scholarly journals Optimised clinical study recruitment in palliative care: success strategies and lessons learned

2019 ◽  
Vol 10 (2) ◽  
pp. 216-220
Author(s):  
Clare White ◽  
Simon Noble ◽  
Max Watson ◽  
Flavia Swan ◽  
Annmarie Nelson ◽  
...  

Recruitment challenges to clinical research studies in palliative care settings, particularly in hospices, are well documented. However, a recent study (Hospice Inpatient Deep vein thrombosis Detection (HIDDen) study) performed across five hospices in the UK recruited above target and on time. We describe strategies that aided successful recruitment in this study, and the lessons learnt for improving future studies. A recent review suggested that the ‘Social Marketing Mix Framework’ (SMMF) could help researchers with recruitment strategies in palliative care. We describe the recruiting strategies employed through the Social Marketing Mix lens and consider if it would be a useful framework for future researchers to use at the planning stage. Successful recruitment strategies employed in HIDDen study included: (i) addressing particular study-related factors, (ii) ensuring all patients were screened and offered participation if eligible, (iii) reducing impact on the clinical team through dedicated research nurses at sites, (iv) addressing research team issues with cross-cover between sites, where geographically possible, and (v) regular video conferencing meetings for support and collaborative solving of challenges. Limited pre-existing research infrastructure at most of the recruiting hospices created particular challenges. The SMMF provides a potential structure to help researchers to plan recruitment. However, to fully streamline trial set up and in order for hospice involvement in research to be realised systematically, a centralised approach to governance, organisational culture change whereby hospices embrace research as a legitimate purpose and consistent access to research staff are identified as key strategic elements promoting recruitment to studies in hospices.

2018 ◽  
Vol 8 (3) ◽  
pp. 376.3-377
Author(s):  
Clare White ◽  
Simon Noble ◽  
Max Watson ◽  
Flavia Swan ◽  
Miriam Johnson

IntroductionResearch in specialist palliative care units (SPCUs) has traditionally been considered difficult and studies are limited with poor recruitment and high attrition rates making interpretation of results challenging.AimsTo analyse recruitment from a UK multisite study in 5 SPCUs which recruited above target and compare recruitment strategies with recommendations from the ‘Social Marketing Mix Framework’ (SMMF) and learn lessons for future research in SPCUs.MethodsRecruitment data from the HIDDen (Hospice Inpatient DVT Detection) Study was analysed and compared with SMMF recommendations for improving recruitment to trials in palliative care.ResultsOver 17 months 1390 patients with cancer were screened for HIDDen study inclusion in five SPCUs (three in N. Ireland, one in England and one in Wales) 797 (57%) patients were ineligible. 206 (35% of those eligible) declined participation with 387 (65% of those eligible) recruited. When compared with the ‘6Ps’ of SMMF the study protocol addressed ‘Participants’ with broad study eligibility criteria ‘Product’ by replicating clinical practice with no change to routine clinical care and no competing trials ‘Price’ through minimising patient and carer burden and easing the consent process ‘Place’ by being done in patients own room in the SPCU and using five sites ‘Promoting’ through role play and maintaining the research profile and ‘Partners’ by addressing gatekeeping and minimising input from clinical staff by having on-site research staff.DiscussionGood recruitment to trials is possible in a SPCU setting and use of the ‘6Ps’ of SMMF can help in trial design and recruitment.Reference. Dunleavy L, Walshe C, Oriani A, Preston N. Using the ‘social marketing mix framework’ to explore recruitment barriers and facilitators in palliative care randomised controlled trials? A narrative synthesis review.Palliative Medicine2018;32(5):990–1009. doi:10.1177/0269216318757623


2018 ◽  
Vol 32 (5) ◽  
pp. 990-1009 ◽  
Author(s):  
Lesley Dunleavy ◽  
Catherine Walshe ◽  
Anna Oriani ◽  
Nancy Preston

Background: Effective recruitment to randomised controlled trials is critically important for a robust, trustworthy evidence base in palliative care. Many trials fail to achieve recruitment targets, but the reasons for this are poorly understood. Understanding barriers and facilitators is a critical step in designing optimal recruitment strategies. Aim: To identify, explore and synthesise knowledge about recruitment barriers and facilitators in palliative care trials using the ‘6 Ps’ of the ‘Social Marketing Mix Framework’. Design: A systematic review with narrative synthesis. Data sources: Medline, CINAHL, PsycINFO and Embase databases (from January 1990 to early October 2016) were searched. Papers included the following: interventional and qualitative studies addressing recruitment, palliative care randomised controlled trial papers or reports containing narrative observations about the barriers, facilitators or strategies to increase recruitment. Results: A total of 48 papers met the inclusion criteria. Uninterested participants (Product), burden of illness (Price) and ‘identifying eligible participants’ were barriers. Careful messaging and the use of scripts/role play (Promotion) were recommended. The need for intensive resources and gatekeeping by professionals were barriers while having research staff on-site and lead clinician support (Working with Partners) was advocated. Most evidence is based on researchers’ own reports of experiences of recruiting to trials rather than independent evaluation. Conclusion: The ‘Social Marketing Mix Framework’ can help guide researchers when planning and implementing their recruitment strategy but suggested strategies need to be tested within embedded clinical trials. The findings of this review are applicable to all palliative care research and not just randomised controlled trials.


2019 ◽  
Vol 6 (06) ◽  
pp. 4495-4500
Author(s):  
Ismail . ◽  
Teuku Tahlil ◽  
Nurussalam . ◽  
Dan Zurnila Marli Kesuma

Smoking is a serious issue causing a variety of adverse health effects. However, pesantrens (Islamic boarding schools) do not prohibit smoking, their leaders and teachers also smoke, and cigarettes are sold freely outside. The students have further admitted that anyone may smoke any where and that no socialization on smoking has ever been conducted in pesantrens.The purpose of this study was to analyze the relationships between the student smoking behavior, knowledge, and attitudes towards the social marketing mix in traditional pesantrens.This study employed a descriptive analytics with the cross sectional study design.The total sample was 162 students from a pesantren in Aceh Besar, Indonesia.The results showed that there were significant relationships between student smoking behavior and age (p-value = 0.031), and parents’ smoking behavior (p-value= 0.003), and peersmoking behavior (p-value =0.000), and knowledge of the social marketing mix (p-value= 0.010), and attitudes (p-value = 0.000) towards the social marketing mix. It is thus recommended tha tall parties develop a pesantren as one of the focus areas of smoking prevention activities


2015 ◽  
Vol 115 (5) ◽  
pp. 470-479 ◽  
Author(s):  
Onikia Brown ◽  
Virginia Quick ◽  
Sarah Colby ◽  
Geoffrey Greene ◽  
Tanya M. Horacek ◽  
...  

Purpose – Recruiting college students for research studies can be challenging. The purpose of this paper is to describe the lessons learned in the various recruitment strategies used for enrolling college students in a theory-based, tailored, and web-delivered health intervention at 13 US universities. Design/methodology/approach – The community-based participatory research (CBPR) model was used to develop a staged-tailored, web-based, randomized control trial, focussing on eating behavior, physical activity, and stress management. Participant feedback during baseline assessments was used to evaluate recruitment strategies. Findings – Findings from this feedback suggest that traditional recruitment strategies, such as newspaper ads and flyers, may not be the best approach for recruiting college students; instead, web-based efforts proved to be a better recruitment strategy. Research limitations/implications – This project included results from 13 US universities and thus may not be generalizable: more research is needed to determine successful recruitment methods for 18-24 years old college students. Originality/value – This paper lessens the gap regarding successful recruitment strategies for 18-24 years old college students.


Author(s):  
Chi-Horng Liao

Health promotion campaigns are used to raise awareness about health issues with the purpose of improving health outcomes and community wellbeing. They are important for increasing community awareness of health behavior changes. In the application of health promotion, social marketing can be used to influence changes in individual behavior. Social marketing encourages the social behavioral change of the target audience. This social behavioral change refers to the behavior of a certain number of target audiences, not just individual behavior. This research identified various social marketing success criteria to improve the performance of health promotion using decision-making method. Fuzzy decision-making trial and evaluation laboratory (F-DEMATEL) is a structural causal relation method that has been verified effectual in congregating the viewpoints of professionals and thus providing information of greater reliability in various areas. F-DEMATEL method helps to identify the core problems and direction of improvement in complex systems by quantifying the degree to which criteria attributes interact with each other. This research applied F-DEMATEL to evaluate the complex interrelation success criteria of social marketing in order to effectively implement health promotion. Several effective criteria were derived from this research. These influential criteria are “Designing effective Communication message”, “Meeting the needs of beneficiaries”, “Providing more benefit than cost”, “Marketing mix elements”, “Customer orientation”, “Organizational advantage” and “Market selection”. The practitioner must consider the needs of the recipients to accomplish a successful social marketing campaign in health promotion. Moreover, the practitioner also has to design an attractive message and marketing mix strategy to communicate the benefits of the behavioral change to the target audience. Besides, the message delivered by the known organization increases the success of social marketing in promoting healthy lifestyle. This study provides important information for the non-profit organization about selecting the significant criteria to lead to the success of the campaign.


2019 ◽  
Vol 2 (1) ◽  
pp. 30-39
Author(s):  
Oxana Savciuc ◽  
Alina Timotin

Abstract The aim of the paper is to provide a conceptual theoretical framework of the integration of the theories and models of behavioural change in the marketing mix of the social marketing programs applied in public health. A second purpose is to highlight the benefits of social marketing over alternative techniques used in programs that are designed to influence health behaviour. The research is a conceptual one, that uses both theoretical (through examination of theories and concepts) and applied approaches (through examination of particular cases and examples). In the specialized literature there are presented multiple models/theories of behavioural change, but their specific application in the marketing mix of the social marketing programs is insufficiently described. The need to use these theories in the public health sector arises from the extended application of social marketing in this field and the specificity of the domain. Eight main theories of behaviour change were studied according to their purpose, variables (possibility of segmentation) and limits. Accordingly, the study presents how these theories can be integrated in the process of social marketing implementation in defining the marketing mix strategy. In this regard, it is important to underline the advantages of using social marketing (in contrast to alternative techniques like PRECEDE/PROCEED or the ecological models), namely: it is based on consumer orientation, uses marketing research, creates attractive exchanges, considers competition, uses the marketing mix, ensures management of the processes. In addition, some elements of the alternative techniques can be taken over in the application of social marketing. Social marketing is a very useful practical tool, but it needs a well-grounded theoretical support in order to gain ground in front of other similar theories. This paper tends to enhance the theoretical tools available for researchers and practitioners.


2015 ◽  
Vol 16 (2) ◽  
pp. 141-158 ◽  
Author(s):  
Krzysztof Kubacki ◽  
Sharyn Rundle-Thiele ◽  
Ville Lahtinen ◽  
Joy Parkinson

Purpose – This study aims to review the extent that social marketing principles are applied in interventions targeting children published in peer-reviewed journals between 2000 and 2014. Design/methodology/approach – A systematic literature review was conducted to identify peer-reviewed social marketing studies targeting children under the age of 12 years as their main audience. Twenty-three interventions were identified and analysed using Andreasen’s (2002) social marketing benchmark criteria including behavioural objective, audience segmentation, formative research, exchange, marketing mix and competition. Findings – All of the interventions analysed in this review targeted behaviours associated with either physical activity or healthy eating among children under the age of 12 years. Sixteen of the studies reported positive behavioural outcomes. None of the studies used all six of the Andresean (2002) benchmark criteria. Social implications – With growing concerns about the prevalence of obesity among children, social marketing is emerging as an effective approach to increase physical activity and healthy eating, which in turn may assist to lower obesity. Extending the application of the social marketing benchmark criteria in social marketing interventions will assist to increase effectiveness. Originality/value – This paper presents the first attempt to review the extent that social marketing principles are used in interventions targeted at children aged 12 years and under.


2015 ◽  
Vol 21 (4) ◽  
pp. 230-248 ◽  
Author(s):  
Timothy Edgar ◽  
Marian Huhman ◽  
Gregory A. Miller

Critiques of the social marketing literature have suggested the place strategy is a key component within the 4 Ps of the marketing mix that simultaneously has been misunderstood and underutilized. This study sought to conduct a systematic review of the peer-reviewed literature to better understand how place has been conceptualized and operationalized over multiple decades. Application of inclusion criteria resulted in a sample of 84 articles published from 1988 to 2015 representing work in 20 different countries in North America, Asia, Africa, Europe, and Oceania. Content analysis showed that almost half (46.4%) of the descriptions of place strategies operationalized the component by including at least one element of placing messages within communication channels or information delivery such as print, interpersonal, traditional broadcast, or digital. The heavy emphasis on communication channels and information delivery contrasts sharply with definitions of place that thought leaders have offered historically. Results revealed that authors from the United States especially have a tendency to operationalize place as message placement. Discussion speculates on why conceptualization and operationalization have diverged and considers the implications for clarity within the field of social marketing as a whole.


2013 ◽  
Vol 3 (3) ◽  
pp. 206-222 ◽  
Author(s):  
Alan Tapp ◽  
Fiona Spotswood

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