Recruitment and retention of participants from socioeconomically deprived communities: lessons from the Awareness and Beliefs About Cancer (ABACus3) Randomised Controlled Trial

Abstract Background Recruitment of research participants poses challenges in socioeconomically deprived areas. The Awareness and Beliefs About Cancer (ABACus) phase 3 Randomised Control Trial recruited adult participants from socioeconomically deprived areas using a combined healthcare/community eng...

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Main Authors: Vasiliki Kolovou, Yvonne Moriarty, Stephanie Gilbert, Harriet Quinn-Scoggins, Julia Townson, Louise Padgett, Sioned Owen, Peter Buckle, Adrian Edwards, Julie Hepburn, Mandy Lau, Maura Matthews, Caroline Mitchell, Richard Neal, Rebecca Playle, Mike Robling, Stephanie Smits, Rob Trubey, Fiona Wood, Kate Brain
Format: Article
Language:English
Published: BMC 2020-11-01
Series:BMC Medical Research Methodology
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Online Access:http://link.springer.com/article/10.1186/s12874-020-01149-x
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author Vasiliki Kolovou
Yvonne Moriarty
Stephanie Gilbert
Harriet Quinn-Scoggins
Julia Townson
Louise Padgett
Sioned Owen
Peter Buckle
Adrian Edwards
Julie Hepburn
Mandy Lau
Maura Matthews
Caroline Mitchell
Richard Neal
Rebecca Playle
Mike Robling
Stephanie Smits
Rob Trubey
Fiona Wood
Kate Brain
author_facet Vasiliki Kolovou
Yvonne Moriarty
Stephanie Gilbert
Harriet Quinn-Scoggins
Julia Townson
Louise Padgett
Sioned Owen
Peter Buckle
Adrian Edwards
Julie Hepburn
Mandy Lau
Maura Matthews
Caroline Mitchell
Richard Neal
Rebecca Playle
Mike Robling
Stephanie Smits
Rob Trubey
Fiona Wood
Kate Brain
author_sort Vasiliki Kolovou
collection DOAJ
description Abstract Background Recruitment of research participants poses challenges in socioeconomically deprived areas. The Awareness and Beliefs About Cancer (ABACus) phase 3 Randomised Control Trial recruited adult participants from socioeconomically deprived areas using a combined healthcare/community engagement model. We report the strategies used to successfully recruit and retain our trial participant sample. Methods Community and healthcare settings in areas of high socioeconomic deprivation were identified by lay advisors who recruited participants opportunistically or by appointment. Follow-up was done by telephone or post at 2-weeks and 6-months after recruitment, and all participants were offered financial incentives. Qualitative interviews were conducted with lay advisors regarding their experience and reflections. Results The lay advisors identified and contacted 107 potential recruitment venues across South and West Yorkshire and South East Wales of which 41.1% (n = 42) were opened for recruitment. A total of 234 participants were recruited, with 91% (n = 212) retention at 2-weeks and 85% (n = 199) at 6-months. Community settings yielded 75% (n = 176) of participants. Participants had a mean age of 61.3 years and 63.3% (n = 148) were female, with 66% (n = 154) resident in the most deprived geographical areas. Lay advisors described recruitment as intensive, although engaging participants was easier in community settings. Conclusions The ABACus3 trial achieved recruitment and high retention with a population that is often “hard to reach” or entirely missed in health research. Strategies were specifically tailored to engage the venues and adult residents of highly deprived areas. Future studies recruiting adults living in the most deprived areas might benefit from community recruitment and from collaborating with local gatekeepers who are key to engagement. This study adheres to CONSORT guidelines. Trial registration Retrospectively registered with ISRCTN ( http://www.isrctn.com/ISRCTN16872545 ) on 12.01.2018.
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spelling doaj.art-161c78512851423e8f9876a4b1fca4762022-12-21T23:39:20ZengBMCBMC Medical Research Methodology1471-22882020-11-012011910.1186/s12874-020-01149-xRecruitment and retention of participants from socioeconomically deprived communities: lessons from the Awareness and Beliefs About Cancer (ABACus3) Randomised Controlled TrialVasiliki Kolovou0Yvonne Moriarty1Stephanie Gilbert2Harriet Quinn-Scoggins3Julia Townson4Louise Padgett5Sioned Owen6Peter Buckle7Adrian Edwards8Julie Hepburn9Mandy Lau10Maura Matthews11Caroline Mitchell12Richard Neal13Rebecca Playle14Mike Robling15Stephanie Smits16Rob Trubey17Fiona Wood18Kate Brain19Centre for Trials Research Cardiff Metropolitan UniversityCentre for Trials Research Cardiff Metropolitan UniversityCentre for Trials Research Cardiff Metropolitan UniversityDivision of Population Medicine, Cardiff UniversityCentre for Trials Research Cardiff Metropolitan UniversityDepartment of Health Sciences, University of YorkCentre for Trials Research Cardiff Metropolitan UniversityCentre for Trials Research Cardiff Metropolitan UniversityCentre for Trials Research Cardiff Metropolitan UniversityLead Lay Research Partner Wales Cancer Research CentreCentre for Trials Research Cardiff Metropolitan UniversityTENOVUS Cancer Care Gofal CanserAcademic Unit of Primary Medical Care, University of SheffieldLeeds Institute for Health Sciences, University of LeedsCentre for Trials Research Cardiff Metropolitan UniversityCentre for Trials Research Cardiff Metropolitan UniversityDivision of Population Medicine, Cardiff UniversityCentre for Trials Research Cardiff Metropolitan UniversityDivision of Population Medicine, Cardiff UniversityDivision of Population Medicine, Cardiff UniversityAbstract Background Recruitment of research participants poses challenges in socioeconomically deprived areas. The Awareness and Beliefs About Cancer (ABACus) phase 3 Randomised Control Trial recruited adult participants from socioeconomically deprived areas using a combined healthcare/community engagement model. We report the strategies used to successfully recruit and retain our trial participant sample. Methods Community and healthcare settings in areas of high socioeconomic deprivation were identified by lay advisors who recruited participants opportunistically or by appointment. Follow-up was done by telephone or post at 2-weeks and 6-months after recruitment, and all participants were offered financial incentives. Qualitative interviews were conducted with lay advisors regarding their experience and reflections. Results The lay advisors identified and contacted 107 potential recruitment venues across South and West Yorkshire and South East Wales of which 41.1% (n = 42) were opened for recruitment. A total of 234 participants were recruited, with 91% (n = 212) retention at 2-weeks and 85% (n = 199) at 6-months. Community settings yielded 75% (n = 176) of participants. Participants had a mean age of 61.3 years and 63.3% (n = 148) were female, with 66% (n = 154) resident in the most deprived geographical areas. Lay advisors described recruitment as intensive, although engaging participants was easier in community settings. Conclusions The ABACus3 trial achieved recruitment and high retention with a population that is often “hard to reach” or entirely missed in health research. Strategies were specifically tailored to engage the venues and adult residents of highly deprived areas. Future studies recruiting adults living in the most deprived areas might benefit from community recruitment and from collaborating with local gatekeepers who are key to engagement. This study adheres to CONSORT guidelines. Trial registration Retrospectively registered with ISRCTN ( http://www.isrctn.com/ISRCTN16872545 ) on 12.01.2018.http://link.springer.com/article/10.1186/s12874-020-01149-xRecruitmentRetentionSocioeconomic deprivationCommunity settingsRandomised control trialHealth intervention
spellingShingle Vasiliki Kolovou
Yvonne Moriarty
Stephanie Gilbert
Harriet Quinn-Scoggins
Julia Townson
Louise Padgett
Sioned Owen
Peter Buckle
Adrian Edwards
Julie Hepburn
Mandy Lau
Maura Matthews
Caroline Mitchell
Richard Neal
Rebecca Playle
Mike Robling
Stephanie Smits
Rob Trubey
Fiona Wood
Kate Brain
Recruitment and retention of participants from socioeconomically deprived communities: lessons from the Awareness and Beliefs About Cancer (ABACus3) Randomised Controlled Trial
BMC Medical Research Methodology
Recruitment
Retention
Socioeconomic deprivation
Community settings
Randomised control trial
Health intervention
title Recruitment and retention of participants from socioeconomically deprived communities: lessons from the Awareness and Beliefs About Cancer (ABACus3) Randomised Controlled Trial
title_full Recruitment and retention of participants from socioeconomically deprived communities: lessons from the Awareness and Beliefs About Cancer (ABACus3) Randomised Controlled Trial
title_fullStr Recruitment and retention of participants from socioeconomically deprived communities: lessons from the Awareness and Beliefs About Cancer (ABACus3) Randomised Controlled Trial
title_full_unstemmed Recruitment and retention of participants from socioeconomically deprived communities: lessons from the Awareness and Beliefs About Cancer (ABACus3) Randomised Controlled Trial
title_short Recruitment and retention of participants from socioeconomically deprived communities: lessons from the Awareness and Beliefs About Cancer (ABACus3) Randomised Controlled Trial
title_sort recruitment and retention of participants from socioeconomically deprived communities lessons from the awareness and beliefs about cancer abacus3 randomised controlled trial
topic Recruitment
Retention
Socioeconomic deprivation
Community settings
Randomised control trial
Health intervention
url http://link.springer.com/article/10.1186/s12874-020-01149-x
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