Evidence map›Paper›PMID 29458392›Full record

ArticleTrials2018

Recruitment of older adults to three preventative lifestyle improvement studies.

Robin Chatters, Louise Newbould, Kirsty Sprange, Daniel Hind, Gail Mountain, Katy Shortland, Lauren Powell, Rebecca Gossage-Worrall, Tim Chater, Anju Keetharuth and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03054311 (Lifestyle Matters), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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.

NCT03054311 nacompletednot on this map

Lifestyle Matters: An Occupational Approach Towards Health and Well-being in Later Life

TypeinterventionalSponsorUniversity of SheffieldRan2004 to 2006Enrolled28ConditionsMental Health Wellness 1ArmsLifestyle Matters
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
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  6. A qualitative study of recruitment strategies: Perspectives from older adults living with diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2024
    Article
  7. Article
  8. Article
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  10. Review
  11. Article
  12. Observational
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  14. Implementing the Med Wise Program in rural Alberta: A feasibility study to support seniors.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    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

12 authors.

Robin ChattersSchool of Health and Related Research, The University of Sheffield, Regent Court, Regent Street, Sheffield, S1 4DA, UK. R.chatters@sheffield.ac.uk.
Louise NewbouldResearch Fellow Mental Health and Addiction Research Group Department of Health Sciences ARRC Building University of York, Heslington, York, YO10 5DD, UK.
Kirsty SprangeFaculty of Medicine and Health Sciences, Queen's Medical Centre, Nottingham, NG7 2UH, UK.
Daniel HindSchool of Health and Related Research, The University of Sheffield, Regent Court, Regent Street, Sheffield, S1 4DA, UK.
Gail MountainSchool of Health and Related Research, The University of Sheffield, Regent Court, Regent Street, Sheffield, S1 4DA, UK.
Katy ShortlandSheffield NIHR Clinical Research Facility, O Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, UK.
Lauren PowellSchool of Health and Related Research, The University of Sheffield, Regent Court, Regent Street, Sheffield, S1 4DA, UK.
Rebecca Gossage-WorrallSchool of Health and Related Research, The University of Sheffield, Regent Court, Regent Street, Sheffield, S1 4DA, UK.
Tim ChaterSchool of Health and Related Research, The University of Sheffield, Regent Court, Regent Street, Sheffield, S1 4DA, UK.
Anju KeetharuthSchool of Health and Related Research, The University of Sheffield, Regent Court, Regent Street, Sheffield, S1 4DA, UK.
Ellen LeeSchool of Health and Related Research, The University of Sheffield, Regent Court, Regent Street, Sheffield, S1 4DA, UK.
Bob WoodsDSDC Wales, Bangor University, Normal Site, Bangor, LL57 2PZ, UK.

Funding

Department of Health 09/3004/01Medical Research Council G1001406Public Health Research Programme 09/3004/01
6 · The paper itself

Abstract

backgroundRecruiting isolated older adults to clinical trials is complex, time-consuming and difficult. Previous studies have suggested querying existing databases to identify appropriate potential participants. We aim to compare recruitment techniques (general practitioner (GP) mail-outs, community engagement and clinician referrals) used in three randomised controlled trial (RCT) studies assessing the feasibility or effectiveness of two preventative interventions in isolated older adults (the Lifestyle Matters and Putting Life In Years interventions).

methodsDuring the three studies (the Lifestyle Matters feasibility study, the Lifestyle Matters RCT, the Putting Life In Years RCT) data were collected about how participants were recruited. The number of letters sent by GP surgeries for each study was recorded. In the Lifestyle Matters RCT, we qualitatively interviewed participants and intervention facilitators at 6 months post randomisation to seek their thoughts on the recruitment process.

resultsReferrals were planned to be the main source of recruitment in the Lifestyle Matters feasibility study, but due to a lack of engagement from district nurses, community engagement was the main source of recruitment. District nurse referrals and community engagement were also utilised in the Lifestyle Matters and Putting Life In Years RCTs; both mechanisms yielded few participants. GP mail-outs were the main source of recruitment in both the RCTs, but of those contacted, recruiting yield was low (< 3%). Facilitators of the Lifestyle Matters intervention questioned whether the most appropriate individuals had been recruited. Participants recommended that direct contact with health professionals would be the most beneficial way to recruit.

conclusionsRecruitment to the Lifestyle Matters RCT did not mirror recruitment to the feasibility study of the same intervention. Direct district nurse referrals were not effective at recruiting participants. The majority of participants were recruited via GP mail-outs, which may have led to isolated individuals not being recruited to the trials. Further research is required into alternative recruitment techniques, including respondent-driven sampling plus mechanisms which will promote health care professionals to recruit vulnerable populations to research.

trial registrationInternational Standard Randomised Controlled Trial Registry, ID: ISRCTN28645428 (Putting Life In Years RCT). Registered on 11 April 2012; International Standard Randomised Controlled Trial Registry, ID: ISRCTN67209155 (Lifestyle Matters RCT). Registered on 22 March 2012; ClinicalTrials.gov , ID: NCT03054311 (Lifestyle Matters feasibility study). Registered retrospectively on 19 January 2017.

Indexed as

Life StylePatient SelectionRandomized Controlled Trials as TopicAgedFeasibility StudiesFemaleGeneral PractitionersHumansMalePostal ServiceReferral and ConsultationComplex interventionsRandomised controlled trialsStudy design and best practice

Identifiers

PMID29458392
PMCPMC5819193

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Registered trials

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.