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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Health care professional recruitment of patients and family carers to palliative care randomised controlled trials
T2 - A qualitative multiple case study
AU - Dunleavy, Lesley
AU - Preston, Nancy
AU - Walshe, Catherine
PY - 2023/12/1
Y1 - 2023/12/1
N2 - Background: Trial participant recruitment is an interactional process between health care professionals, patients and carers. Little is known about how clinicians carry out this role in palliative care trials and the reasons why they do or do not recruit participants. Aims: To explore how clinicians recruit to palliative care trials, why they choose to implement particular recruitment strategies, and the factors that influence their choices. Design: A qualitative multiple case study of three UK palliative care trials. Data collection included interviews and study documentation. Analysis involved developing and refining theoretical propositions, guided by the ‘6Ps’ of the ‘Social Marketing Mix Framework’ as an a priori framework (identifying participants, product, price, place, promotion and working with partners). Framework Analysis guided within and then cross-case analysis. Settings/participants: Study investigators and research staff (n = 3, 9, 7) from trial coordinating centres and recruitment sites (hospice and hospital). Results: Cross-case analysis suggests the ‘Social Marketing Mix Framework’ is useful for understanding recruitment processes but wider contextual issues need to be incorporated. These include the ‘emotional labour’ of diagnosing dying and communicating palliative and end-of-life care to potential participants and how the recruitment process is influenced by the power relationships and hierarchies that exist among professional groups. These factors can lead to and support paternalistic practices. Conclusions: Those planning trials need to ensure that trial recruiters, depending on their experience and trial characteristics, have access to training and support to address the ‘emotional labour’ of recruitment. The type of training required requires further research.
AB - Background: Trial participant recruitment is an interactional process between health care professionals, patients and carers. Little is known about how clinicians carry out this role in palliative care trials and the reasons why they do or do not recruit participants. Aims: To explore how clinicians recruit to palliative care trials, why they choose to implement particular recruitment strategies, and the factors that influence their choices. Design: A qualitative multiple case study of three UK palliative care trials. Data collection included interviews and study documentation. Analysis involved developing and refining theoretical propositions, guided by the ‘6Ps’ of the ‘Social Marketing Mix Framework’ as an a priori framework (identifying participants, product, price, place, promotion and working with partners). Framework Analysis guided within and then cross-case analysis. Settings/participants: Study investigators and research staff (n = 3, 9, 7) from trial coordinating centres and recruitment sites (hospice and hospital). Results: Cross-case analysis suggests the ‘Social Marketing Mix Framework’ is useful for understanding recruitment processes but wider contextual issues need to be incorporated. These include the ‘emotional labour’ of diagnosing dying and communicating palliative and end-of-life care to potential participants and how the recruitment process is influenced by the power relationships and hierarchies that exist among professional groups. These factors can lead to and support paternalistic practices. Conclusions: Those planning trials need to ensure that trial recruiters, depending on their experience and trial characteristics, have access to training and support to address the ‘emotional labour’ of recruitment. The type of training required requires further research.
KW - Palliative care
KW - palliative medicine
KW - qualitative research
KW - randomised controlled trial
KW - terminal care
U2 - 10.1177/02692163231197917
DO - 10.1177/02692163231197917
M3 - Journal article
VL - 37
SP - 1540
EP - 1553
JO - Palliative Medicine
JF - Palliative Medicine
SN - 0269-2163
IS - 10
ER -