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Research papers, University of Canterbury Library

Picture this, you are relaxing at home enjoying the afternoon sun. It is another beautiful Christchurch day in late 2017. There is a knock at the door, you’ve been expecting it. It is a member of the Christchurch Health and Development Study, here to conduct your prearranged interview. The interview request did not come as a surprise of course, you have been participating in these interviews yourself sporadically throughout your adult life, and prior to that you attended many alongside your parents. In fact, you have been answering the studies interview your whole life. Transcripts of these interviews sit in the studies database alongside copies of school reports, health records and a wealth of other information. It has been this way since birth, since your mother was approached back in 1977, not long after you had arrived in this world, and asked if she would consent to participating in the study. She, along with many other Cantabrian new mothers from that year, agreed and the Christchurch Health and Development Study was born. Since then, these interviews have become a matter of routine for you. As life went on many things changed, but one thing that was constant was the sporadic visit from an interviewer of the study. The current interview is a little different from most of the others, however. Last time an interviewer visited in 2012, you were asked if you would like to conduct an earthquake-specific interview, you agreed. This time, the same question was asked. Why? Well because you were there that day of course. The day of the 22nd February 2011 when a major earthquake struck Canterbury. You were there in the centre of the city as buildings came crashing down and people ran for safety. You were there for the chaos. Your knee dully aches, it never did quite heal properly and strangely seems to flare up whenever you think back to that day. A lasting reminder. It is a difficult subject, but you agree to the second earthquake-specific interview. You understand the purpose of the study, and the value of the data collected. You take a sip of the cup of tea politely made upon the interviewer’s arrival, lean back into the comfort of your couch and cast your mind back to that fateful day. So, what does this study mean? Why still participate, all these years later? Over time it has become more apparent as to how valuable this information could be, considering all the experiences through the life course, and to think of the experiences that others in the cohort have had too. How differently have events affected people from all walks of life, who just so happened to be born within the same few months. We can use the data from this study to better understand situations when using life course characteristics which can hopefully influence decision making and population health within New Zealand.

Research papers, University of Canterbury Library

Climate change and population growth will increase vulnerability to natural and human-made disasters or pandemics. Longitudinal research studies may be adversely impacted by a lack of access to study resources, inability to travel around the urban environment, reluctance of sample members to attend appointments, sample members moving residence and potentially also the destruction of research facilities. One of the key advantages of longitudinal research is the ability to assess associations between exposures and outcomes by limiting the influence of sample selection bias. However, ensuring the validity and reliability of findings in longitudinal research requires the recruitment and retention of respondents who are willing and able to be repeatedly assessed over an extended period of time. This study examined recruitment and retention strategies of 11 longitudinal cohort studies operating during the Christchurch, New Zealand earthquake sequence which began in September 2010, including staff perceptions of the major impediments to study operations during/after the earthquakes and respondents’ barriers to participation. Successful strategies to assist recruitment and retention after a natural disaster are discussed. With the current COVID-19 pandemic, longitudinal studies are potentially encountering some of the issues highlighted in this paper including: closure of facilities, restricted movement of research staff and sample members, and reluctance of sample members to attend appointments. It is possible that suggestions in this paper may be implemented so that longitudinal studies can protect the operation of their research programmes.<br /><br />Key messages<br /><ul><li>Recruitment and retention of longitudinal study participants is challenging following a natural disaster.</li><br /><li>The long-lasting, global effects of the Covid 19 pandemic will increase this problem.</li><br /><li>Longitudinal study researchers should develop protocols to support retention before a disaster occurs.</li><br /><li>Researchers need to be pragmatic and flexible in the design and implementation of their studies.</li></ul>