Evidence map›Paper›PMID 28010731›Full record

Trial reportTrials2016

A survey of facilitators and barriers to recruitment to the MAGNETIC trial.

Geetinder Kaur, Rosalind L Smyth, Colin V E Powell, Paula Williamson

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Journal of child health care : for professionals working with children in the hospital and community · 2022
    Trial
  5. Trial
  6. Evaluation of an Interactive, Educational Website Developed for Adolescents to Learn About Pediatric Clinical Trials: DigiKnowIt News.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Challenges in recruiting children to a multidrug-resistant TB prevention trial.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Treatment preference and recruitment to pediatric RCTs: A systematic review.Contemporary clinical trials communications · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Geetinder KaurSchool of Health and Population Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. drgkaur@gmail.com.ORCID 0000-0001-9564-0980
Rosalind L SmythUniversity College London, 30 Guilford Street, London, WC1N 1EH, UK.
Colin V E PowellDivision of Population Medicine, Cardiff University School of Medicine, UHW Main Building, Heath Park, Cardiff, CF144XN, UK.
Paula WilliamsonMRC North West Hub for Trials Methodology Research, Institute of Translational Medicine, University of Liverpool, Crown Street, Liverpool, L69 3BX, UK.
University of Liverpool · GBNoah's Ark Children's Hospital for Wales · GBUniversity College London · GB

Funding

Department of Health 05/503/10Medical Research Council G0800792Medical Research Council MR/L004933/1Medical Research Council MR/L004933/2
6 · The paper itself

Abstract

backgroundRecruitment to randomised controlled trials with children is challenging. It is imperative to understand the factors that boost or hinder recruitment of children to clinical trials. We conducted a survey of facilitators and barriers to recruitment to the MAGNETIC trial, using a previously developed web-based tool.

methodsMAGNETIC is a multicentre randomised trial of nebulised magnesium in acute severe asthma, recruiting 508 children from 30 UK sites. Recruiters were asked to grade a list of factors from -3 to +3 depending on whether the factor was perceived as a strong, intermediate or weak barrier (-3 to -1) or facilitator (+1 to + 3), and using (0) if it was thought to be not applicable. Free text responses were invited on strategies applied to counter the identified barriers.

resultsThe commonly identified facilitators were motivation and experience of study teams, effective communication and coordination between teams at site and between sites and the Clinical Trials Unit, the presence of designated research nurses, good trial management, clinical trial publicity, simple inclusion criteria, effective communication with parents and presentation of trial information in a simple and clear manner. The commonly identified barriers were heavy clinical workload, shift patterns of work, Good Clinical Practice (GCP) training, inadequate number of trained staff, time and setting of consent seeking, non-availability of research staff out of hours and parents' concerns about their child taking an experimental medicine. Having a designated research nurse, arranging GCP training and trial-related training sessions for staff were the most commonly reported interventions.

conclusionsThis study highlights important generic and trial-specific facilitators and barriers to recruitment to a paediatric trial in the acute setting and provides information on the recruitment strategies or interventions that were applied to overcome these barriers. This information can be very useful in informing the design and conduct of future clinical trials with children, particularly in the acute or emergency setting.

trial registrationISRCTN, ISRCTN81456894 . Registered on 15 November 2007.

Indexed as

Patient SelectionAcute DiseaseAdministration, InhalationAdolescentAge FactorsAnti-Asthmatic AgentsAsthmaAttitude of Health PersonnelChildChild, PreschoolFemaleHealth Knowledge, Attitudes, PracticeHumansInterdisciplinary CommunicationJob DescriptionMagnesium CompoundsAnti-Asthmatic AgentsMagnesium CompoundsChildrenClinical trialsRCT (randomised controlled trial)RecruitmentSurvey

Identifiers

PMID28010731
PMCPMC5180395
OpenAlexW2050633746

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.