The PaGES Index
RA, CRF
RECRUITMENT, CRF
The Participant-Generated Experience and Satisfaction (PaGES) Index is a modified version of the Mother-Generated Index (MGI) [
Example of completed antenatal PaGES Index form
Example of completed postnatal PaGES Index formHaving entered the MOLI trial, participants were asked to complete the PaGES form by writing down or telling the RA “up to 8 things that are MOST important to you about your birth”; these statements are referred to as ‘comments’. Because it was known that the client population had varying literacy levels, participants were given the option of completing the form themselves or dictating their responses to the RA who would then complete the form. Comments were recorded verbatim in the woman’s preferred language (English, Hindi or Marathi) on the paper Case Report Form (CRF). The participant then distributed 20 ‘spending beans’ across her comments to demonstrate the relative importance of each to her at that time. The RAs made it clear that not all comments had to be allocated a bean. Finally, the RA checked back with the participants to ensure the comments and their importance were recorded correctly. Appropriately skilled bi-lingual researchers translated the forms into English in an electronic format.The postnatal PaGES Index was usually completed within 24–48 hours of the birth (range 1–6 days). Where possible, this was conducted by the same RA who had assisted with the antenatal PaGES Index. Postnatally, the participant identified up to ten things that were MOST important to her about her birth experience, relatively ranked these using the 20 beans, and then scored each comment out of ten to indicate experience and satisfaction (range 0 [worst] to 10 [best]) [See Supplementary Box 1 for explanation of process]. Two additional comments were allowed postnatally because we wanted to allow more space to comment on the experience of or satisfaction with the intervention. The women were not shown their equivalent antenatal form when completing the postnatal assessment. Completing the forms took between five and ten minutes. Data collection took place between January and March 2020 at two study sites. However, the onset of the Covid pandemic resulted in a 7-month pause in recruitment. With the uncertainty about when the MOLI study would be able to restart (including when the third proposed study site would be available) it was decided to treat the data collected from these 68 women during this initial phase as pilot data. We concede there was an element of enforced pragmatism about the sample size and the timing, but this was unavoidable given the circumstances of the Covid pandemic.A senior research team member cross-checked the translated forms to ensure accuracy. A second expert translator reviewed errors in translation or disagreements. The anonymised translated text and data were then entered into an online REDCap database [