Outreach Notebook: For the Inclusion, Recruitment and Retention of Women and Minority Subjects in Clinical Research

2002 ◽  
2019 ◽  
Vol 35 (S1) ◽  
pp. 88-89
Author(s):  
Jacqui Nuttall ◽  
Athene Lane ◽  
Amanda Blatch-Jones ◽  
Gareth Griffiths ◽  
Jeremy Wyatt

IntroductionRecruitment of participants to, and their retention in, Randomized Controlled Trials (RCTs) is a key determinant of research efficiency, but is challenging. Digital tools and media are increasingly used to reduce costs, waste and delays in the conduct and delivery of research. The aim of this UK Clinical Trials Unit (CTU) survey was to identify which digital recruitment and retention tools are being used to support RCTs, their benefits and success characteristics.MethodsA survey was sent to all UK Clinical Research Collaboration (UKCRC)-registered CTUs with a webinar to help increase completion. A logic model and definitions of a “digital tool” were developed by iterative refinement by project team members, the Advisory Board (NIHR Research Design service, NHS Trust, NIHR Clinical Research Networks and patient input) and CTUs.ResultsA total of 24/52 (46%) CTUs responded, 6 (25%) of which stated no prior use. Database screening tools (e.g. CPRD, EMIS) were the tool most widely used (45%) for recruitment and were considered very effective (67%). The most mentioned success criteria were saving GP time and reaching more patients. Social media was second (27%), but estimated effectiveness varied considerably, with only 17% stating very effective. Fewer retention tools were used, with SMS / email reminders reported most (10/15 67%), but certainty about effectiveness varied. A detailed definition on what constitutes a digital tool with examples and a logic model showing relationships between the resources, activities, outputs and outcomes for digital tools was developed.ConclusionsDatabase screening tools are the most commonly used digital tool for recruitment, with clear success criteria and certainty about effectiveness. Our detailed definition of what constitutes a digital tool, with examples, will inform the NIHR research community about choices and help them identify potential tools to support recruitment and retention.


Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Heather Carman ◽  
Leigh Quarles ◽  
Lauren Southwick ◽  
Emma K Benn ◽  
Salina P Waddy ◽  
...  

Background: Race-ethnic disparities exist in stroke incidence, recurrence and mortality. Minority participation in stroke clinical trials is staggeringly low. A significant literature describes patient-reported barriers to recruitment, but researcher barriers are not well documented. Aim: To assess stroke researcher best practices and challenges to minority inclusion in stroke trials. Methods: The National Initiative for Minority Involvement in Neurological Clinical Trials (NIMICT) uses a mixed methods approach including surveys, focus groups and key informant interviews to expand on understanding of minority recruitment and retention in stroke clinical trials. We designed and tested a 40-item survey based on literature review and used the results to inform semi-structured focus groups and key informant interviews among stroke clinical trial investigators (N=110). Results: Key stroke investigators, identified through the Princeton Conference, were invited via email to participate in the survey. Over 70% (n=93) responded: 68% White. Less than half (N=43) reported actively setting recruitment goals for minority inclusion. Only 37% (N=29) required cultural sensitivity training for recruitment staff. Over 80% reported treating adults unable to consent and were concerned about acute stroke time constraints negatively impacting patient/family participation decisions. Key themes from focus groups (N=17) included: 1) Role of government in defining valid minority sub analyses and enforcing existing inclusion guidelines; 2) Challenges unique to acute setting including consent in conditions of prognostic uncertainty; 3) Lack of scientific/research literacy in the lay population; 4) Lack of community engagement including Primary Care Physicians; 5) Lack of cost data to adequately budget for inclusion efforts. Best practices included health literate consent forms, cultural competency, and motivational interview training for coordinators. Conclusion: NIMICT’s mixed methods approach contributes new perspectives on unique challenges in stroke clinical research. These findings will inform strategies to improve minority recruitment and retention among neurological clinical trials.


2020 ◽  
Vol 68 (12) ◽  
pp. 2955-2963 ◽  
Author(s):  
Noah D. Forsat ◽  
Andriko Palmowski ◽  
Yannick Palmowski ◽  
Maarten Boers ◽  
Frank Buttgereit

2003 ◽  
Vol 26 (5) ◽  
pp. 376-386 ◽  
Author(s):  
Mary E. Cooley ◽  
Linda Sarna ◽  
Jean K. Brown ◽  
Roma D. Williams ◽  
Cynthia Chernecky ◽  
...  

2010 ◽  
Vol 19 (1) ◽  
pp. 64-68 ◽  
Author(s):  
Shao Chuen Tong ◽  
Aung Soe Tin ◽  
Jeremy Fung Yen Lim ◽  
Wai Leng Chow

2018 ◽  
pp. 24-33
Author(s):  
Layla Kassem

Recruitment of participants into clinical research studies remains the most challenging activity facing researchers. Success and failure of studies is dependent on recruitment. While many tools are available to researchers, the art of recruitment and retention of participants is still evolving and at times, hampered by organizational requirements. In this chapter we present an overview of methods and techniques for optimizing recruitment. We briefly address potential challenges, possible solutions, and a general approach for planning and execution of recruitment efforts. The chapter address recruitment as it applies to psychiatric and other clinical research studies, while the information provided is by no means comprehensive, the chapter is designed to be a ‘starter kit’ to help researchers and recruiters anticipate and prepare for successful recruitment endeavors.


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