scholarly journals PS2-30: Study Recruitment Challenges for a Clinical Trial of Diabetes Education Interventions

2010 ◽  
Vol 8 (1) ◽  
pp. 49-49
Author(s):  
A. Von Worley ◽  
D. Baumer ◽  
O. D Fernandes ◽  
A. M Hanson ◽  
S. J Beaton ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Diabetes Education ◽  
Study Recruitment ◽  
Recruitment Challenges ◽  
Education Interventions

scholarly journals Rate of patient’s Recruitment and Recruitment Derivatives from the Perspectives of Internal factors - Protocol Study Nosology, Experience of Investigators and Potential Patient’s Pool of Sites

2021 ◽  
Vol 2 (2) ◽  
pp. 1-6
Author(s):  
Svyatoslav Milovanov
Keyword(s):  
Clinical Trial ◽  
Clinical Trials ◽  
Statistical Analysis ◽  
Retrospective Analysis ◽  
Analysis Data ◽  
Recruitment Rate ◽  
Internal Factor ◽  
Internal Factors ◽  
Study Recruitment ◽  
Protocol Study

The recruitment as a process found by many authors to be undergoing of many factors. There is a factors which are decreasing the recruitment and last data is reporting up to 80% trials failed due to law or even absence of recruitment on level of sites. But the factors are differently changing the recruitment. The final number of recruitment is static figure very well known, there is also known speed of recruitment which is calculating in the start of the study and these parameters along with others is quantitative evaluation of recruitment. We investigated the rate of recruitment in the light of some factors using parameters reflecting the recruitment progress of recruitment. Materials and Methods: Retrospective analysis of data of four clinical trials II-III phases in oncology and hematology, conducted since 2007 to 2017 years. Study objectives: to investigate the study recruitment rate using different parameters and its changes along with acting of internal factors; to develop new parameters which could be sensitive for evaluation of factor’s action. Statistical analysis: data had been collected from feasibility questionnaires, open statistical sources. Results: It was determined rate of recruitment and its derivatives where was acting an internal factor. Discussion: Recruitment been undergone the internal factors. The way of action is multidirectional and could boost the recruitment and in opposite to decrease one and knowing it is important in success of recruitment and clinical trial itself eventually

Abstract WP333: Clinical Research Coordinators' Barriers and Best Practices to Minority Recruitment in Stroke Clinical Trials

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Jazmin Rivera ◽  
Lauren Southwick ◽  
Nina S Parikh ◽  
Sean Haley ◽  
Bernadette Boden-Albala
Keyword(s):  
Clinical Trial ◽  
Clinical Trials ◽  
Clinical Research ◽  
Focus Groups ◽  
Team Building ◽  
Patient Centered ◽  
Organizational Barriers ◽  
Internet Resources ◽  
Clinical Research Coordinators ◽  
Recruitment Challenges

Background: Poor recruitment and retention of clinical trial participants continues to be a major contributor to the early termination of many clinical trials. Specifically, low racial-ethnic minority and female participation rates can limit scientific, economic, and ethical value of a clinical trial. Previous literature has explored patient-centered enrollment barriers, while research has yet to investigate recruitment challenges facing clinical research coordinators (CRCs). Aim: To gain insight of the barriers facings CRCs with particular attention to minority and female recruitment efforts. Methods: Two semi-structured focus groups were conducted with a purposive sample of stroke CRCs in 2013 (N=17) and 2014 (N=23). Discussion topics included: 1) integrating NIH Inclusion Policy into trial design and recruitment strategies; 2) experiences recruiting minorities and women in stroke/neurological trials; and 3) strategies to enhance minority and female involvement. Two reviewers independently developed an initial set of base codes (n=6). Reviewers met and reconciled their independent coding using the 2013 transcript before applying the same process to the 2014 transcript. Codes and sub-codes were used to identify thematic areas. Results: Both focus groups included majority female participants with nearly half holding nursing degree. Codes informed three thematic areas: administration, enrollment and “other.” Administrative findings highlight organizational barriers. Enrollment findings identified challenges related to the severity of condition and time limitations. The “other” theme cut across administration and enrollment, often informed by coordinators’ personal experiences. Personal barriers include biases and uncertainty approaching patients from diverse backgrounds. Participants identified coordinator conferences, trainings, Internet resources, direct support from PIs and team building between hospital and research staff as key strategies. Conclusion: Our findings identified multi-dimensional organizational, administrative and resource barriers and the need for more focused CRC support to enhance participant recruitment efforts in stroke clinical research.

scholarly journals Effect of individualized diabetes education for type 2 diabetes mellitus: a single-center randomized clinical trial

2017 ◽  
Vol 16 (4) ◽  
pp. 1157
Author(s):  
Min-Hua Fan ◽  
Bing-Tong Huang ◽  
Ying-Chun Tang ◽  
Xiu-Hua Han ◽  
Wei-Wei Dong ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Clinical Trial ◽  
Type 2 Diabetes Mellitus ◽  
Randomized Clinical Trial ◽  
Diabetes Education ◽  
Single Center

A comparative analysis of recruitment methods used in a randomized trial of diabetes education interventions

2010 ◽  
Vol 31 (6) ◽  
pp. 549-557 ◽  
Author(s):  
Sarah J. Beaton ◽  
JoAnn M. Sperl-Hillen ◽  
Ann Von Worley ◽  
Omar D. Fernandes ◽  
Dorothy Baumer ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Randomized Trial ◽  
Diabetes Education ◽  
Recruitment Methods ◽  
Education Interventions

Barriers to Diabetes Education in Urban Patients Perceptions, Patterns, and Associated Factors

2005 ◽  
Vol 31 (3) ◽  
pp. 410-417 ◽  
Author(s):  
Mary K. Rhee ◽  
Curtiss B. Cook ◽  
Imad El-Kebbi ◽  
Robert H. Lyles ◽  
Virginia G. Dunbar ◽  
...  
Keyword(s):  
African American ◽  
Elementary Education ◽  
Hemoglobin A1c ◽  
Diabetes Education ◽  
College Education ◽  
Management Training ◽  
Educational Status ◽  
Diabetes Clinic ◽  
Average Patient ◽  
Education Interventions

Purpose This study explored patients’ perceptions of barriers to diabetes education among a mostly African American population of adults with diabetes. Methods A survey was conducted among 605 new patients attending an urban outpatient diabetes clinic. The questionnaire gathered information on issues patients believed would adversely affect their ability to learn about diabetes. The type and frequency of education barriers were evaluated, and variables associated with reporting an obstacle were analyzed. Results Average patient age was 50 years, diabetes duration was 5.6 years, body mass index was 32 kg/m2, and hemoglobin A1C was 9.1%. The majority (56%) were women, 89% were African American, and 95% had type 2 diabetes. Most respondents (96%) had received some prior instruction in diabetes care; however, 53% anticipated future difficulties learning about diabetes. The most commonly cited concerns were poor vision (74%) and reading problems (29%). Patients with a perceived barrier to diabetes education were older (P < .001) than were persons without a barrier, and they differed in both employment and educational status (both P < .001). In adjusted analyses, older age, male gender, being disabled, and having an elementary education or less were associated with a significantly increased likelihood of having a barrier to diabetes education, whereas having a college education decreased the odds. Higher hemoglobin A1C levels also tended to be associated with a greater chance of reporting an education barrier (P = .05). Conclusions A substantial number of persons anticipated a barrier to diabetes education. Interventions at multiple levels that address the demographic and socioeconomic obstacles to diabetes education are needed to ensure successful self-management training.

scholarly journals Challenges of Recruiting Caregiver and Care Receiver Dyads for a Randomized Clinical Trial

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 356-357
Author(s):  
Christine Fruhauf ◽  
Arlene Schmid ◽  
Neha Prabhu ◽  
Laura Swink ◽  
Jennifer Portz ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Chronic Disease ◽  
Strong Support ◽  
Lessons Learned ◽  
Care Recipient ◽  
Self Management ◽  
Care Utilization ◽  
Clinical Trial Research ◽  
Recruitment Challenges ◽  
Challenges And Opportunities

Abstract The recruitment of participants for chronic disease clinical trial research is often challenging. Further complicating participant recruitment occurs when the intervention is dyadic (i.e., simultaneously includes both care receivers and caregivers or recruiting pairs of people). Despite the strong support in favor of dyadic interventions for certain chronic diseases (e.g., among cancer and stroke survivors and their caregivers), researchers have not systematically shared challenges and opportunities for dyadic recruitment. During the recruitment for a yoga and self-management education intervention for people with chronic pain and their caregivers, several steps were taken to recruit and screen potential participants for the study. In this presentation, we will provide an overview of common recruitment challenges for physical activity and chronic disease self-management studies as well as the actual challenges encountered and our procedures for overcoming these obstacles. We will present our consort figure with attention toward inclusion and exclusion criteria of both care receivers and caregivers. Additional discussion will include specific challenges encountered when recruiting and screening caregivers (i.e., after the care receiver has been screened). The need for innovative clinical trial research with caregivers and care recipient dyads is essential as new care practices continue to evolve and demands on health care utilization increase. Lessons learned from this study may prove useful for future researchers as they embark on developing and testing dyadic interventions among adults with chronic disease and their caregivers.

scholarly journals Strategies for Overcoming Site and Recruitment Challenges in Research Studies Based in Intensive Care Units

2009 ◽  
Vol 18 (5) ◽  
pp. 410-417 ◽  
Author(s):  
Linda Chlan ◽  
Jill Guttormson ◽  
Mary Fran Tracy ◽  
Karin Lindstrom Bremer
Keyword(s):  
Clinical Trial ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Ventilatory Support ◽  
Music Intervention ◽  
Mechanical Ventilatory Support ◽  
Recruitment Challenges ◽  
The Mean ◽  
Individual Strategies

Although enrolling a sufficient number of participants is a challenge for any multisite clinical trial, recruiting patients who are critically ill and receiving mechanical ventilatory support presents additional challenges because of the severity of the patients’ illness and the impediments to their communication. Recruitment challenges related to the research sites, nursing staff, and research participants faced in the first 2 years of a 4-year multisite clinical trial of a patient-directed music intervention for managing anxiety in the intensive care unit were determined. Strategies to overcome these challenges, and thereby increase enrollment, were devised. Individual strategies, such as timing of screening on a unit, were tailored to each participating site to enhance recruitment for this trial. Other strategies, such as obtaining a waiver for a participant’s signature, were instituted across all participating sites. Through implementation of these various strategies, the mean monthly enrollment of participants increased by 50%. Investigators are advised to plan well in advance of starting recruitment for a clinical trial based in an intensive care unit, anticipate peaks and valleys in recruitment, and be proactive in addressing issues creatively as the issues arise.

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