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Gharacheh M, Khalajabadi Farahani F, Jahanfar S, Ranjbar F. Challenges in Conducting Longitudinal Interventional Research in Developing Countries: Lessons From a Nationwide Clinical Trial. IJN 2025; 38 (S1 )
URL: http://ijn.iums.ac.ir/article-1-3983-en.html
1- Nursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
2- Family Research Institute, Shahid Beheshti University, Tehran, Iran.
3- Department of Public Health and Community Medicine, School of Medicine, University of Tufts, Boston, USA.
4- Nursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran. , ranjbar.f@iums.ac.ir
Abstract:   (106 Views)
Conducting longitudinal interventional research in developing countries, including Iran, is a unique challenge that can significantly impact study outcomes. This letter shares lessons from a nationwide clinical trial with a follow-up period conducted by Gharacheh et al. in 2020, in Iran, and reports the barriers they faced. Identifying these obstacles can be beneficial for future research [1]. In this clinical trial, the study aimed to evaluate the effectiveness of a fertility education program in enhancing fertility knowledge, childbearing intentions, and the rate of planned pregnancies among couples seeking premarital counseling. The study encountered several significant challenges that adversely affected participant engagement and data collection. The COVID-19 pandemic led to the closure of premarital education classrooms, making in-person training impractical and prompting a complete redesign of the educational content using multimedia via social media platforms (e.g., WhatsApp). 
 
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Type of Study: Letter to the Editor | Subject: Midwifery
Received: 2025/12/28 | Accepted: 2025/12/22 | Published: 2025/03/21

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