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"It is our hope that this moment of enlightenment might stir some into adopting best practices in recruitment, appointment and retention to achieve equality and diversity outcomes.
Following the recruitment appointment a study appointment was scheduled within the recruitment period.
First, before their TOMBOLA recruitment appointment, women may not have been told explicitly what their smear result was.
Ninety eight (0.008%) invited women complained about recruitment related problems: invitation to trial (32), trial information (28), recruitment appointment (17), and randomisation to control group (21).
Of the 3731 women who attended a recruitment appointment and consented to participate in the TOMBOLA psychosocial study, 3671 (98%) completed both a socio-demographic and psychosocial questionnaire.
Women were asked to complete the questionnaires at a recruitment appointment in a hospital-based clinic setting and it is possible that attending the appointment contributed to anxiety.
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Difficulties explaining the trial design identified in the early recruitment appointments occurred because recruiters presented patients with the two different treatment options (chemotherapy and surgery or chemo-radiotherapy) without mentioning the trial.
In early recruitment appointments, several surgeons unintentionally expressed a preference for surgery.
Recruitment appointments were reviewed to examine how consultants talked about surgery and radiotherapy.
The qualitative research investigated recruitment appointments, study documents and interviewed clinicians to understand what aspects were amenable to change in order to improve recruitment.
Eligible patients were offered participation in the RCT with integrated qualitative research involving audio-recorded recruitment appointments and interviews with patients to inform recruitment training for staff.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com