Programme no. 561-P
Recruitment in general practice: Is a standardised approach helpful in the involvement of healthcare professionals to research?
Allan Riis*1, Helle Terkildsen Maindal2, Cathrine Elgaard Jensen3, Flemming Bro4, Martin Bach Jensen5
1Research unit for General Practice,Department of Clinical Medicine, Aalborg University,9220 Aalborg Ø,Denmark, 2Department of Public health,Aarhus University,8000 Aarhus,Denmark, 3Danish Center for Health care improvements,Faculty of Social Sciences and faculty of Health Sciences,9220 Aalborg Ø,Denmark, 4Research unit for General Practice,Aarhus University,8000 Aarhus,Denmark, 5Research unit for General Practice,Department of Clinical Medicine, Aalborg University,9220 Aalborg Ø,Denmark
* = Presenting author
Objectives: Use the seven R-factors to evaluate recruitment of general practices to a low back pain guideline implementation study.
Background: Research in healthcare does not only involve patients. Most often, participation of healthcare professionals is crucial. However, their tasks are many, and commitment to research varies. Difficulties in recruitment to research may prolong the study period and even harm external validity. Solberg identified seven R-factors as determinants for successfully recruiting healthcare professionals: relationships, reputation, requirements, rewards, reciprocity, resolution, and respect.
Results: Recruitment of practices took place between January 2013 and March 2014. Barriers and enablers for recruitment were discussed on weekly meetings in the recruitment group and adjustments to the recruitment strategy were carried out. We recruited 60 of 189 eligible practices. The need to involve end users in the development of new software and time needed for recruitment were underestimated.
Material/Methods: During the design and conduct of recruitment to a low back pain guideline implementation study, we applied the seven R-factors to guide recruitment of Danish General Practices. General practices situated in the North Denmark region could be included, but we were budgeted to include a maximum of 100 practices. Prior to recruitment start a planned strategy was made on the basis of the seven R-factors and brainstorm sessions with three GPs. During the recruitment feedback on barriers and enablers to participate was collected through personal phone or mail contacts or as letters from potential participants.
Conclusion: Five of Solbergs´ seven R-factors were successfully addressed. The reciprocity factor and the resolution factor were, however, not fully met in our recruitment procedure.
Points for discussion: We found the use of a tool to guide systematic recruitment was helpful and we suggest an increased awareness on guideline development and support systems for recruitment of healthcare professionals.