获得英国伦敦国王学院生物医学与健康科学、牙科、医学和自然与数学科学研究伦理小组委员会（参考编号：HR-19/20-19455）的伦理批准。在需要的情况下，参与国家已获得当地伦理委员会的批准。该研究的结果将在国际同行评议期刊和家长支持组织上发表。研究结果将有助于我们了解在高收入、中低收入和低收入国家提供产妇保健服务，特别是在丧亲护理方面，在此次或未来的卫生危机期间。
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