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. 2019 May 10;20(1):266.
doi: 10.1186/s13063-019-3354-z.

Factors associated with recruitment to randomised controlled trials in general practice: protocol for a systematic review

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Factors associated with recruitment to randomised controlled trials in general practice: protocol for a systematic review

Keith R Moffat et al. Trials. .

Abstract

Background: Randomised controlled trials (RCTs) are frequently unable to recruit sufficient numbers of participants. This affects the trial's ability to answer the proposed research question, wastes resources and can be unethical. RCTs within a general practice setting are increasingly common and similarly face recruitment challenges. The aim of the proposed review is to identify factors that are associated with recruitment rates to RCTs in a general practice setting. These results will be used in further research to predict recruitment to RCTs.

Methods/design: The electronic databases Medline, EMBASE, Cochrane Database of Systematic Reviews, NTIS and OpenGrey will be searched for relevant articles with no limit on the date of publication. BMC Trials will be manually searched for the past 5 years. Both quantitative and qualitative studies will be included if they have studied recruitment within a general practice RCT. Only English language publications will be included. Screening, quality assessment and data extraction will be conducted by two review authors not blinded to study characteristics. Disagreement will be resolved by discussion and the involvement of a third review author if required. A narrative synthesis of the studies included will be performed.

Discussion: The review will, for the first time, systematically synthesise existing research on factors associated with recruitment rates to RCTs in general practice. By identifying research gaps to be prioritised in further research, it will be of interest to academics. It will also be of value to clinical trialists who are involved in the complex task of improving trial recruitment. Our team will use the findings to inform a prediction model of trial recruitment using machine learning.

Systematic review registration: PROSPERO, CRD42018100695 . Registered on 03 July 2018.

Keywords: general practice; randomised controlled trial; recruitment.

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Not applicable.

Competing interests

The authors declare that they have no competing interests.

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References

    1. Walters SJ, Bonacho dos Anjos Henriques-Cadby I, Bortolami O, Flight L, Hind D, Jacques RM, Knox C, Nadin B, Rothwell J, Surtees M, et al. Recruitment and retention of participants in randomised controlled trials: a review of trials funded and published by the United Kingdom Health Technology Assessment Programme. BMJ Open. 2017;7:e015276. - PMC - PubMed
    1. McDonald AM, Knight RC, Campbell MK, Entwistle VA, Grant AM, Cook JA, Elbourne DR, Francis D, Garcia J, Roberts I, et al. What influences recruitment to randomised controlled trials? A review of trials funded by two UK funding agencies. Trials. 2006;7:9. doi: 10.1186/1745-6215-7-9. - DOI - PMC - PubMed
    1. Sully BG, Julious SA, Nicholl J. A reinvestigation of recruitment to randomised, controlled, multicenter trials: a review of trials funded by two UK funding agencies. Trials. 2013;14:166. doi: 10.1186/1745-6215-14-166. - DOI - PMC - PubMed
    1. van der Gaag WH, van den Berg R, Koes BW, Bohnen AM, Hazen LM, Peul WC, Voogt L, Verhagen AP, Bierma-Zeinstra SM, Luijsterburg PA. Discontinuation of a randomised controlled trial in general practice due to unsuccessful patient recruitment. Br J Gen Pract Open 2017;1(3):bjgpopen17X101085. - PMC - PubMed
    1. Schreijenberg M, Luijsterburg PAJ, Van Trier YDM, Rizopoulos D, Koopmanschap MA, Voogt L, Maher CG, Koes BW. Discontinuation of the PACE Plus trial: problems in patient recruitment in general practice. BMC Musculoskelet Disord. 2018;19(1):146. doi: 10.1186/s12891-018-2063-1. - DOI - PMC - PubMed