Department of Public Health, Nursing and Midwifery Research Group (NUMID), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Brussels, Belgium
Department of Nursing and Midwifery Research Group (NUMID), Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Fam Med Community Health. 2023 Jul;11(3). doi: 10.1136/fmch-2023-002167.
The purpose of this study was to explore how women are recruited for group antenatal care (GANC) in primary care organisations (PCOs), what elements influence the behaviour of the recruiter, and what strategies recruiters use to encourage women to participate.
Using a qualitative research design, we conducted 10 in-depth interviews with GANC facilitators working in PCOs. Selected constructs of the domains of the Consolidated Framework for Implementation Research and the Theoretical Domains Framework helped to develop interview questions and raise awareness of important elements during interviews and thematic analyses. GANC facilitators working in multidisciplinary PCOs located in Brussels and Flanders (Belgium) were invited to participate in an interview. We purposively selected participants because of their role as GANC facilitators and recruiters. We recruited GANC facilitators up until data saturation and no new elements emerged.
We identified that the recruitment process consists of four phases or actions: identification of needs and potential obstacles for participation; selection of potential participants; recruitment for GANC and reaction to response. Depending on the phase, determinants at the level of the woman, recruiter, organisation or environment have an influence on the recruitment behaviour.
Our study concludes that it takes two to tango for successful recruitment for GANC. Potential participants' needs and wishes are of importance, but the care providers' behaviour should not be underestimated. Therefore, successful recruitment may be improved when introducing a multidisciplinary recruitment plan consisting of specific strategies, as we suggest.
本研究旨在探讨女性如何被招募参加基层医疗组织（PCO）的小组产前保健（GANC），哪些因素影响招募者的行为，以及招募者使用哪些策略来鼓励女性参与。
采用定性研究设计，我们对在 PCO 工作的 GANC 促进者进行了 10 次深入访谈。实施研究综合框架和理论领域框架的选定结构有助于制定访谈问题，并在访谈和主题分析期间提高对重要因素的认识。我们邀请在布鲁塞尔和佛兰德斯（比利时）的多学科 PCO 工作的 GANC 促进者参加访谈。我们有目的地选择参与者，因为他们是 GANC 促进者和招募者。我们招募了 GANC 促进者，直到数据饱和，没有新的元素出现。
我们发现，招募过程由四个阶段或行动组成：确定参与的需求和潜在障碍；选择潜在参与者；为 GANC 招募和对反应做出反应。根据不同的阶段，妇女、招募者、组织或环境层面的决定因素会影响招募行为。
我们的研究表明，成功招募 GANC 需要双方的努力。潜在参与者的需求和愿望很重要，但护理提供者的行为也不容忽视。因此，当引入由特定策略组成的多学科招募计划时，可能会提高成功招募的效果，正如我们所建议的那样。
