Cargando…
Facilitators and Barriers to Recruiting Ambulatory Oncology Practices Into a Large Multisite Study: Mixed Methods Study
BACKGROUND: Practice-based research is essential to generate the data necessary to understand outcomes in ambulatory oncology care. Although there is an increased interest in studying ambulatory oncology care, given the rising patient volumes and complexity in those settings, little guidance is avai...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199136/ https://www.ncbi.nlm.nih.gov/pubmed/32310140 http://dx.doi.org/10.2196/14476 |
_version_ | 1783529103791489024 |
---|---|
author | Manojlovich, Milisa Bedard, Louise Griggs, Jennifer J McBratnie, Michaella Mendelsohn-Victor, Kari Friese, Christopher R |
author_facet | Manojlovich, Milisa Bedard, Louise Griggs, Jennifer J McBratnie, Michaella Mendelsohn-Victor, Kari Friese, Christopher R |
author_sort | Manojlovich, Milisa |
collection | PubMed |
description | BACKGROUND: Practice-based research is essential to generate the data necessary to understand outcomes in ambulatory oncology care. Although there is an increased interest in studying ambulatory oncology care, given the rising patient volumes and complexity in those settings, little guidance is available on how best to recruit ambulatory oncology practices for research. OBJECTIVE: This paper aimed to describe the facilitators and barriers to recruiting ambulatory oncology practices into a large multisite study. METHODS: Using a mixed methods design, we sought to recruit 52 ambulatory oncology practices that have participated in a state-wide quality improvement collaborative for the quantitative phase. We used 4 domains of the Consolidated Framework for Implementation Research (CFIR) to describe facilitators and barriers to recruitment. RESULTS: We successfully recruited 28 of the 52 collaborative-affiliated practices, collecting survey data from 2223 patients and 297 clinicians. Intervention attributes included multimodal outreach and training activities to assure high fidelity to the data collection protocol. The implementation process was enhanced through interactive training and practice-assigned champions responsible for data collection. External context attributes that facilitated practice recruitment included partnership with a quality improvement collaborative and the inclusion of a staff member from the collaborative in our team. Key opinion leaders within each practice who could identify challenges to participation and propose flexible solutions represented internal context attributes. We also reported lessons learned during the recruitment process, which included navigating diverse approaches to human subjects protection policies and understanding that recruitment could be a negotiated process that took longer than anticipated, among others. CONCLUSIONS: Our experience provides other researchers with challenges to anticipate and possible solutions for common issues. Using the CFIR as a guide, we identified numerous recruitment barriers and facilitators and devised strategies to enhance recruitment efforts. In conclusion, researchers and clinicians can partner effectively to design and implement research protocols that ultimately benefit patients who are increasingly seeking care in ambulatory practices. |
format | Online Article Text |
id | pubmed-7199136 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-71991362020-05-08 Facilitators and Barriers to Recruiting Ambulatory Oncology Practices Into a Large Multisite Study: Mixed Methods Study Manojlovich, Milisa Bedard, Louise Griggs, Jennifer J McBratnie, Michaella Mendelsohn-Victor, Kari Friese, Christopher R JMIR Cancer Original Paper BACKGROUND: Practice-based research is essential to generate the data necessary to understand outcomes in ambulatory oncology care. Although there is an increased interest in studying ambulatory oncology care, given the rising patient volumes and complexity in those settings, little guidance is available on how best to recruit ambulatory oncology practices for research. OBJECTIVE: This paper aimed to describe the facilitators and barriers to recruiting ambulatory oncology practices into a large multisite study. METHODS: Using a mixed methods design, we sought to recruit 52 ambulatory oncology practices that have participated in a state-wide quality improvement collaborative for the quantitative phase. We used 4 domains of the Consolidated Framework for Implementation Research (CFIR) to describe facilitators and barriers to recruitment. RESULTS: We successfully recruited 28 of the 52 collaborative-affiliated practices, collecting survey data from 2223 patients and 297 clinicians. Intervention attributes included multimodal outreach and training activities to assure high fidelity to the data collection protocol. The implementation process was enhanced through interactive training and practice-assigned champions responsible for data collection. External context attributes that facilitated practice recruitment included partnership with a quality improvement collaborative and the inclusion of a staff member from the collaborative in our team. Key opinion leaders within each practice who could identify challenges to participation and propose flexible solutions represented internal context attributes. We also reported lessons learned during the recruitment process, which included navigating diverse approaches to human subjects protection policies and understanding that recruitment could be a negotiated process that took longer than anticipated, among others. CONCLUSIONS: Our experience provides other researchers with challenges to anticipate and possible solutions for common issues. Using the CFIR as a guide, we identified numerous recruitment barriers and facilitators and devised strategies to enhance recruitment efforts. In conclusion, researchers and clinicians can partner effectively to design and implement research protocols that ultimately benefit patients who are increasingly seeking care in ambulatory practices. JMIR Publications 2020-04-20 /pmc/articles/PMC7199136/ /pubmed/32310140 http://dx.doi.org/10.2196/14476 Text en ©Milisa Manojlovich, Louise Bedard, Jennifer J Griggs, Michaella McBratnie, Kari Mendelsohn-Victor, Christopher R Friese. Originally published in JMIR Cancer (http://cancer.jmir.org), 20.04.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to the original publication on http://cancer.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Original Paper Manojlovich, Milisa Bedard, Louise Griggs, Jennifer J McBratnie, Michaella Mendelsohn-Victor, Kari Friese, Christopher R Facilitators and Barriers to Recruiting Ambulatory Oncology Practices Into a Large Multisite Study: Mixed Methods Study |
title | Facilitators and Barriers to Recruiting Ambulatory Oncology Practices Into a Large Multisite Study: Mixed Methods Study |
title_full | Facilitators and Barriers to Recruiting Ambulatory Oncology Practices Into a Large Multisite Study: Mixed Methods Study |
title_fullStr | Facilitators and Barriers to Recruiting Ambulatory Oncology Practices Into a Large Multisite Study: Mixed Methods Study |
title_full_unstemmed | Facilitators and Barriers to Recruiting Ambulatory Oncology Practices Into a Large Multisite Study: Mixed Methods Study |
title_short | Facilitators and Barriers to Recruiting Ambulatory Oncology Practices Into a Large Multisite Study: Mixed Methods Study |
title_sort | facilitators and barriers to recruiting ambulatory oncology practices into a large multisite study: mixed methods study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199136/ https://www.ncbi.nlm.nih.gov/pubmed/32310140 http://dx.doi.org/10.2196/14476 |
work_keys_str_mv | AT manojlovichmilisa facilitatorsandbarrierstorecruitingambulatoryoncologypracticesintoalargemultisitestudymixedmethodsstudy AT bedardlouise facilitatorsandbarrierstorecruitingambulatoryoncologypracticesintoalargemultisitestudymixedmethodsstudy AT griggsjenniferj facilitatorsandbarrierstorecruitingambulatoryoncologypracticesintoalargemultisitestudymixedmethodsstudy AT mcbratniemichaella facilitatorsandbarrierstorecruitingambulatoryoncologypracticesintoalargemultisitestudymixedmethodsstudy AT mendelsohnvictorkari facilitatorsandbarrierstorecruitingambulatoryoncologypracticesintoalargemultisitestudymixedmethodsstudy AT friesechristopherr facilitatorsandbarrierstorecruitingambulatoryoncologypracticesintoalargemultisitestudymixedmethodsstudy |