Evidence map›Paper›PMID 40901811›Full record

Trial reportPloS one2025

Investigating the use of a one-page infographic to improve recruitment and retention to the BASIL+ randomised controlled trial: A Study Within a Trial (SWAT).

Lucy Atha, Eloise Ryde, Lauren Burke, Samantha Brady, Kalpita Baird, Leanne Shearsmith, Charlie Peck, Andrew Henry, Caroline Fairhurst, Han-I Wang and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Trial
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

16 authors.

Lucy AthaDepartment of Health Sciences, University of York, York, United Kingdom.ORCID https://orcid.org/0000-0003-3495-6468
Eloise RydeDepartment of Health Sciences, University of York, York, United Kingdom.
Lauren BurkeDepartment of Health Sciences, University of York, York, United Kingdom.ORCID https://orcid.org/0000-0002-9158-2055
Samantha BradyDepartment of Health Sciences, University of York, York, United Kingdom.
Kalpita BairdDepartment of Health Sciences, University of York, York, United Kingdom.
Leanne ShearsmithLeeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.
Charlie PeckDepartment of Health Sciences, University of York, York, United Kingdom.
Andrew HenryDepartment of Health Sciences, University of York, York, United Kingdom.
Caroline FairhurstDepartment of Health Sciences, University of York, York, United Kingdom.
Han-I WangDepartment of Health Sciences, University of York, York, United Kingdom.
Della BaileyDepartment of Health Sciences, University of York, York, United Kingdom.
Rebecca WoodhouseDepartment of Health Sciences, University of York, York, United Kingdom.
Dean McMillanDepartment of Health Sciences, University of York, York, United Kingdom.
Simon GilbodyDepartment of Health Sciences, University of York, York, United Kingdom.
David EkersDepartment of Health Sciences, University of York, York, United Kingdom.
Elizabeth LittlewoodDepartment of Health Sciences, University of York, York, United Kingdom.ORCID https://orcid.org/0000-0002-4606-4590

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow participant recruitment and retention rates are a significant barrier to successful Randomised Controlled Trials (RCTs). A Study Within A Trial (SWAT) is an effective way to explore which trial delivery methods may be useful for improving participant recruitment and retention rates. Infographics are a useful information delivery tool that may improve participants' understanding of the trial and thus improve recruitment or retention rates. This SWAT was embedded within the Behavioural Activation in Social Isolation (BASIL+) RCT. BASIL+ was delivered during the Covid-19 pandemic and evaluated the clinical and cost-effectiveness of a brief psychological intervention (Behavioural Activation) to mitigate depression and loneliness in older adults with multiple long-term health conditions.

methodsTwelve research sites were randomly allocated 1:1 to either the SWAT intervention group (participant information included a one-page infographic) or the SWAT control group (participant information did not include a one-page infographic). The primary outcome was the recruitment rate to the BASIL+ trial. The secondary outcomes were the number of expressions of interest in the trial and the follow-up retention rate at 3 months post-randomisation. Results were compared for each group using a mixed-effect logistic regression model with trial site as a random effect. The cost-effectiveness of the SWAT intervention was also evaluated.

resultsDespite a small additional cost (£0.13) per participant, there was no evidence that participant recruitment, expressions of interest or retention was significantly affected by the inclusion of the one-page infographic.

conclusionOur results suggest that the inclusion of an infographic alongside the participant information sheet may not be the best way to improve recruitment and retention rates for RCTs. However, infographics continue to be effective tools for information delivery in healthcare settings, and further research is needed to explore their use in RCTs.

Indexed as

COVID-19Patient SelectionAgedCost-Benefit AnalysisDepressionFemaleHumansLonelinessMaleMiddle AgedSARS-CoV-2Social Isolation

Identifiers

PMID40901811
PMCPMC12407392

What OpenQuestion holds

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Registered trials

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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.