Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/120368
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Type: Journal article
Title: Recruitment strategies in randomised controlled trials of men aged 50 years and older: a systematic review
Author: Bracken, K.
Askie, L.
Keech, A.C.
Hague, W.
Wittert, G.
Citation: BMJ Open, 2019; 9(4):e025580-1-e025580-17
Publisher: BMJ Publishing
Issue Date: 2019
ISSN: 2044-6055
2044-6055
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Responsibility: 
Karen Bracken, Lisa Askie, Anthony C Keech, Wendy Hague, Gary Wittert
Abstract: Objectives: To identify and review evaluations of strategies to recruit men aged 50 years and over to randomised controlled trials (RCTs). Design: Systematic review and narrative synthesis. Data Sources: MEDLINE, EMBASE, CINAHL and ORRCA databases were searched to 1 December 2017. Eligibility Criteria: Studies using quantitative methods to evaluate recruitment strategies to RCTs of men aged 50 years and older. Data Extraction and Synthesis: A single reviewer extracted data (for each strategy, number of participants approached, screened and randomised, and cost). Study quality was assessed using National Heart, Lung and Blood Institute Quality Assessment Tools and considered study design, description of interventions, description and measurement of outcomes, completeness of outcome reporting, performance of statistical testing and consideration of confounders. Recruitment strategies were categorised by the recruitment stage they addressed. Results: Sixteen studies (n >14 000) were included: one good quality, ten fair quality and five poor quality. Studies evaluated strategies to identify prospective participants, and to improve the processes for assessing participant eligibility, providing participant information and seeking consent. In good and fair quality studies, the most effective strategies for identifying participants were referral from an affiliated health service provider (two studies), mass mailing (five studies) and media coverage (two studies). Community outreach activities such as displaying posters and attending local community events were not effective (two studies). Trial-specific training of site recruitment staff, developed using qualitative analysis of recruitment visits (two studies), and provision of study information to prospective participants at a multidisciplinary, group information session (one study) both improved recruitment. Conclusion: Improved engagement of men aged 50 years and older in RCTs is needed. A gender-sensitised approach to RCT recruitment may help to address this need. We have identified several promising recruitment strategies that merit further evaluation.
Keywords: Men’s health; participant recruitment
Rights: © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
DOI: 10.1136/bmjopen-2018-025580
Grant ID: NHMRC
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