Reasons for accepting or declining participation in the ASPRE trial: A qualitative study with women at high risk of preterm pre-eclampsia.

OBJECTIVE: To identify factors that affected the decision of pregnant women at high risk for pre-eclampsia (PE) in accepting or declining participation in a medicated clinical trial (ASPRE) for the prevention of preterm PE. METHOD: This was a qualitative, cross-sectional study. A purposive sample of 14 participants and 13 decliners of the ASPRE trial were interviewed using semi-structured interviews. Data were analysed using template analysis. RESULTS: For participants, their high-risk status seems to have motivated them to take part in the trial. This was enabled by their perception that the trial drug aspirin was commonly used, the safety of the procedure, and the belief that they will be in receipt of extra monitoring in pregnancy. Decliners expressed discomfort about taking medications in pregnancy, and about the presence of the placebo arm; they seemed to be motivated by desire to reduce harm. Satisfaction with the information provided by the medical professionals was also influential in women's decision making, and so were the views of their partners and other trusted individuals. CONCLUSION: Pregnant women's motivation to take part or to decline participation in a medicated trail can be understood as an attempt to cope with the threat posed by their high-risk status.

'I sort of balance it out'. Living with facial acne in emerging adulthood.

Many emerging adults live with mild-to-moderate visible facial acne, but little is known about their experiences. A qualitative interview study was conducted with 11 adults aged 18-22 years, which aimed to explore the meaning of living with visible acne. A thematic analysis revealed three superordinate themes: coping strategies, self-perceptions and interpersonal relationships. Results revealed the utility of researching visible acne in emerging adulthood, including the use of multiple coping strategies. Health psychologists need to consider individual differences for young adults who are living with a visible difference. The importance of the peer group and family is also explicated.

Supporting parent-child conversations in a history museum.

BACKGROUND: Museums can serve as rich resources for families to learn about the social world through engagement with exhibits and parent-child conversation about exhibits. AIMS: This study examined ways of engaging parents and child about two related exhibits at a cultural and history museum. Sample participants consisted of families visiting the Animal Antics and the Gone Potty exhibits at the British Museum. METHODS: Whilst visiting two exhibits at the British Museum, 30 families were assigned to use a backpack of activities, 13 were assigned to a booklet of activities, and 15 were assigned to visit the exhibits without props (control condition). RESULTS: Compared to the families in the control condition, the interventions increased the amount of time parents and children engaged together with the exhibit. Additionally, recordings of the conversations revealed that adults asked more questions related to the exhibits when assigned to the two intervention conditions compared to the control group. Children engaged in more historical talk when using the booklets than in the other two conditions. CONCLUSIONS: The findings suggest that providing support with either booklets or activities for children at exhibits may prove beneficial to parent-child conversations and engagement with museum exhibits.

'Coping quite well with a few difficult bits': living with disfigurement in early adolescence.

Facial disfigurement affects approximately one in 500 children and young people in the UK. Four mothers and their four children aged 11-13 years who have a facial disfigurement were recruited through the charity Changing Faces, in order to examine the perspectives and concerns of adolescents and their mothers, and how they live with their disfigurement. Semi-structured interviews were analysed using Interpretative Phenomenological Analysis. The implications for research and practice in health psychology are discussed, and in particular the support and intervention of friends, constant vigilance and practical assistance from mothers, and the individual characteristics of the child are highlighted for further consideration.