Using the 'Social Marketing Mix Framework' to explore recruitment barriers and facilitators in palliative care randomised controlled trials? A narrative synthesis review

Palliative Medicine
Lesley DunleavyNancy Preston

Abstract

Effective recruitment to randomised controlled trials is critically important for a robust, trustworthy evidence base in palliative care. Many trials fail to achieve recruitment targets, but the reasons for this are poorly understood. Understanding barriers and facilitators is a critical step in designing optimal recruitment strategies. To identify, explore and synthesise knowledge about recruitment barriers and facilitators in palliative care trials using the '6 Ps' of the 'Social Marketing Mix Framework'. A systematic review with narrative synthesis. Medline, CINAHL, PsycINFO and Embase databases (from January 1990 to early October 2016) were searched. Papers included the following: interventional and qualitative studies addressing recruitment, palliative care randomised controlled trial papers or reports containing narrative observations about the barriers, facilitators or strategies to increase recruitment. A total of 48 papers met the inclusion criteria. Uninterested participants (Product), burden of illness (Price) and 'identifying eligible participants' were barriers. Careful messaging and the use of scripts/role play (Promotion) were recommended. The need for intensive resources and gatekeeping by professionals were bar...Continue Reading

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Citations

Apr 5, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Charlie C HallBarry J Laird
Jul 16, 2019·BMJ Supportive & Palliative Care·Clare WhiteMiriam J Johnson
Sep 23, 2020·Journal of Pain and Symptom Management·Maria ArantzamendiCarlos Centeno
Aug 18, 2021·Contemporary Clinical Trials Communications·Edgardo Rodríguez-TorresClemente Díaz-Pérez

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