1. overview 2 the jack project research design the intervention feasibility trial aims recruitment...

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1 Recruiting schools, adolescents and parents to a sexual-health trial: experiences, challenges and lessons from the Jack Feasibility Trial Dr Áine Aventin Prof. Maria Lohan Dr Lisa Maguire Prof. Mike Clarke RCTs in the Social Sciences Conference, University of York, 9 th -10 th September 2015

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Page 1: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

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Recruiting schools, adolescents and parents to a sexual-health trial: experiences, challenges and lessons from the Jack Feasibility Trial

Dr Áine AventinProf. Maria LohanDr Lisa MaguireProf. Mike Clarke

RCTs in the Social Sciences Conference, University of York, 9th -10th September 2015

Page 2: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

Overview

2

The Jack Project

• Research design• The intervention

Feasibility Trial

• Aims• Recruitment

targets, strategies and outcomes

Experiences &

Lessons

• Recruitment challenges

• Recruitment facilitators

Page 3: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

Jack Project

3

2010 2012 2014 2016

PRE-PHASE I

Evidence building

PHASE I

Intervention development

PHASE II

Feasibility trial Northern

Ireland

PHASE III?

UK-wide full trial

Page 4: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

The Intervention

4

Unintended teenage pregnancy

Teenage men aged 14-16

Trained teachers

Parents

www.qub.ac.uk/IfIWereJack

Page 5: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

Jack Feasibility Trial: Aims• Phase II Cluster RCT with

embedded process and economic evaluations

• Could we do a large trial?

• Is the intervention acceptable?

• Is participation in the trial acceptable?

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Page 6: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

Recruitment Targets

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8 schools

Teachers

Year 11 pupils Parents Other

staff

Page 7: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

Recruitment Strategies

7

• Training days• Introductions• Cold-call

Schools

• Principal/Vice-principal• Introductory meetings• Face-to-face training

Teachers

• DVD home• Information sheets• Overview at data collection

Pupils

• DVD and information sheet• Letter from school• Text message/email

Parents

Page 8: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

Recruitment outcomes

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Integrated Controlled Secondary

Catholic Maintained Secondary

Controlled

Grammar

Voluntary Catholic

Grammar

Voluntary ‘other

managed’Grammar

All

School recruitment rate (N recruited/ contacted)

 100

2/2

 100

1/1

 67

2/3 

100

1/1

 13

1/8

 17

1/6

38%

8/21

Pupil recruitment rate(N recruited/ contacted)

78

103/132

63

76/121

92

84/91

90

88/98

91

136/149

59

72/123

96

148/155

79

124/158

90%

831/1027

Teacherrecruitment rate(N)

9 3 4 7 7 1 7 2

100%

40

Parentrecruitment rate(N)

1 - 0 - 6 - - 3

7%

10

Page 9: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

Challenges Facilitators

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Credibility & Trust

Recruitment Challenges & Facilitators

Access

Time

Patience, persistence, politeness & RSE training days

Clarity and flexibility

Reliability, honesty, open communication & integrity

Page 10: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

Challenges Facilitators

10

Recruitment Challenges & Facilitators

Rapport

Engaging

The Little Things

What’s in it for us?

Build relationships and remember your

manners

Identify an ally and get to know each

school

Page 11: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

Jack Feasibility Trial Team Members

Principal Investigators

Prof. Maria Lohan & Prof. Mike Clarke (QUB)

Co-investigators

Dr Áine Aventin; Dr Lisa Maguire; Dr Mark Linden;

Dr Laura Dunne; Dr Carmel Kelly; Dr Peter O’Halloran (QUB);

Dr Lisa McDaid (MRC Glasgow University);

Prof. Cam Donaldson (Glasgow Caledonian University);

Ms Cliona McDowell; Dr Ashley Agus (Northern Ireland Clinical Trials Unit)

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Page 12: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

Related publications12

Aventin, Á., Lohan, M., Maguire, L. & Clarke, M. (forthcoming). Recruiting schools, adolescents and parents to a cluster randomised sexual-health trial: experiences, challenges and lessons from the Jack Feasibility Trial.

Aventin, Á., Lohan, M., O’Halloran, P., & Henderson, M. (2015). Design and development of a film-based intervention about teenage men and unintended pregnancy: applying the Medical Research Council framework in practice. Evaluation and Program Planning, 49: 19-30.  Lohan, M., Aventin, Á., Oliffe, J.L., Han, C. & Bottorff, J.L. (2014) Knowledge translation in men’s health research: The development and delivery of content for use online. Journal of Medical Internet Research (in press). Lohan, M., Aventin, Á., Maguire, L., Clarke, M., Linden, M., & McDaid, L. (2014). Feasibility trial of a film-based educational intervention for increasing boys’ and girls’ intentions to avoid teenage pregnancy: Study protocol. International Journal of Educational Research, 68, 35-45. Aventin, Á., & Lohan, M. (2013). I’m all right, Jack. Every Child Journal, 3(5): 38-43.

Page 13: 1. Overview 2 The Jack Project Research design The intervention Feasibility Trial Aims Recruitment targets, strategies and outcomes Experiences & Lessons

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The intervention design was funded by the ESRC, HSE PHA & HSE Crisis Pregnancy Programme.

The Jack Feasibility Trial is funded by the National Institute for Health Research Public Health Research (NIHR PHR) Programme (project #12/153/26).The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the NIHR PHR Programme or the Department of Health.

Acknowledgement of Research Funding

www.qub.ac.uk/IfIWereJack

[email protected]