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Title: Maximizing Patient Recruitment and Retention in a Secondary Stroke Prevention Clinical Trial: Lessons Learned from the STAND FIRM Study.
Austin Authors: Thayabaranathan, Tharshanah;Cadilhac, Dominique A;Srikanth, Velandai K;Fitzgerald, Sharyn M;Evans, Roger G;Kim, Joosup;Gerraty, Richard P;Phan, Thanh G;Bladin, Christopher F;Nelson, Mark R;Frayne, Judith H;Thrift, Amanda G
Affiliation: School of Medicine, University of Tasmania, Hobart, Tasmania, Australia
Department of Medicine, Box Hill Hospital, Monash University, Box Hill, Victoria, Australia
Department of Neurosciences, Box Hill Hospital, Monash University, Box Hill, Victoria, Australia
Menzies Research Institute Tasmania, Hobart, Tasmania, Australia
Department of Physiology, Monash University, Melbourne, Victoria, Australia
Department of Neurology, The Alfred Hospital, Prahran, Victoria, Australia
Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia
Department of Medicine, Epworth Healthcare, Monash University, Richmond, Victoria, Australia
Department of Medicine, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Issue Date: Jun-2016 2016-04-20
Publication information: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association 2016; 25(6): 1371-80
Abstract: Recruitment and retention of patients in a clinical trial is important for generalizability and robustness of findings. We aimed to investigate features of a study design that were associated with recruitment and retention in a Phase II and Phase III trial of a secondary prevention program for stroke. Following informed consent in hospital, Phase II participants were randomized to intervention or usual care. Baseline clinical assessments were conducted at home approximately 3 months after discharge. In Phase III study, informed consent was obtained at home. We compared the characteristics of participants recruited and retained to 12 months for both phases. Interviews with study nurses were undertaken in order to ascertain their opinions of features of study design. Triangulation was used to identify the features of study design that nurses thought had improved recruitment and retention. All 24 eligible participants were recruited to the Phase II pilot study (100% recruitment), with 67% retention at 12 months. In Phase III study, 570 participants were recruited, and 93% of these participants had reached their 12-month assessment (nā€‰=ā€‰532) and were still participating. Consistent with the greater patient retention in Phase III study, nurses reported that patients' willingness to participate was greater when consent was obtained at home. Following a change in the consent process from hospital to home, more participants continued participation to 12 months. Pilot studies can provide important data to improve study design and better understand potential barriers to recruitment and retention.
DOI: 10.1016/j.jstrokecerebrovasdis.2016.02.020
ORCID: 0000-0001-8162-682X
PubMed URL: 27009610
Type: Journal Article
Subjects: Stroke
feasibility study
patient retention
pilot study
Appears in Collections:Journal articles

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