Computer-assisted telephone interviewing (CATI): using the telephone for obtaining information on reproductive health

Cecatti, José Guilherme; Camargo, Rodrigo Paupério Soares de; Pacagnella, Rodolfo C.; Giavarotti, Thaís; Souza, João Paulo; Parpinelli, Mary Ângela; Osis, Maria José Duarte

doi:10.1590/s0102-311x2011000900013

Cited by 15 publications

(12 citation statements)

References 17 publications

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“…Using a system already available for telephone interview, 840 women were traced and contacted, what represented 72.6% of eligible subjects, and were invited to join the study by telephone. The 803 women who agreed to participate (95.6% of acceptance rate) recorded their agreement to the consent form read by the interviewer and then, were interviewed at that moment using the Computer Assisted Telephone Interview (CATI) system [ 11 ]. Thus, 384 exposed and 419 not exposed women answered the questionnaires SF 36 (Quality of Life) and PTSD (Posttraumatic Stress Disorder).…”

Section: Methodsmentioning

confidence: 99%

Does Severe Maternal Morbidity Affect Female Sexual Activity and Function? Evidence from a Brazilian Cohort Study

et al. 2015

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Objectiveto assess Female Sexual Function Index (FSFI) scores and delay to resume sexual activity associated with a previous severe maternal morbidity.MethodThis was a multidimensional retrospective cohort study. Women who gave birth at a Brazilian tertiary maternity between 2008 and 2012 were included, with data extraction from the hospital information system. Those with potentially life-threatening conditions and maternal near miss episodes (severe maternal morbidity) were considered the exposed group. The control group was a random sample of women who had had uncomplicated pregnancy. Female sexual function was evaluated through FSFI questionnaire, and general and reproductive aspects were addressed through specific questions. Statistical analyses were performed using Mann-Whitney and Pearson´s Chi-square for bivariate analyses. Logistic regression was used to identify variables independently associated with lower FSFI scores.Results638 women were included (315 at exposed and 323 at not exposed groups). The majority of women were under 30 years-old in the control group and between 30 and 46 years-old in the exposed group (p = 0.003). Women who experienced severe maternal morbidity (SMM) had statistically significant differences regarding cesarean section (82.4% versus 47.1% among deliveries without complications, p<0.001), and some previous pathological conditions. FSFI mean scores were similar among groups ranging from 24.39 to 24.42. It took longer for exposed women to resume sexual activity after index pregnancy (mean 84 days after SMM and 65 days for control group, p = 0.01). Multiple analyses showed no significant association of FSFI below cut-off value with any predictor.ConclusionFSFI scores were not different in both groups. However, they were lower than expected. SMM delayed resumption of sexual activity after delivery, beyond postpartum period. However, the proportion of women in both groups having sex at 3 months after delivery was similar. Altered sexual response may be evaluated as one of possible long-term consequences after SMM episodes. Further studies on the growing population of women surviving severe maternal conditions might be worth for improvement of care for women.

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Section: Methodsmentioning

confidence: 99%

Does Severe Maternal Morbidity Affect Female Sexual Activity and Function? Evidence from a Brazilian Cohort Study

et al. 2015

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“…The interviews lasted about 10 minutes and were held at two moments: at six months (stage 1) and at 12 months (stage 2) after implementation of the network project. The interviews were conducted by telephone [ 17 ] and simultaneously recorded [ 18 ]. Interviewers skilled in how to conduct telephone surveys were specifically trained for this study.…”

Section: Methodsmentioning

confidence: 99%

Perspectives of professionals participating in the Brazilian Network for the Surveillance of Severe Maternal Morbidity regarding the implementation of routine surveillance: a qualitative study

Luz

Osis²,

Ribeiro³

et al. 2014

Reprod Health

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BackgroundThe Brazilian Network for the Surveillance of Severe Maternal Morbidity was developed in Brazil with the participation of 27 centers in different regions of the country. The objective of the network project was to evaluate the frequency of severe maternal morbidity (near-miss and potentially life-threatening conditions) and the factors involved with these clinical conditions. Over the data collection period, this project implemented a surveillance system to identify these cases in the participating institutions. The objective of the present study was to evaluate the perspective of the professionals who participated in this network regarding the surveillance of cases of severe maternal morbidity, the facilities and difficulties encountered in involving colleagues in the process, and participants’ proposals to give continuity to this practice of qualifying maternal healthcare.MethodsA descriptive study with a qualitative approach was conducted in which coordinators, investigators and managers at all the 27 obstetric units participating in the network were interviewed. Data were collected at 6 and 12 months after implementation of the network during semi-structured telephone interviews that were recorded following verbal informed consent. Thematic content analysis was performed of the responses to the open questions in the interviews.ResultsIn the opinion of 60% of the participants, involving their colleagues in the surveillance process proved difficult, principally because these professionals were not very interested in the research project, but also because they found it difficult to review concepts and professional practices, because they had an excessive workload or due to operational and technical difficulties. The great majority considered that support from government agencies providing financial resources would be crucial to enable surveillance to be maintained or expanded and also to train a larger number of professionals and improve work conditions. The majority of participants found it difficult to define the ideal time interval at which surveillance should be conducted.ConclusionThe investigators, coordinators and managers involved in the Brazilian network project mentioned several problems that had to be confronted during this process; however, in their opinion the project should be maintained and even expanded in view of its potential to contribute towards improving obstetric care.

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“…Although following a framework design typical for a cross sectional study, some information from these women was gathered at 45 days and six months postpartum through telephone interviews. This could be a weak point of the study considering we have no information on dropout rates for these two additional data collection periods and this could have introduced a selection bias, taking into account the practical difficulties and the usual relatively high rates of unsuccessful contacts at least in Brazil 1 .…”

Section: Beliefs and Misbeliefs About Current Interventions During Lamentioning

confidence: 99%

Crenças e crendices sobre as atuais intervenções durante o trabalho de parto e parto no Brasil

Cecatti

2014

Cad. Saúde Pública

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The study Birth in Brazil represents a real landmark for the field of scientific research on the topic of maternal and perinatal health. It arose from a specific Brazilian research call (Edital 057/2009 from CNPq/Decit) which asked for a nationwide survey on the consequences of mode of delivery for the health of both mother and child. At that time I led another proposal also submitted to this call. The winning proposal, this that the article currently under debate refers to, was led by Leal et al. I want to congratulate her and her team on the excellent work they performed. This indicates that the decision the examining committee took at that time was appropriate. To the best of my knowledge this is the first comprehensive assessment of childbirth conditions for a sample representative of the Brazilian population to which we have access.Among the countless possibilities for analytically approaching the huge amount of data they have, we are now focusing on "Obstetric Interventions during labor and childbirth in Brazilian low-risk women" as highlighted in this issue of the journal. This research used the full sample from the original study with information on 23,894 women and then selected those that could be classified as low risk by excluding diagnosis of hypertension, diabetes, obesity, HIVpositive, gestational age outside the 37-41 week range, multiple pregnancy, non-vertex presentation, birth weight below 2,500g or above 4,500g, and inadequate birth weight for gestational age, remaining with around 57% of low risk women in the sample. Additionally, depending on the topics focused in analysis regarding labor and vaginal birth, women who did not enter into labor and those who had cesarean section were also excluded. Although following a framework design typical for a cross sectional study, some information from these women was gathered at 45 days and six months postpartum through telephone interviews. This could be a weak point of the study considering we have no information on dropout rates for these two additional data collection periods and this could have introduced a selection bias, taking into account the practical difficulties and the usual relatively high rates of unsuccessful contacts at least in Brazil 1 .The article deals with practices during childbirth, not all of them with strong evidence to support its use or recommendation for non-use, as well as with the unnecessary use of technologies and interventions that could even cause harm to both mother and fetuses, and the excessively high rates of cesarean section among these low risk women, and hypothesizes that in spite of the high coverage of hospital deliveries in Brazil, the quality of obstetrical care is generally low. It showed that among those recognized as best practices in labor among low risk women, including eating and mobility during the first stage of labor (dilation period), use of non-pharmacological methods for pain relief and the appropriate use of partograph to monitor the evolution of labor were poorly implemented countrywide, and ...

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Computer-assisted telephone interviewing (CATI): using the telephone for obtaining information on reproductive health

Cited by 15 publications

References 17 publications

Does Severe Maternal Morbidity Affect Female Sexual Activity and Function? Evidence from a Brazilian Cohort Study

Does Severe Maternal Morbidity Affect Female Sexual Activity and Function? Evidence from a Brazilian Cohort Study

Perspectives of professionals participating in the Brazilian Network for the Surveillance of Severe Maternal Morbidity regarding the implementation of routine surveillance: a qualitative study

Crenças e crendices sobre as atuais intervenções durante o trabalho de parto e parto no Brasil

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