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...

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Main Authors: 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
Format: Journal article
Language:English
Published: BioMed Central 2017
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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>
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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
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