An optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study: An embedded randomised recruitment trial
<h4>Background</h4> <p>Randomised controlled trials are generally regarded as the ‘gold standard’ experimental design to determine the effectiveness of an intervention. Unfortunately, many trials either fail to recruit sufficient numbers of participants, or recruitment takes longe...
Main Authors: | , , , , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Journal article |
Language: | English |
Published: |
BioMed Central
2017
|
_version_ | 1797067473156046848 |
---|---|
author | Cockayne, S Fairhurst, C Adamson, J Hewitt, C Hull, R Hicks, K Keenan, A Lamb, S Green, L McIntosh, C Menz, H Redmond, A Rodgers, S Torgerson, D Vernon, W Watson, J Knapp, P Rick, J Bower, P Eldridge, S Madurasinghe, V Graffy, J |
author_facet | Cockayne, S Fairhurst, C Adamson, J Hewitt, C Hull, R Hicks, K Keenan, A Lamb, S Green, L McIntosh, C Menz, H Redmond, A Rodgers, S Torgerson, D Vernon, W Watson, J Knapp, P Rick, J Bower, P Eldridge, S Madurasinghe, V Graffy, J |
author_sort | Cockayne, S |
collection | OXFORD |
description | <h4>Background</h4> <p>Randomised controlled trials are generally regarded as the ‘gold standard’ experimental design to determine the effectiveness of an intervention. Unfortunately, many trials either fail to recruit sufficient numbers of participants, or recruitment takes longer than anticipated. The current embedded trial evaluates the effectiveness of optimised patient information sheets on recruitment of participants in a falls prevention trial.</p> <h4>Methods</h4> <p>A three-arm, embedded randomised methodology trial was conducted within the National Institute for Health Research-funded REducing Falls with ORthoses and a Multifaceted podiatry intervention (REFORM) cohort randomised controlled trial. Routine National Health Service podiatry patients over the age of 65 were randomised to receive either the control patient information sheet (PIS) for the host trial or one of two optimised versions, a bespoke user-tested PIS or a template-developed PIS. The primary outcome was the proportion of patients in each group who went on to be randomised to the host trial.</p> <h4>Results</h4> <p>Six thousand and nine hundred patients were randomised 1:1:1 into the embedded trial. A total of 193 (2.8%) went on to be randomised into the main REFORM trial (control n = 62, template-developed n = 68; bespoke user-tested n = 63). Information sheet allocation did not improve recruitment to the trial (odds ratios for the three pairwise comparisons: template vs control 1.10 (95% CI 0.77–1.56, p = 0.60); user-tested vs control 1.01 (95% CI 0.71–1.45, p = 0.94); and user-tested vs template 0.92 (95% CI 0.65–1.31, p = 0.65)).</p> <h4>Conclusions</h4> <p>This embedded methodology trial has demonstrated limited evidence as to the benefit of using optimised information materials on recruitment and retention rates in the REFORM study.</p> |
first_indexed | 2024-03-06T21:56:47Z |
format | Journal article |
id | oxford-uuid:4d2e7233-5568-41e1-aaef-8f398d01af4d |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-06T21:56:47Z |
publishDate | 2017 |
publisher | BioMed Central |
record_format | dspace |
spelling | oxford-uuid:4d2e7233-5568-41e1-aaef-8f398d01af4d2022-03-26T15:54:08ZAn optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study: An embedded randomised recruitment trialJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4d2e7233-5568-41e1-aaef-8f398d01af4dEnglishSymplectic Elements at OxfordBioMed Central2017Cockayne, SFairhurst, CAdamson, JHewitt, CHull, RHicks, KKeenan, ALamb, SGreen, LMcIntosh, CMenz, HRedmond, ARodgers, STorgerson, DVernon, WWatson, JKnapp, PRick, JBower, PEldridge, SMadurasinghe, VGraffy, J <h4>Background</h4> <p>Randomised controlled trials are generally regarded as the ‘gold standard’ experimental design to determine the effectiveness of an intervention. Unfortunately, many trials either fail to recruit sufficient numbers of participants, or recruitment takes longer than anticipated. The current embedded trial evaluates the effectiveness of optimised patient information sheets on recruitment of participants in a falls prevention trial.</p> <h4>Methods</h4> <p>A three-arm, embedded randomised methodology trial was conducted within the National Institute for Health Research-funded REducing Falls with ORthoses and a Multifaceted podiatry intervention (REFORM) cohort randomised controlled trial. Routine National Health Service podiatry patients over the age of 65 were randomised to receive either the control patient information sheet (PIS) for the host trial or one of two optimised versions, a bespoke user-tested PIS or a template-developed PIS. The primary outcome was the proportion of patients in each group who went on to be randomised to the host trial.</p> <h4>Results</h4> <p>Six thousand and nine hundred patients were randomised 1:1:1 into the embedded trial. A total of 193 (2.8%) went on to be randomised into the main REFORM trial (control n = 62, template-developed n = 68; bespoke user-tested n = 63). Information sheet allocation did not improve recruitment to the trial (odds ratios for the three pairwise comparisons: template vs control 1.10 (95% CI 0.77–1.56, p = 0.60); user-tested vs control 1.01 (95% CI 0.71–1.45, p = 0.94); and user-tested vs template 0.92 (95% CI 0.65–1.31, p = 0.65)).</p> <h4>Conclusions</h4> <p>This embedded methodology trial has demonstrated limited evidence as to the benefit of using optimised information materials on recruitment and retention rates in the REFORM study.</p> |
spellingShingle | Cockayne, S Fairhurst, C Adamson, J Hewitt, C Hull, R Hicks, K Keenan, A Lamb, S Green, L McIntosh, C Menz, H Redmond, A Rodgers, S Torgerson, D Vernon, W Watson, J Knapp, P Rick, J Bower, P Eldridge, S Madurasinghe, V Graffy, J An optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study: An embedded randomised recruitment trial |
title | An optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study: An embedded randomised recruitment trial |
title_full | An optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study: An embedded randomised recruitment trial |
title_fullStr | An optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study: An embedded randomised recruitment trial |
title_full_unstemmed | An optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study: An embedded randomised recruitment trial |
title_short | An optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study: An embedded randomised recruitment trial |
title_sort | optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study an embedded randomised recruitment trial |
work_keys_str_mv | AT cockaynes anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT fairhurstc anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT adamsonj anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT hewittc anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT hullr anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT hicksk anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT keenana anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT lambs anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT greenl anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT mcintoshc anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT menzh anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT redmonda anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT rodgerss anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT torgersond anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT vernonw anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT watsonj anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT knappp anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT rickj anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT bowerp anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT eldridges anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT madurasinghev anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT graffyj anoptimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT cockaynes optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT fairhurstc optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT adamsonj optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT hewittc optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT hullr optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT hicksk optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT keenana optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT lambs optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT greenl optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT mcintoshc optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT menzh optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT redmonda optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT rodgerss optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT torgersond optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT vernonw optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT watsonj optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT knappp optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT rickj optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT bowerp optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT eldridges optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT madurasinghev optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial AT graffyj optimisedpatientinformationsheetdidnotsignificantlyincreaserecruitmentorretentioninafallspreventionstudyanembeddedrandomisedrecruitmenttrial |