Evidence map›Paper›PMID 28351376›Full record

Trial reportTrials2017

An optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study: an embedded randomised recruitment trial.

Sarah Cockayne, Caroline Fairhurst, Joy Adamson, Catherine Hewitt, Robin Hull, Kate Hicks, Anne-Maree Keenan, Sarah E Lamb, Lorraine Green, Caroline McIntosh and 12 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 7 pooled it
9.4field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 7 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Strategies to improve recruitment to randomised trials.The Cochrane database of systematic reviews · 2026
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  5. Strategies to improve retention in randomised trials.The Cochrane database of systematic reviews · 2021
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  7. Strategies to improve recruitment to randomised trials.The Cochrane database of systematic reviews · 2018
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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

22 authors at 9 institutions in 3 countries.

Sarah CockayneDepartment of Health Sciences, York Trials Unit, University of York, York, YO10 5DD, UK.
Caroline FairhurstDepartment of Health Sciences, York Trials Unit, University of York, York, YO10 5DD, UK.
Joy AdamsonDepartment of Health Sciences, York Trials Unit, University of York, York, YO10 5DD, UK.
Catherine HewittDepartment of Health Sciences, York Trials Unit, University of York, York, YO10 5DD, UK.
Robin HullPodiatry Services, Harrogate and District NHS Foundation Trust, Harrogate District Hospital, Lancaster Park Road, Harrogate, UK.
Kate HicksDepartment of Health Sciences, York Trials Unit, University of York, York, YO10 5DD, UK.
Anne-Maree KeenanNIHR Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK.
Sarah E LambNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Kadoorie Critical Care Research Centre, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Lorraine GreenNIHR Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK.
Caroline McIntoshSchool of Health Sciences, Áras Moyola, National University of Ireland, Galway, Ireland.
Hylton B MenzLower Extremity and Gait Studies Program, Faculty of Health Sciences, La Trobe University, Bundoora, 3086, Victoria, Australia.
Anthony C RedmondNIHR Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK.
Sara RodgersDepartment of Health Sciences, York Trials Unit, University of York, York, YO10 5DD, UK.
David J TorgersonDepartment of Health Sciences, York Trials Unit, University of York, York, YO10 5DD, UK.
Wesley VernonThe School of Human & Health Sciences, Division of Podiatry, University of Huddersfield, Huddersfield, UK.
Judith WatsonDepartment of Health Sciences, York Trials Unit, University of York, York, YO10 5DD, UK.
Peter KnappDepartment of Health Sciences and the Hull York Medical School, University of York, York, YO10 5DD, UK.
Jo RickMedical Research Council North West Hub for Trials Methodology Research, National Institute of Health Research (NIHR) School for Primary Care Research, Manchester Academic Health Science Centre, Centre for Primary Care, University of Manchester, Oxford Road, Manchester, M13 9PL, UK. jo.rick@manchester.ac.uk.ORCID 0000-0002-4659-8111
Peter BowerMedical Research Council North West Hub for Trials Methodology Research, National Institute of Health Research (NIHR) School for Primary Care Research, Manchester Academic Health Science Centre, Centre for Primary Care, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Sandra EldridgePragmatic Clinical Trials Unit (PCTU), Centre for Primary Care and Public Health, Blizard Institute, Yvonne Carter Building, 58 Turner Street, London, E1 2AB, UK.
Vichithranie W MadurasinghePragmatic Clinical Trials Unit (PCTU), Centre for Primary Care and Public Health, Blizard Institute, Yvonne Carter Building, 58 Turner Street, London, E1 2AB, UK.
Jonathan GraffyDepartment of Public Health and Primary Care, University of Cambridge, Institute of Public Health, Forvie Site, Robinson Way, Cambridge, CB2 0SR, UK.
University of York · GBUniversity of Leeds · GBManchester Academic Health Science Centre · GBHarrogate and District NHS Foundation Trust · GBJohn Radcliffe Hospital · GBLa Trobe University · AUOllscoil na Gaillimhe – University of Galway · IEUniversity of Cambridge · GBUniversity of Huddersfield · GB

Funding

Department of Health 09/77/01Department of Health PDA/03/07/047Medical Research Council G1002325
6 · The paper itself

Abstract

backgroundRandomised controlled trials are generally regarded as the 'gold standard' experimental design to determine the effectiveness of an intervention. Unfortunately, many trials either fail to recruit sufficient numbers of participants, or recruitment takes longer than anticipated. The current embedded trial evaluates the effectiveness of optimised patient information sheets on recruitment of participants in a falls prevention trial.

methodsA three-arm, embedded randomised methodology trial was conducted within the National Institute for Health Research-funded REducing Falls with ORthoses and a Multifaceted podiatry intervention (REFORM) cohort randomised controlled trial. Routine National Health Service podiatry patients over the age of 65 were randomised to receive either the control patient information sheet (PIS) for the host trial or one of two optimised versions, a bespoke user-tested PIS or a template-developed PIS. The primary outcome was the proportion of patients in each group who went on to be randomised to the host trial.

resultsSix thousand and nine hundred patients were randomised 1:1:1 into the embedded trial. A total of 193 (2.8%) went on to be randomised into the main REFORM trial (control n = 62, template-developed n = 68; bespoke user-tested n = 63). Information sheet allocation did not improve recruitment to the trial (odds ratios for the three pairwise comparisons: template vs control 1.10 (95% CI 0.77-1.56, p = 0.60); user-tested vs control 1.01 (95% CI 0.71-1.45, p = 0.94); and user-tested vs template 0.92 (95% CI 0.65-1.31, p = 0.65)).

conclusionsThis embedded methodology trial has demonstrated limited evidence as to the benefit of using optimised information materials on recruitment and retention rates in the REFORM study.

trial registrationInternational Standard Randomised Controlled Trials Number registry, ISRCTN68240461 . Registered on 01 July 2011.

Indexed as

Patient Education as TopicPatient SelectionAccidental FallsAgedAged, 80 and overComprehensionFemaleHealth Knowledge, Attitudes, PracticeHumansMaleOdds RatioPodiatryResearch SubjectsSample SizeUnited KingdomPatient informationRandomised controlled trialRecruitmentRetention

Identifiers

PMID28351376
PMCPMC5370466
OpenAlexW2599279520

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.