Who is our cohort: recruitment, representativeness, baseline risk and retention in the "Watch Me Grow" study?

Susan Woolfenden1,2, Valsamma Eapen3,4,5, Emma Axelsson3,4,5

  • 1Sydney Children's Hospitals Network, Sydney, Australia. susan.woolfenden@sesiahs.health.nsw.gov.au.

BMC Pediatrics
|March 26, 2016
PubMed

Insights

The "Watch Me Grow" study established a birth cohort in South West Sydney, finding it representative of a diverse population. Challenges in follow-up were noted, particularly for at-risk infants.

Area of Science:

  • Child development research
  • Public health surveillance systems
  • Birth cohort studies

Background:

  • The "Watch Me Grow" (WMG) study investigated the developmental surveillance system in South West Sydney.
  • This paper details the establishment of the WMG birth cohort, including recruitment, representativeness, and baseline developmental risk assessments.

Purpose of the Study:

  • To describe the establishment of the "Watch Me Grow" (WMG) study birth cohort.
  • To assess the representativeness of the recruited cohort compared to the local population.
  • To identify baseline risks for future developmental issues among participants.

Main Methods:

  • Recruited newborn infants and parents from hospital postnatal wards and child health nurses (2011-2013).
  • Collected data via questionnaires and linked electronic medical records (EMR).
  • Assessed cohort representativeness using Chi-square analyses of EMR data and elicited reasons for non-participation.

Main Results:

  • Recruited 2,025 infants; 50% participation rate, with reasons including disinterest, time constraints, language barriers, and privacy concerns.
  • The WMG cohort represented the culturally diverse and socially disadvantaged local population.
  • Follow-up data was available for 39% at 6 months, 32% at 12 months, and 28% at 18 months; higher psychosocial risk correlated with less follow-up data.
  • Nearly 40% of infants had at least two known developmental risk factors at baseline.

Conclusions:

  • The WMG birth cohort is a valuable resource for health services, particularly for including vulnerable populations.
  • Challenges exist in actively following up this population, impacting data completeness over time.
Abstract

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