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5/21/2015 1 Recruitment Strategizing Mike Donahue, ITHS Jason Caucutt, ITHS Genecelle Delossantos, ITHS Juan Cotto, Fred Hutch Current state of recruitment Defining your population Developing a plan Case studies and group discussion Session outline The facts The facts What percentage of clinical trials fail to meet enrollment timelines? Missed timeline Made timeline 85% 15%

Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

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Page 1: Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

5/21/2015

1

Recruitment Strategizing

Mike Donahue, ITHS

Jason Caucutt, ITHSGenecelle Delossantos, ITHS

Juan Cotto, Fred Hutch

Current state of

recruitment

Defining your

population

Developing a plan

Case studies and

group discussion

Session outline

The facts

The facts

What percentage of clinical trials fail to meet

enrollment timelines?

Missed timeline

Made timeline

85%

15%

Page 2: Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

5/21/2015

2

Over estimate eligible participants

The facts

“I see 20 patients a month with this diagnosis”

20 patients is an exaggeration

Some won’t meet eligibility critiera

Some are for second opinion only Some are for second opinion only

Some won’t live locally

Some won’t be interested

What percent of protocol amendments contain

changes made to facilitate recruitment?

The facts

Protocol design

Recruitment

difficulty

Change in

objectives

New safety

information

19%

39%

18%

27%

The facts

Page 3: Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

5/21/2015

3

The facts

• 7-12 impressions before someone will call

or take action

• Considered the research coordinator’s

responsibility

• Expect recruitment to be free

The facts

The facts

Page 4: Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

5/21/2015

4

Clinical research involves clinical-related

skills, recruitment is a marketing activity!

The facts

• Where do they live, work, shop, spend time?

• Where do they get information?

• Analyze at different demographic levels

Who are you looking for?

40%

10%

23%

10%

5%

12% Primary care

Orthopedic specialist

Pain management specialist

Neurologist

Psychiatrist

Other

What type of doctor do you see regularly for pain?

Who are you looking for?

Page 5: Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

5/21/2015

5

• What are their lives like?

• Why would they want to participate?

Who are you looking for?

Who are you looking for?

Identify barriers

• Protocol development

• Build into the budget

– Parking

– Compensation

– Printing

• Initial IRB submission

Develop a plan

Page 6: Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

5/21/2015

6

Meet as a team

Develop a plan

• Hit early and hit hard

• Metrics

– Timing of implementation of each strategy

– Numbers of calls/contacts

– Source

– Screen fails/not interested

– How many enroll

– Coordinator efforts

Develop a plan

Tools

Well-designed flyer

Page 7: Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

5/21/2015

7

Tools

• Mail to participants

• Distribute in community

Tools

Well-designed brochure

Tools

Page 8: Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

5/21/2015

8

Did your parents get divorced after you turned 18? If so,

then you may qualify for a study on the relationship between

parental marital status, young adult relationships, and well-

being. This study can be reached via Surveymonkey, which is

a secure, completely confidential website where you will

take a simple survey. This study has received IRB approval

from Towson University and will take between 20-30 minutes

to complete. The only two requirements to participate are:

1) you have to be between 18 and 30 years old and 2) you

had to experience your parents divorcing when you were at

least 18 years old.

Tools

Information brief

• Facebook

• Advocacy organizations

• Craigslist

• Participateinresearch.org

• Study-specific website

Reaching your audience

Internet

• Support groups

• Community centers

• Senior centers

• Health fairs

Reaching your audience

Community outreach

Page 9: Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

5/21/2015

9

• Community papers

• Arts organizations

• Public transportation

Reaching your audience

Advertising

• Introductory letters

or post cards

– zip codes

– demographics

• Reply card

Reaching your audience

Direct mailings

Analyze Case Studies

Page 10: Recruitment Strategizing Mike Donahue · – Timing of implementation of each strategy – Numbers of calls/contacts – Source – Screen fails/not interested – How many enroll

5/21/2015

10

Acknowledgements

Carolyn Bain, MPH; Fred Hutch

Lisa Temposki,

Enterprise Project Manager; SCCA