Recruitment activities for a nationwide, population-based, group-randomized trial: the VA MI-Plus study

Persistent Link:
http://hdl.handle.net/10150/610161
Title:
Recruitment activities for a nationwide, population-based, group-randomized trial: the VA MI-Plus study
Author:
Funkhouser, Ellen; Levine, Deborah; Gerald, Joe; Houston, Thomas; Johnson, Nancy; Allison, Jeroan; Kiefe, Catarina
Affiliation:
VA Research Enhancement Award Program (REAP), Birmingham VA Medical Center, Birmingham, AL, USA; Department of Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL (DAL adjunct), USA; Ann Arbor VA Healthcare System and Departments of Medicine and Neurology, University of Michigan, Ann Arbor, MI, USA; Veterans Affairs Health Services Research and Development Center of Excellence, Ann Arbor, MI, USA; Community, Environment and Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA; Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA
Issue Date:
2011
Publisher:
BioMed Central
Citation:
Funkhouser et al. Implementation Science 2011, 6:105 http://www.implementationscience.com/content/6/1/105
Journal:
Implementation Science
Rights:
© 2011 Funkhouser et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)
Collection Information:
This item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.
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.
EISSN:
1748-5908
DOI:
10.1186/1748-5908-6-105
Version:
Final published version
Additional Links:
http://www.implementationscience.com/content/6/1/105

Full metadata record

DC FieldValue Language
dc.contributor.authorFunkhouser, Ellenen
dc.contributor.authorLevine, Deborahen
dc.contributor.authorGerald, Joeen
dc.contributor.authorHouston, Thomasen
dc.contributor.authorJohnson, Nancyen
dc.contributor.authorAllison, Jeroanen
dc.contributor.authorKiefe, Catarinaen
dc.date.accessioned2016-05-20T09:00:01Z-
dc.date.available2016-05-20T09:00:01Z-
dc.date.issued2011en
dc.identifier.citationFunkhouser et al. Implementation Science 2011, 6:105 http://www.implementationscience.com/content/6/1/105en
dc.identifier.doi10.1186/1748-5908-6-105en
dc.identifier.urihttp://hdl.handle.net/10150/610161-
dc.description.abstractBACKGROUND: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, respectivelyen
dc.description.abstractp < .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.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.implementationscience.com/content/6/1/105en
dc.rights© 2011 Funkhouser et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)en
dc.titleRecruitment activities for a nationwide, population-based, group-randomized trial: the VA MI-Plus studyen
dc.typeArticleen
dc.identifier.eissn1748-5908en
dc.contributor.departmentVA Research Enhancement Award Program (REAP), Birmingham VA Medical Center, Birmingham, AL, USAen
dc.contributor.departmentDepartment of Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL (DAL adjunct), USAen
dc.contributor.departmentAnn Arbor VA Healthcare System and Departments of Medicine and Neurology, University of Michigan, Ann Arbor, MI, USAen
dc.contributor.departmentVeterans Affairs Health Services Research and Development Center of Excellence, Ann Arbor, MI, USAen
dc.contributor.departmentCommunity, Environment and Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USAen
dc.contributor.departmentDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USAen
dc.identifier.journalImplementation Scienceen
dc.description.collectioninformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.en
dc.eprint.versionFinal published versionen
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