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Strategies for recruitment in general practice settings: the iSOLVE fall prevention pragmatic cluster randomised controlled trial.
BMC Medical Research Methodology ( IF 4 ) Pub Date : 2019-12-11 , DOI: 10.1186/s12874-019-0869-7
Amy C W Tan 1 , Lindy Clemson 1 , Lynette Mackenzie 1 , Catherine Sherrington 2 , Chris Roberts 3 , Anne Tiedemann 2 , Constance D Pond 4 , Fiona White 1 , Judy M Simpson 2
Affiliation  

BACKGROUND Falls are common among older people, and General Practitioners (GPs) could play an important role in implementing strategies to manage fall risk. Despite this, fall prevention is not a routine activity in general practice settings. The iSOLVE cluster randomised controlled trial aimed to evaluate implementation of a fall prevention decision tool in general practice. This paper sought to describe the strategies used and reflect on the enablers and barriers relevant to successful recruitment of general practices, GPs and their patients. METHODS Recruitment was conducted within the geographical area of a Primary Health Network in Northern Sydney, Australia. General practices and GPs were engaged via online surveys, mailed invitations to participate, educational workshops, practitioner networks and promotional practice visits. Patients 65 years or older were recruited via mailed invitations, incorporating the practice letterhead and the name(s) of participating GP(s). Observations of recruitment strategies, results and enabling factors were recorded in field notes as descriptive and narrative data, and analysed using mixed-methods. RESULTS It took 19 months to complete recruitment of 27 general practices, 75 GPs and 560 patients. The multiple strategies used to engage general practices and GPs were collectively useful in reaching the targeted sample size. Practice visits were valuable in engaging GPs and staff, establishing interest in fall prevention and commitment to the trial. A mix of small, medium and large practices were recruited. While some were recruited as a whole-practice, other practices had few or half of the number of GPs recruited. The importance of preventing falls in older patients, simplicity of research design, provision of resources and logistic facilitation of patient recruitment appealed to GPs. Recruitment of older patients was successfully achieved by mailed invitations which was a strategy that was familiar to practice staff and patients. Patient response rates were above the expected 10% for most practices. Many practices (n = 17) achieved the targeted number of 20 or more patients. CONCLUSIONS Recruitment in general practice settings can be successfully achieved through multiple recruitment strategies, effective communication and rapport building, ensuring research topic and design suit general practice needs, and using familiar communication strategies to engage patients. TRIAL REGISTRATION The trial was prospectively registered on 29 April 2015 with the Australian New Zealand Clinical Trial Registry www.anzctr.org.au (trial ID: ACTRN12615000401550).

中文翻译:

一般实践环境中的招募策略:iSOLVE预防跌倒务实类群随机对照试验。

背景技术跌倒在老年人中很常见,全科医生(GP)可能在实施管理跌倒风险的策略中扮演重要角色。尽管如此,防坠落并不是普通实践中的常规活动。iSOLVE群集随机对照试验旨在评估在一般实践中跌倒预防决策工具的实施情况。本文试图描述所使用的策略,并反思与成功招募全科医师,全科医生及其患者有关的促成因素和障碍。方法招募是在澳大利亚北部悉尼市的初级卫生网络的地理区域内进行的。通过在线调查,邮寄参加邀请,教育研讨会,从业人员网络和推广实践访问等方式来参与一般实践和全科医生。65岁或以上的患者是通过邮寄邀请信招募的,其中包括练习信笺和参加的全科医生的姓名。招聘策略,结果和启用因素的观察结果作为描述性和叙述性数据记录在现场笔记中,并使用混合方法进行了分析。结果花了19个月的时间才完成了27种常规治疗,75名全科医生和560名患者的招募。参与一般实践和GP的多种策略共同有助于达到目标样本量。进行实践访问对于吸引全科医生和员工,建立对预防跌倒的兴趣以及对试验的承诺非常有价值。招募了大,中,小型实践。虽然有些人被招募为全科医生,但其他人的做法却不及所招募的全科医生的一半或一半。防止老年患者跌倒的重要性,研究设计的简便性,资源的提供以及患者招募的后勤便利吸引了全科医生。通过邮寄邀请函成功地实现了老年患者的招募,这是医务人员和患者熟悉的一种策略。在大多数实践中,患者的反应率均高于预期的10%。许多实践(n = 17)实现了20名或更多患者的目标人数。结论通过多种招募策略,有效的沟通和融洽的关系,确保研究主题和设计适合一般实践需求并使用熟悉的沟通策略吸引患者,可以成功地实现常规实践条件下的招聘。
更新日期:2019-12-11
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