Maternity services Pregnancy and Childbirth
Conditions
Interventions
The interventions used to test the programme theories will be co-developed as part of the project and will depend upon the realist programme theories selected in work programme two.
The project has t
Sponsors
Nottingham University Hospitals NHS Trust
Eligibility
Sex/Gender
All
Age
16 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. From one of the following populations: Service users: Individuals from any of the following ethnic communities: 1. Black (this may include individuals who identify as having a British, African, Caribbean or different heritage) 2. Asian (this may include individuals who identify as Indian, Pakistani, Bangladeshi, Chinese or a different heritage) 3. Mixed race (e.g., individuals with mixed heritage, e.g., Asian and White), or 4. Identify as belonging to another ethnic minority community not mentioned above, e.g., Arab or Kurdish AND 5. Are accessing or have accessed NHS maternity care Additional stakeholders: 1. Healthcare professionals who work with women from ethnic minority communities who are accessing/have accessed NHS maternity care 2. Individuals who have a management or leadership role in healthcare at an institutional, regional or national level e.g., you may work for a Local Maternity and Neonatal System (LMNS) or an Integrated Care Board 3. Representatives from charities or organisations that works with, support or represents individuals from ethnic minority communities who may access or have accessed NHS maternity care 2. Aged 16 years and over 3. Able to provide informed consent
Exclusion criteria
Exclusion criteria: Does not meet the inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| WP1: Data from included studies that relates to context-mechanism-outcome or the relationship between these, extracted from the included studies between months 11 and 14 of the realist review. WP2: Decision on which realist programme theories should be tested in WP3, by what interventions, in what settings and subgroups based on data collected from co-design workshops in months 22-27 and 34-37, and two mixed-methods case studies conducted between months 28 and 35 that will collect data via realist interviews, observation of care and an online survey of stakeholders. WP3: Qualitative and quantitative data relating to context-mechanism-outcome or the relationship between these from the three case studies conducted between months 40 and 51 using data collected via realist interviews, observations of care, online survey of stakeholders, review of relevant documentation and collection of validated patient-reported outcome measures (PROMs). This data will be used to generate refined explanatory realist programme theory and produce evidence-based pragmatic guidance that can be used by institutions to tailor initiatives or to decide whether initiatives are appropriate for their context. | — |
Secondary
| Measure | Time frame |
|---|---|
| WP2: Data on acceptability and feasibility of the co-designed interventions and realist evaluation; contextual facilitators and barriers to implementation; potential unintended consequences or harms; factors influencing engagement, implementation and sustainability; and stakeholders' perspectives on what constitutes a meaningful improvement in patient-reported outcome measures based on data collected from the co-design workshops (months 22-27 and 34-37) and the mixed-method case studies (months 28-35). WP3: Qualitative and quantitative data will also be collected during the case studies between months 40 and 51 via interviews, observation of care, an online survey and review of relevant documentation to understand: 1. How the intervention influences context, including unintended consequences and potential harms 2. Facilitators and barriers to future implementation, including reaching the relevant population, scale-up and sustainability in real-world contexts | — |
Countries
England, United Kingdom
Contacts
Public ContactNaomi Taylor
Outcome results
None listed