Abstract
Background: Recruiting medical groups for implementation research can be a challenging task. Recruitment problems may change the originally proposed time schedules and even harm external validity. Solberg identified seven R-factors as determinants for a successful recruitment procedure; relationships, reputation, requirements, rewards, reciprocity, resolution, and respect. We have applied the seven R-factors as determinants for recruitment to a study on low back pain guideline implementation.
Aim: The aim of this process evaluation is (i) to evaluate how well we succeeded in designing and adjusting a recruitment procedure during delivery accordingly to the framework of the seven R-factors and (ii) to discuss the usefulness of the seven R-factors in our recruitment procedure.
Methods: This process evaluation is based upon a systematic monitoring procedure of the recruitment of Danish general practices to a guideline implementation study. In the design stage GPs involved in general practice quality work participated in brainstorming sessions and the recruitment procedure was tailored to address determinants for study participation. During the delivery stage barriers for participation were systematically registered by the two recruiters and adaptive changes to the recruitment strategy were discussed on weekly 11⁄2- hours meetings in the study group.
Results: During fourteen months 60 out of 189 possible general practices were recruited. We had underestimated the resources needed to contact possible participants as well as time required for medical groups to decide whether to participate or not. But most importantly extensive involvement of GPs in the development of required technical software might have resulted in more reciprocity and larger acceptance of the introduced changes to clinical procedures.
Conclusions: Our recruitment procedure had successfully addressed five R-factors, but requirements and the reciprocity factors had not been met sufficiently. In this process evaluation the seven R-factors provided us with a useful framework for designing and adjusting a tailored recruitment process.
Aim: The aim of this process evaluation is (i) to evaluate how well we succeeded in designing and adjusting a recruitment procedure during delivery accordingly to the framework of the seven R-factors and (ii) to discuss the usefulness of the seven R-factors in our recruitment procedure.
Methods: This process evaluation is based upon a systematic monitoring procedure of the recruitment of Danish general practices to a guideline implementation study. In the design stage GPs involved in general practice quality work participated in brainstorming sessions and the recruitment procedure was tailored to address determinants for study participation. During the delivery stage barriers for participation were systematically registered by the two recruiters and adaptive changes to the recruitment strategy were discussed on weekly 11⁄2- hours meetings in the study group.
Results: During fourteen months 60 out of 189 possible general practices were recruited. We had underestimated the resources needed to contact possible participants as well as time required for medical groups to decide whether to participate or not. But most importantly extensive involvement of GPs in the development of required technical software might have resulted in more reciprocity and larger acceptance of the introduced changes to clinical procedures.
Conclusions: Our recruitment procedure had successfully addressed five R-factors, but requirements and the reciprocity factors had not been met sufficiently. In this process evaluation the seven R-factors provided us with a useful framework for designing and adjusting a tailored recruitment process.
Original language | English |
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Publication date | 2015 |
Number of pages | 1 |
Publication status | Published - 2015 |
Externally published | Yes |
Event | 2015 Nordic Conference on Implementation of Evidence-Based Practice - Bergen, Norway Duration: 3 Feb 2015 → 4 Feb 2015 http://www.hib.no/forskning/formidling/konferanser/nordic-conference-on-implementation/program/ |
Conference
Conference | 2015 Nordic Conference on Implementation of Evidence-Based Practice |
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Country/Territory | Norway |
City | Bergen |
Period | 03/02/15 → 04/02/15 |
Internet address |
Keywords
- physiotherapy