A Sisterhood of Women: The Process of Co-Creating Recommendations for Improved Pessary Self-Management Support.

Eight women were recruited after a target of 10 could not be met, and the sample was self-selected from a national involvement panel. All participants were White, most were educated to degree level or above, and all already self-managed their pessary, so the findings may not represent women who have not self-managed or who have different backgrounds. Data saturation was not formally assessed, and the number of workshops was set by project time and resources. The researcher was a nurse with a special interest in pessary management and took part in the workshops, so her advocacy may have influenced discussion. Pessary practitioners were not involved in this co-creation study.

The work was supported by the National Institute of Health and Care Research (NIHR300519). Lucy Dwyer received a Clinical Doctoral Research Fellowship funded by Health Education England and NIHR and was a co-applicant on the NIHR/HTA funded TOPSY study. Rohna Kearney was clinical chief investigator and co-applicant on TOPSY. Sofia Tibuzzi, Kerrianne O'Rourke and Dawn Dowding declared no conflicts of interest.

Do not read these co-created strategies as tested improvements in pessary self-management. They were developed by eight self-selected white women who already self-managed, so they are suggestions for research and service design, not evidence of benefit.