Download - Recruitment .
Recruitment . . .
not rocket science . . . but no project gets off the ground without participants . . .
Viv Maskrey & Annie BlythSenior Research AssociatesUniversity of East Anglia, Norwich
April 22, 2023
SHARPISH experience
Investigators: Collaborators:
F. Song1
M. Adeney6
R. Holland1T. Dyer
7
G. Barton1
C. Slater8
M. Bachmann1
P. Aveyard2
S. Sutton3
J. Leonardi-Bee4
T. Brandon5
1. Norwich Medical School, University of East Anglia, UK
2. Primary Care Health Sciences, University of Oxford, UK
3. Institute of Public Health, University of Cambridge, UK
4. Epidemiology and Public Health, University of Nottingham, UK
5. Tobacco Res and Intervention Program, University of South Florida, USA
6. SmokeFree Norfolk, Norfolk Community Health and Care Trust
7. Norwich CRTU
8. NHS Norfolk Stop Smoking Services
April 22, 2023
SHARPISH background
NHS Stop Smoking services are cost-effective to help smokers stop smoking
50% of smokers who set a quit date stop smoking at 4 weeks (Judge 2005)
However, smoking relapse is common among short-term quitters
75% of the 4-week quitters go back to regular smoking between 4 and 52 weeks (Ferguson 2005)
April 22, 2023
SHARPISH Study designBased on meta-analysis* , showing:
Coping skills may reduce smoking relapse in people able to quit for at least one week
A randomised, open, controlled study
N = 1,400 (700 in each arm); study duration 3 years
Quitters recruited by Specialist Stop Smoking Advisors
Sending booklets to participants
2 telephone follow-up interviews (at 3 and 12 months)
CO-test confirmation of abstinence at 12 months
*(Song F, Huttunen-Lenz M, Holland R. Effectiveness of complex psycho-educational interventions for smoking relapse prevention: an exploratory meta-analysis. J Pub Hlth 2009; doi:10.1093/.
April 22, 2023
SHARPISH Intervention
Forever Free BookletsBOOKLET 1 An Overview
BOOKLET 2 Smoking Urges
BOOKLET 3 Smoking And Weight
BOOKLET 4 What If You Have A Cigarette?
BOOKLET 5 Your Health
BOOKLET 6 Smoking, Stress, & Mood
BOOKLET 7 Lifestyle Balance
BOOKLET 8 Life Without Cigarettes
April 22, 2023
Funder: HTA Disclaimer
Acknowledgement: ‘This project was funded by the NIHR Health Technology Assessment programme and will be published in full in the Health Technology Assessment journal series.
Visit the HTA programme website for more details www.hta.ac.uk/link to project page. The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the Department of Health’
April 22, 2023
Viv and Annie
Study Co-ordinators
Job sharingTwo for the price of one
Two heads are better than one
First meeting reported on:Numbers recruited
Numbers not recruited
Okay, but not enough
What do we do now?
April 22, 2023
Back to the drawing board
Thought about our ethical code:RespectHonesty
Aim to be:EnthusiasticTenaciousEncouragingAppreciative
. . . pathologically positive
April 22, 2023
A R M S
A - aheadR - realisticM - monitorS - support
April 22, 2023
A R M S
AHEADRecruiters’ events, and be thereOutside bodies to raise profilePossible dips and peaks in recruitment
REALSITICWhat recruiters can do; be respectfulWhat you can doBe prepared to let go
April 22, 2023
A R M S
MONITORSystematic flaws in forms, proceduresFix things before they become entrenchedIdentify successes and failures and learn
SUPPORTAt any and every opportunityEncourage successes, even small onesReally care about their work, engender this for project too
April 22, 2023
Black ducks and pink ducks
April 22, 2023
Practical application of ARMSEnsure positive presence at meetings
Anonymised quotesPoems, small tokensListen to ideas
Occasional emailsUpdatesCongratulations
Fun thingsParties, refresher evenings, quizzes
. . . raise the profile . . . be memorable!
April 22, 2023
How was recruitment going?
First 11 months recruitment = 550/733 (75%)
April 22, 2023
What to do?
The possibilities are:1. Improve recruiters’ recruitment rates2. Increase number of recruiters3. Increase number of sites
April 22, 2023
What did we do?
1. Recruiters are doing really well, continue to support
2. Increased number of recruitersWith help from PCRNEnlisted advisors in primary care
3. Increased number of sitesWith help from PCRNEnlisted Suffolk, Herts, GY&W, Lincs
April 22, 2023
What happened?
April 22, 2023
What happened?
Brilliant . . .
But what about follow up?92% at 2 months / 87.5% at 11 months
April 22, 2023
For good follow up . . .
ULTRA FLEXIBLEWork eveningsWork weekendsTravel aboutSeek help
April 22, 2023
REMEMBER . . .
Why people participate - Helping others
Future patientsClinicians
Help medical researchDon’t have to be of benefitWeigh up perceived risk
Christina Jerosch-Herold, SCoRD, UEA 2011
April 22, 2023
REMEMBER . . . A R M S
A - aheadR - realisticM - monitorS – support
. . . and be memorable
April 22, 2023
Thanks to . . .
HTAPCRNStop Smoking ServicesHealth trainersRecruitersOur institutionsTrial Management TeamSteering Committee