Show simple item record

dc.contributor.authorFunkhouser, Ellen M.
dc.contributor.authorLevine, Deborah A.
dc.contributor.authorGerald, Joe K.
dc.contributor.authorHouston, Thomas K.
dc.contributor.authorJohnson, Nancy K.
dc.contributor.authorAllison, Jeroan J.
dc.contributor.authorKiefe, Catarina I.
dc.date2022-08-11T08:10:45.000
dc.date.accessioned2022-08-23T17:18:35Z
dc.date.available2022-08-23T17:18:35Z
dc.date.issued2011-09-09
dc.date.submitted2012-04-16
dc.identifier.citationImplement Sci. 2011 Sep 9;6:105. doi:10.1186/1748-5908-6-105. The electronic version of this article is the complete one and can be found online at: http://www.implementationscience.com/content/6/1/105
dc.identifier.issn1748-5908 (Linking)
dc.identifier.doi10.1186/1748-5908-6-105
dc.identifier.pmid21906278
dc.identifier.urihttp://hdl.handle.net/20.500.14038/47886
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, 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.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=21906278&dopt=Abstract">Link to Article in PubMed</a>
dc.rights<p>© 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), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p>
dc.subjectVeterans Health
dc.subjectVeterans
dc.subjectRandomized Controlled Trials as Topic
dc.subjectUMCCTS funding
dc.subjectBiostatistics
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.titleRecruitment activities for a nationwide, population-based, group-randomized trial: the VA MI-Plus study
dc.typeJournal Article
dc.source.journaltitleImplementation science : IS
dc.source.volume6
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1997&amp;context=qhs_pp&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/997
dc.identifier.contextkey2767199
refterms.dateFOA2022-08-23T17:18:35Z
html.description.abstract<p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p>
dc.identifier.submissionpathqhs_pp/997
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages105


Files in this item

Thumbnail
Name:
Allison_Implementation_Science ...
Size:
635.2Kb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record