Recruitment activities for a nationwide, population-based, group-randomized trial: the VA MI-Plus study
dc.contributor.author | Funkhouser, Ellen | |
dc.contributor.author | Levine, Deborah A | |
dc.contributor.author | Gerald, Joe K | |
dc.contributor.author | Houston, Thomas K | |
dc.contributor.author | Johnson, Nancy K | |
dc.contributor.author | Allison, Jeroan J | |
dc.contributor.author | Kiefe, Catarina I | |
dc.date.accessioned | 2015-08-07T17:48:44Z | |
dc.date.available | 2015-08-07T17:48:44Z | |
dc.date.issued | 2011-09-09 | |
dc.identifier.citation | Implementation Science. 2011 Sep 09;6(1):105 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/112896 | en_US |
dc.description.abstract | Abstract Background The Veterans Health Administration (VHA) oversees the largest integrated healthcare system in the United States. The feasibility of a large-scale, nationwide, group-randomized implementation trial of VHA outpatient practices has not been reported. We describe the recruitment and enrollment of such a trial testing a clinician-directed, Internet-delivered intervention for improving the care of postmyocardial infarction patients with multiple comorbidities. Methods With a recruitment goal of 200 eligible community-based outpatient clinics, parent VHA facilities (medical centers) were recruited because they oversee their affiliated clinics and the research conducted there. Eligible facilities had at least four VHA-owned and -operated primary care clinics, an affiliated Institutional Review Board (IRB), and no ongoing, potentially overlapping, quality-improvement study. Between December 2003 and December 2005, in two consecutive phases, we used initial and then intensified recruitment strategies. Results Overall, 48 of 66 (73%) eligible facilities were recruited. Of the 219 clinics and 957 clinicians associated with the 48 facilities, 168 (78%) clinics and 401 (42%) clinicians participated. The median time from initial facility contact to clinic enrollment was 222 days, which decreased by over one-third from the first to the second recruitment phase (medians: 323 and 195 days, respectively; p < .001), when more structured recruitment with physician recruiters was implemented and a dedicated IRB manager was added to the coordinating center staff. Conclusions Large group-randomized trials benefit from having dedicated physician investigators and IRB personnel involved in recruitment. A large-scale, nationally representative, group-randomized trial of community-based clinics is feasible within the VHA or a similar national healthcare system. | |
dc.title | Recruitment activities for a nationwide, population-based, group-randomized trial: the VA MI-Plus study | |
dc.type | Article | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/112896/1/13012_2010_Article_417.pdf | |
dc.identifier.doi | 10.1186/1748-5908-6-105 | en_US |
dc.language.rfc3066 | en | |
dc.rights.holder | Funkhouser et al; licensee BioMed Central Ltd. | |
dc.date.updated | 2015-08-07T17:48:44Z | |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.