PurposeAs society becomes ever more reliant on Internet technology for everyday communications, this paper explores the use of instant messaging (IM) in qualitative research. Discussed within the context of sensitive topic research with potentially hidden and hard-to-reach groups, the purpose of this paper is to discuss the value of adaptive and contemporary research approaches which facilitate participation on the terms of the participant.Design/methodology/approachReflecting on the data collection process from the primary authors’ PhD research, this paper critically considers some of the issues raised by IM-facilitated at semi-structured interviews.FindingsThis paper raises a number of issues, including how the perceived depth of participant response is influenced by their brevity, resultant of the space between parties which allows for considered and concise communication. This disconnect, created by the use of technology, also has implications for the power relations between researcher and participant and the ability to identify the non-verbal cues which communicate emotion and sentiment.Originality/valueThis paper highlights that whilst limited in some respects, an IM-facilitated interview provides a unique platform through which hidden and hard-to-reach groups may be empowered to participate in research, which they may usually avoid.

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The landmark decision of Montgomery has established that the patient's right to self-determination and autonomy underpins the doctrine of informed consent. The case of Mordel threw into question the process of obtaining informed consent and whether it was being sufficiently secured in the context of Down's syndrome screening. This case conveyed a paradigm shift to the role of the midwife and sonographers when obtaining consent for screening and the requisite legal standard of care they owe to expectant parents. However, many key issues remain unanswered from the decision in Mordel, in particular, what steps must healthcare professionals take to discharge their duty of care in the process of securing informed consent from expectant parents for screening.

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