{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T17:16:09Z","timestamp":1788023769746,"version":"build-2784847793"},"reference-count":59,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001322","name":"South African Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      The preconception phase of the Healthy Life Trajectories Initiative\n                      <jats:italic toggle=\"yes\">Bukhali<\/jats:italic>\n                      randomised controlled trial has been completed with young women in Soweto, South Africa. Given the gap in preconception care and interventions in low- and middle-income countries, and low levels of awareness about preconception health as a concept, it is important to understand participants\u2019 perceptions of this phase of the trial.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to report on trial participants\u2019 perceptions of the preconception phase of the trial, with a focus on its acceptability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      This qualitative, descriptive study formed part of the\n                      <jats:italic toggle=\"yes\">Bukhali<\/jats:italic>\n                      process evaluation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants were purposively selected from the intervention (n=22) and control (n=17) arms of the\n                      <jats:italic toggle=\"yes\">Bukhali<\/jats:italic>\n                      trial. Eight semi-structured focus groups were conducted with participants (two rounds of focus groups with same participants, including some replacements). A codebook thematic approach was taken to the descriptive process of data analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The main themes identified were perceptions of preconception and pregnancy planning, perceived impact of the trial, motivation for staying involved in the trial, agency, and suggestions for preconception services. The trial was viewed as acceptable by women participating in both the intervention and control arms of the trial, but preconception remains an unfamiliar term. Terms such as pregnancy planning, family planning, and \u2018preventing\u2019 added to the confusion around the framing of health promotion for young women who are not pregnant. Participants preferred a longer intervention or service, and wanted this service to be delivered in a similar way to the\n                      <jats:italic toggle=\"yes\">Bukhali<\/jats:italic>\n                      trial, not in clinics by nurses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Addressing preconception health with young women in Soweto should be done in a way that is contextually relevant, and that over time, contributes to their learning and development, benefitting their physical and mental health, irrespective of their pregnancy plans or intentions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261469051","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T21:15:15Z","timestamp":1787692515000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Participants\u2019 perceptions of the preconception phase of the\n                    <i>Bukhali<\/i>\n                    trial for young women in Soweto, South Africa: A qualitative study"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2885-437X","authenticated-orcid":false,"given":"Catherine E.","family":"Draper","sequence":"first","affiliation":[{"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nosibusiso","family":"Tshetu","sequence":"additional","affiliation":[{"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nokuthula","family":"Nkosi","sequence":"additional","affiliation":[{"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Lye","sequence":"additional","affiliation":[{"name":"Lunenfeld-Tanenbaum Research Institute"},{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane A.","family":"Norris","sequence":"additional","affiliation":[{"name":"University of the Witwatersrand"},{"name":"University of Southampton"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"e_1_3_8_2_2","volume-title":"Preconception Care: Maximizing the Gains for Maternal and Child Health - Policy Brief","author":"World Health Organization","year":"2013","unstructured":"World Health Organization. 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