It takes two to tango: the recruiter's role in accepting or refusing to participate in group antenatal care among pregnant women-an exploration through in-depth interviews.
Florence Talrich, Astrid Van Damme, Hilde Bastiaens, Marlies Rijnders, Jochen Bergs, Katrien Beeckman
Author Information
Florence Talrich: Department of Public Health, Nursing and Midwifery Research Group (NUMID), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Brussels, Belgium florence.talrich@vub.be. ORCID
Astrid Van Damme: Department of Public Health, Nursing and Midwifery Research Group (NUMID), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Hilde Bastiaens: Department of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, Universiteit Antwerpen, Antwerp, Belgium.
Marlies Rijnders: Department of Child Health, TNO, Leiden, The Netherlands.
Jochen Bergs: Research Group of Healthcare and Ethics, Faculty of Medicine and Life Sciences, Universiteit Hasselt, Hasselt, Belgium.
Katrien Beeckman: Department of Public Health, Nursing and Midwifery Research Group (NUMID), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
OBJECTIVE: 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. METHOD: 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. RESULT: 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. CONCLUSION: 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.
