Support site collaboration and communication around site-level recruitment, including the use of public-private partnerships with support from industry, to link local sites to promote this kind of effort. Fund trial or site-agnostic outreach efforts. Allow sites to use funding from a single sponsor to help support recruitment for multiple studies.
Enhancing Study Site Capacity
Goal: Create the capacity of study sites and research organizations to increase enrollment for an ever-growing portfolio of Alzheimer’s disease and related dementias studies.
Ideas in this area might address:
- Infrastructure investments needed to enhance capacity of sites to accommodate growing number of studies and participants
- Systems to improve recruitment efficiency
- Collaboration – with communities, other institutions and study sites, organizations and agencies
- Workforce diversity, training, and capacity
- Changes in culture or valuation of clinical research in organizations
- Effective use of registries
- Role of funders, organizations, policymakers in implementing
This could include: 1) Identifying the project’s target populations and develop a staffing and outreach strategy that is appropriately sensitive to this goal. 2) Developing employment descriptions that capture relevant experiences with the target communities and specialized skills (e.g. language facility, familiarity with the community). 3) Identifying opportunities to leverage staffing resources from other academic ...more »
Offer community programs not targeted specifically to research recruitment (e.g., brain health/fitness, cardiovascular/diabetes risk, and memory screening). Ensure that recruitment staff connect with families and potential participants before discussing research. Ensure when feasible that a budget and plan exist to expand a site’s capacity to serve the community as a resource.
Develop nimble staffing models to respond to fluctuations in recruitment needs and to minimize staff burden and risk of burnout during periods of heavy enrollment.
Invest in creating a community advisory board as part of the site team to help guide recruitment.
Provide viable career paths and opportunities for professional advancement for all staff in the recruitment workforce. For example, develop clinical research tenure tracks and create awards to recognize clinical trials and studies excellence, including consideration of listing top recruitment staff as authors in research papers.
Build the cost of full-time recruitment staff or a team into grant application budgets. Hire at each site or cluster of sites a recruiter or recruitment team that includes backgrounds in public health marketing and outreach, as well as those with skills in recruiting families who are experiencing cognitive decline in a loved one. Support site-level efforts to retain experienced coordinators, raters, regulatory staff, ...more »
Fiscally reward high-enrolling sites (e.g., cover start-up costs, set enrollment targets from the outset, and offer financial gain for reaching targets).
Develop site and system business processes that support a robust, efficient clinical research infrastructure. These processes may include use of stable funding models not linked to per-subject recruitment revenue for leadership, outreach and recruitment, as well as practices that support streamlined clinical trials.
Invest in facilities to accommodate greater enrollment (e.g., ensure adequate space; equipment; and services such as pharmacy, lab, radiology, information technology support).
Foster an environment that incentivizes and prioritizes recruitment, enrollment, and retention in high-quality clinical trials and studies. Communicate to academic leaders that clinical trials work is scientific work and should be rewarded, supported, and recognized accordingly.
Create direct linkages among the research community, primary care practices, and targeted subspecialty care practices to share specific research opportunity updates.
Develop and support geographically diverse and local healthcare advisory boards that include representatives from both primary care and specialty care practices (physicians, nurse practitioners, nurses, and office staff), along with patients and care partners, with the aim of monitoring recruitment efforts of each research center.
Work with primary care practices to understand how best to provide guidance and support for research recruitment as an integrated activity within the office practice environment, without disrupting the flow of clinical care. Leverage existing point-of-care decision-support tools to identify potential research subjects and obtain permission from physicians to enroll their patients in research studies.
Link community-based supportive care agencies and organizations to research referral opportunities (to support patients, caregivers, and primary care practitioners), such as including clinical trials discussions and referrals in reimbursement for care consultation.