The qMOLI phase
SAID
Fifty-three semi-structured interviews were conducted with 45 women (19 before and 34 after induction; 8 before and after). Women represented a range of backgrounds, including socioeconomic status and obstetric history. Postnatal interviews were conducted between days one and six and included women from both study arms. In addition, eight focus groups were held with 83 clinicians and RAs either before trial commencement (n = 2) or during trial delivery (n = 6). Only the PaGES Index aspects of the qMOLI dataset are reported here.Most women could recall using the tool, and their experiences were positive. They explained how to use the tool and especially the ‘spending beans’ element:
“I have (given) good marks to whatever good feelings were there” (P7).Some women shared that this was “a new experience” (P47), “felt nice” (P14) or was “like a game” (P43).
“You asked me these questions, and I liked that a lot.” (P29).Some were indifferent to the use of the tool, with short neutral answers, such as “yes, filled” (P5). There were only occasional negative reports, with one woman describing “I didn’t pay attention” (P23) or that her “feet tingled” (P16), due to the time taken. However, some shared concerns about confidentiality and sharing information that may cause them problems:
“How can I talk freely?” (P52).
“That time I was thinking that something I said will go against my family.” (P21).Women reported that the tool was easy to complete:
“It was easy, that’s why I could do that.” (P18).Most reported that they shared all of their feelings and emotions when completing the tool. For example,
“Whatever was in my mind, I told.” (P12).Several were pleased to be doing something that could benefit other women in the future by taking part in this aspect of the study:
“Whatever my information, my feelings are there. That will be useful for others.” (P21).When asked specifically if any aspects of the tool could be improved, no participant recommended any changes.
“Everything was there in that…I don’t feel any need for an improvement in that.” (P43).The clinical staff were largely unaware of the use of the tool; however, the RAs who administered the tool gave fascinating insights into its role. They described how administering it made women feel good and described how the women enjoyed the way it made them feel.
“They feel that for nine months, no one asked me. After coming here, someone is asking me what my feeling is.” Research Associate, (FGD 7)The Research Associates raised no concerns about the role and utility of the tool.