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Table 3 Summary of the recruitment strategy implementation plan

From: Challenges of a community based pragmatic, randomised controlled trial of weight loss maintenance

Task

Priority

Actions taken

Section 1—PICs

Expansion of recruitment territory

High

Local geographical expansion of four more PICs within the remaining recruitment timeframe

Incentives for slimming world and exercise on referral staff

High

For exercise referral staff, a £20 high street voucher for the best recruiter bi-monthly. For SW consultants, a £20 voucher for every five participants recruited per month. There was also a £20 voucher for the best SW recruiter each month (N.B. GP PICs were reimbursed via NHS support costs)

Presenting to slimming world

High

Attend SW groups to present study to clients

47 meetings attended. Attend SW regional consultants meetings. 11 meetings attended

Increased SW HQ involvement

High

Advert placed in SW magazine and email from Head of Nutrition Research at SW to consultants encouraging involvement

Increased contact with PICs

High

Monthly phone contact with all PICs (n = 75), bi-monthly PIC newsletters, repeat training sessions

Engage with slimming club on referral from GP practices in South West England

Medium

Not implemented as study closed to recruitment before opening in SW England

Monitoring PICs

Medium

Monitor poor recruiters for support. Decided against closing them

Section 2—Advertising

Study website

High

Website live

Poster displays

High

Posters in non-PIC GP surgeries, local gyms and classes; hospital corridors; community centres

Local pharmacies

High

Posters displayed in pharmacies in Tesco (n = 26) and Sainsbury’s (n = 27) and local independent pharmacies

Large local employers and universities

High

21 companies and six universities advertised study via intranet

Press releases

Medium

Local newspapers printed two articles

Item aired on local radio

Social media—Facebook and Twitter

Medium/

low

Accounts live and linked to SW pages and other relevant sites

Section 3—Other

Alter emphasis to target route 1

High

Altered posters and recruitment drive to focus on route 1 only

Close monitoring of recruitment rates and monthly recruitment targets

High

Figures examined weekly

Research network support

High

Area specific strategies given to network staff to implement locally

CLRN nurse in Trent trained and engaged with CLRN in South West England

Establish links with other health professionals

High to medium

TMG members presented at dietetics meetings as well as to gym managers and fitness club managers

Specialist weight management clinic advertising study

Collaborate with other weight loss studies

Medium

Unsuccessful due to lack of studies.

Maximize use of flagging systems on practice databases

Medium

Unsuccessful due to complexities of various practice systems

Manage screening process and follow up of route 2 participants

Medium

Contact maintained with route 2 participants but emphasis that they must contact the study team with evidence of their weight loss

Attend and present at local health events

Low

2 events attended but little impact on recruitment

Section 4—actions not pursued (and reasons why)

Use pharmacies as PICs

High

Not pursued due to resource implications involved in training sites

Complete database searches for PICs

High

Not pursued due to lack of REC approval

Increase visits to PICs to problem solve

Low

Not pursued due to lack of resource and likely low impact on recruitment rates

Link in with relevant patient groups

Low

Not pursued as study closed to recruitment

Target discussion forums/threads on the internet

Low

Not pursued as study closed to recruitment

Create links with other slimming groups

Low

Not pursued due to SW involvement

Placing adverts

Medium

Attempted to advertise on relevant internet sites but they were not appropriate/willing

Paper, TV and radio—cost proved too expensive

Identify a local celebrity to champion the study

Medium

Attempted but unsuccessful

  1. GP general practitioner, SW slimming world, HQ head quarters, PIC participant identification centre, CLRN comprehensive local research network, REC research ethics committee