Views of healthcare professionals on recruiting to a psychosocial randomised controlled trial: a qualitative study.

Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Health Personnel* ; Patient Selection* ; Research Personnel*; Delivery of Health Care ; Humans ; Qualitative Research

Background: Randomised controlled trials, and in particular those of psychosocial interventions, often fail to recruit to target, resulting in underpowered trials with poor generalisability of findings. The objectives of this study were to explore the views of healthcare professionals on recruiting to psychosocial research studies, and to explore their views on factors that may hinder or facilitate recruitment.
Methods: We conducted 14 semi-structured interviews, with healthcare professionals who had been involved in recruitment into a randomised controlled trial of a talking therapy for depression in patients with advanced cancer. Interviews were transcribed and analysed using thematic analysis.
Results: Five primary themes were identified, comprised of 11 subthemes. Attitudes towards research were largely positive. Health care professionals identified lack of time and narrow screening criteria as barriers to recruitment, and also noted the tendency to withhold participants from research for reasons other than eligibility (e.g., gatekeeping). The engagement of the study team with the clinical recruitment site, and the frequent presence of a researcher in clinics, were noted as facilitating recruitment.
Conclusions: Healthcare professionals involved in recruiting to trials of psychosocial interventions hold generally positive views of psychosocial research. However, they report that constraints including space and time limit their ability to recruit, and express anxieties about approaching patients for trial recruitment in the palliative phase of their illness. The findings from this study can inform how best to design trials, and in particular trials of psychosocial interventions, and train health care professionals for the study, to maximise recruitment.
(© 2021. The Author(s).)

Am J Hosp Palliat Care. 2007 Dec-2008 Jan;24(6):515-21. (PMID: 17601835)
Palliat Med. 1999 Jul;13(4):299-310. (PMID: 10659099)
Soc Sci Med. 1991;33(5):569-77. (PMID: 1962228)
Cancer J. 2009 Sep-Oct;15(5):345-51. (PMID: 19826351)
BMJ Support Palliat Care. 2013 Sep;3(3):318-23. (PMID: 24644750)
Trials. 2016 Feb 29;17(1):113. (PMID: 26926910)
Support Care Cancer. 2010 Aug;18(8):905-11. (PMID: 19705165)
Trials. 2011 Mar 15;12:78. (PMID: 21406089)
Palliat Med. 2016 Jun;30(6):533-48. (PMID: 26577927)
J Pain Symptom Manage. 2015 Nov;50(5):642-649.e1. (PMID: 26031710)
Health Technol Assess. 2019 May;23(19):1-106. (PMID: 31097078)
J Psychosoc Oncol. 2005;23(2-3):159-79. (PMID: 16492657)
Support Care Cancer. 2008 Dec;16(12):1397-405. (PMID: 18449574)
Trials. 2016 Jan 14;17:27. (PMID: 26767365)
J Palliat Med. 2002 Jun;5(3):397-406. (PMID: 12133244)
BMC Med Res Methodol. 2016 Aug 11;16(1):96. (PMID: 27515557)
Scand J Urol Nephrol. 2008;42(4):358-63. (PMID: 19230168)
Eur Urol. 2017 Nov;72(5):789-798. (PMID: 28578829)
Fam Pract. 2007 Oct;24(5):518-25. (PMID: 17698979)
Cochrane Database Syst Rev. 2011 Apr 13;(4):MR000012. (PMID: 21491415)
Palliat Med. 2003 Jun;17(4):300-7. (PMID: 12822844)
Trials. 2014 Jan 06;15:5. (PMID: 24393291)
J Pain Symptom Manage. 2009 Mar;37(3):387-94. (PMID: 18715749)
Trials. 2006 Apr 07;7:9. (PMID: 16603070)

09/33/02 Health Technology Assessment Programme

Keywords: Psychooncology; Psychosocial; Qualitative; RCT; Randomised Controlled Trial; Recruitment

Date Created: 20210819 Date Completed: 20210820 Latest Revision: 20220531

20240104

PMC8371878

10.1186/s12913-021-06817-2

34407826