144 CHAPTER 5 Authors’ contributions The study was designed by JM, IB and JS, and reviewed by JKdJ. Data collection was done by JM, IB and JS. Quantitative data analysis was done by JM. Qualitative data analysis and interpretation was done by JM and IB, with JS and JKdJ providing feedback. JM authored the article, while the other members of the research team provided feedback and revised the manuscript over several iterative rounds. All authors have read and approved the final version of the manuscript. Authors’ information The research-team consisted of a health scientist with expertise in collaboration, vulnerability and shared decision-making in maternity care (JM), a former midwife and researcher on integrated maternity care (IB), a researcher with expertise in maternity care and alternative payment models (JS) and a professor in Population Health with emphasis on life course health research (JKdJ). Funding The Dutch Ministry of Health, Welfare and Sport funded the monitor of the Solid Start program that was conducted by the National Institute for Public Health and the Environment (project numbers V/010038/01 and V/060438/22). Availability of data and materials The datasets generated and analysed during the current study are not publicly available due to the restrictions claimed in the information to respondents and to ensure the protection of anonymity of the participants. Any templates used for data collection and analysis are available from the corresponding author on reasonable request. Ethics approval and consent to participate All methods were carried out in accordance with the Declaration of Helsinki. All study participants received an information letter and were informed that participation was voluntary. Additionally, participants were reassured that all information they shared was treated confidentially. The results were reported anonymously, without any personal identifying information that could be traced back to individuals or organizations. Prior to the start of each interview or FGD, all participants provided written or oral (recorded) informed consent. Municipalities received an invitation explaining that the results and publications would not be traceable to individual municipalities, and they provided informed consent by completing the online questionnaire. At the start of the national Solid Start monitor in 2019, we checked by the Medical Research Ethics Committees United whether medical-ethical approval was necessary according to Dutch legislation. They stated and confirmed that the monitor does not fall within the scope of the Medical Research Involving Human Subjects Act (in Dutch: Wet Medisch-Wetenschappelijk Onderzoek, WMO), hence it was exempted for further approval by the ethical research committee (reference number: W19.063). By that time, only FGDs were planned and included in the proposal. Next, we checked whether this exemption also holds for the additional interviews with stakeholders in 2021 at the Clinical Expertise Centre of the RIVM
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