Cargando…

A feasibility study for a randomised controlled trial of the Positive Reappraisal Coping Intervention, a novel supportive technique for recurrent miscarriage

INTRODUCTION: Recurrent miscarriage (RM) is diagnosed when a woman has had three or more miscarriages. Increased levels of distress and anxiety are common during the waiting period of any subsequent pregnancies, posing a significant threat to psychological well-being. However, only limited support a...

Descripción completa

Detalles Bibliográficos
Autores principales: Bailey, Sarah, Bailey, Chris, Boivin, Jacky, Cheong, Ying, Reading, Isabel, Macklon, Nick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4401859/
https://www.ncbi.nlm.nih.gov/pubmed/25877278
http://dx.doi.org/10.1136/bmjopen-2014-007322
_version_ 1782367206028345344
author Bailey, Sarah
Bailey, Chris
Boivin, Jacky
Cheong, Ying
Reading, Isabel
Macklon, Nick
author_facet Bailey, Sarah
Bailey, Chris
Boivin, Jacky
Cheong, Ying
Reading, Isabel
Macklon, Nick
author_sort Bailey, Sarah
collection PubMed
description INTRODUCTION: Recurrent miscarriage (RM) is diagnosed when a woman has had three or more miscarriages. Increased levels of distress and anxiety are common during the waiting period of any subsequent pregnancies, posing a significant threat to psychological well-being. However, only limited support and therapy are available for these women, and many are left to cope alone. The Positive Reappraisal Coping Intervention (PRCI) is a novel self-administered supportive technique which has been shown to be effective in patients awaiting the outcome of in vitro fertilisation treatment. The primary objective of this study is to assess the feasibility and effectiveness of the PRCI in improving quality of life in the difficult waiting period which women with previous RM endure before an ongoing pregnancy can be confirmed. METHODS AND ANALYSIS: A randomised controlled trial (RCT) feasibility study will establish the viability of conducting a multicentre RCT to definitively test the effects of the PRCI on the psychological well-being of women who have experienced RM during the initial waiting period of a subsequent pregnancy. A second component consists of a qualitative process evaluation exploring the initial experience of pregnancy following repeated miscarriages. Participants (n=50) will be randomised into one of two groups. The PRCI intervention group will receive the PRCI card and weekly questionnaires to assess their psychological well-being during the waiting period of their new pregnancy. The non-intervention group will be asked to complete the same weekly questionnaires. The qualitative process analysis will employ semistructured interviews (n=20) to address relevant aspects of the study objectives. ETHICS AND DISSEMINATION: Ethics approval has been obtained from the National Research Ethics Service Committee South Central—Hampshire A. Participating centres have given National Health Service R&D approval. Study findings will be disseminated through peer reviewed journals, national and international conferences and lay user groups. TRIAL REGISTRATION NUMBER: ISRCTN43571276. This study was registered with the ISRCTN 18/02/2014 following adoption onto the United Kingdom Clinical Research Network (UKCRN) portfolio. Recruitment of the first participant occurred 04/02/2014.
format Online
Article
Text
id pubmed-4401859
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-44018592015-04-29 A feasibility study for a randomised controlled trial of the Positive Reappraisal Coping Intervention, a novel supportive technique for recurrent miscarriage Bailey, Sarah Bailey, Chris Boivin, Jacky Cheong, Ying Reading, Isabel Macklon, Nick BMJ Open Obstetrics and Gynaecology INTRODUCTION: Recurrent miscarriage (RM) is diagnosed when a woman has had three or more miscarriages. Increased levels of distress and anxiety are common during the waiting period of any subsequent pregnancies, posing a significant threat to psychological well-being. However, only limited support and therapy are available for these women, and many are left to cope alone. The Positive Reappraisal Coping Intervention (PRCI) is a novel self-administered supportive technique which has been shown to be effective in patients awaiting the outcome of in vitro fertilisation treatment. The primary objective of this study is to assess the feasibility and effectiveness of the PRCI in improving quality of life in the difficult waiting period which women with previous RM endure before an ongoing pregnancy can be confirmed. METHODS AND ANALYSIS: A randomised controlled trial (RCT) feasibility study will establish the viability of conducting a multicentre RCT to definitively test the effects of the PRCI on the psychological well-being of women who have experienced RM during the initial waiting period of a subsequent pregnancy. A second component consists of a qualitative process evaluation exploring the initial experience of pregnancy following repeated miscarriages. Participants (n=50) will be randomised into one of two groups. The PRCI intervention group will receive the PRCI card and weekly questionnaires to assess their psychological well-being during the waiting period of their new pregnancy. The non-intervention group will be asked to complete the same weekly questionnaires. The qualitative process analysis will employ semistructured interviews (n=20) to address relevant aspects of the study objectives. ETHICS AND DISSEMINATION: Ethics approval has been obtained from the National Research Ethics Service Committee South Central—Hampshire A. Participating centres have given National Health Service R&D approval. Study findings will be disseminated through peer reviewed journals, national and international conferences and lay user groups. TRIAL REGISTRATION NUMBER: ISRCTN43571276. This study was registered with the ISRCTN 18/02/2014 following adoption onto the United Kingdom Clinical Research Network (UKCRN) portfolio. Recruitment of the first participant occurred 04/02/2014. BMJ Publishing Group 2015-04-15 /pmc/articles/PMC4401859/ /pubmed/25877278 http://dx.doi.org/10.1136/bmjopen-2014-007322 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Obstetrics and Gynaecology
Bailey, Sarah
Bailey, Chris
Boivin, Jacky
Cheong, Ying
Reading, Isabel
Macklon, Nick
A feasibility study for a randomised controlled trial of the Positive Reappraisal Coping Intervention, a novel supportive technique for recurrent miscarriage
title A feasibility study for a randomised controlled trial of the Positive Reappraisal Coping Intervention, a novel supportive technique for recurrent miscarriage
title_full A feasibility study for a randomised controlled trial of the Positive Reappraisal Coping Intervention, a novel supportive technique for recurrent miscarriage
title_fullStr A feasibility study for a randomised controlled trial of the Positive Reappraisal Coping Intervention, a novel supportive technique for recurrent miscarriage
title_full_unstemmed A feasibility study for a randomised controlled trial of the Positive Reappraisal Coping Intervention, a novel supportive technique for recurrent miscarriage
title_short A feasibility study for a randomised controlled trial of the Positive Reappraisal Coping Intervention, a novel supportive technique for recurrent miscarriage
title_sort feasibility study for a randomised controlled trial of the positive reappraisal coping intervention, a novel supportive technique for recurrent miscarriage
topic Obstetrics and Gynaecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4401859/
https://www.ncbi.nlm.nih.gov/pubmed/25877278
http://dx.doi.org/10.1136/bmjopen-2014-007322
work_keys_str_mv AT baileysarah afeasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT baileychris afeasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT boivinjacky afeasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT cheongying afeasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT readingisabel afeasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT macklonnick afeasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT baileysarah feasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT baileychris feasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT boivinjacky feasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT cheongying feasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT readingisabel feasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage
AT macklonnick feasibilitystudyforarandomisedcontrolledtrialofthepositivereappraisalcopinginterventionanovelsupportivetechniqueforrecurrentmiscarriage