We know that recruitment can be difficult, so here are some tips that might help your centre reach your recruitment goals.
Early involvement of the obstetrician
• Patients who have concerns regarding the use of metformin in pregnancy often feel more comfortable discussing the issue with their obstetrician. Working in collaboration with obstetricians has lead to successful recruitment, and higher retention of recruits. The obstetrician can also help to address any concerns from the patient’s spouse/partner.
Early involvement of the spouse/partner
• Across all sites, a common challenge to recruitment has been the hesitation from the patient’s spouse/partner. Some sites have found that early engagement with the spouse/partner has increased the chance for successful recruitment and reduced the incidence of withdrawal. Some coordinators have found it very beneficial to provide the spouse/partner with a brochure, and to schedule time with them to address their concerns. Since a coordinator’s time is limited, some have found it more efficient to speak to the spouse/partner at the ultrasound visit.
Early involvement of MiTy Kids coordinator (if not the same as MiTy coordinator)
• In an effort to increase participation in the MiTy Kids trial, some sites have found that introducing the MiTy Kids coordinator early on has allowed for the patient to feel more comfortable with the MiTy Kids study, and has helped to resolve any lingering questions or concerns. If it is not possible for the MiTy Kids coordinator to meet before delivery, some sites have arranged for the MiTy Kids coordinator to perform the neonatal anthropometric measurements, which provides a convenient opportunity for the new mom and the coordinator to meet.
Early identification of potential recruits
• If your Research Ethics Board allows, the use of brightly coloured visual cues on a potential recruit’s chart can help remind the physician to speak to the patient regarding participating in MiTy. Successful examples include MiTy logo stickers, or pink cover pages to keep all team members informed.
Get everyone at your centre involved with MiTy
• Meet with the MiTy team at your centre often to update them on the status of the study, so that everyone is aware of the progress of the study and enthusiasm is maintained. Discuss recruitment challenges and strategies with your team to help overcome any barriers to recruitment.
Use your resources and keep searching
• Approach women early, and identify patients who may be potential recruits in the future.
• Display posters in physicians’ offices, clinics, labs, waiting rooms, restrooms, etc.
• Arrange for a prominent display of brochures wherever posters are used (e.g. bulletin boards).
• Be proactive, enthusiastic, and engage your team. It is a collaborative effort and with the cooperation of your team, you will get recruits in no time!