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A problem-solving strategy is a plan of action used to find a solution. Different strategies have distinct action plans. Trial and error involves trying different solutions until one works. For instance, to fix a broken printer, you might check ink levels, ensure the paper tray isn't jammed, and verify the printer's connection to your laptop. This method can be time-consuming but is commonly used. Thomas Edison, for example, used trial and error to find a suitable filament for the light...
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Non-invasive Imaging of Leukocyte Homing and Migration in vivo
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Recruiting care homes to a randomised controlled trial.

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PubMed
Summary

Recruiting care homes for research is challenging. A targeted approach yielded a higher recruitment rate compared to a systematic method, offering valuable insights for future studies involving older adults in care settings.

Keywords:
AgedAged, 80 and overCare homesHomes for the agedRandomised controlled trials as topicRecruitmentResearch subjectsUnited KingdomVulnerable populations

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Area of Science:

  • Gerontology
  • Clinical Research
  • Health Services Research

Background:

  • Care home residents (≥65 years) in England and Wales often have complex health needs, including cognitive impairment, disability, and multiple conditions.
  • Research in this population is vital for developing evidence-based interventions to improve quality of life, yet recruitment is a significant barrier.
  • A feasibility cluster randomised controlled trial was conducted to explore methods for enhancing physical activity in care home residents.

Purpose of the Study:

  • To describe and compare two distinct methods for recruiting care homes to a research study.
  • To identify challenges and facilitators in the recruitment process for care home-based research.
  • To provide learning points for optimizing future recruitment strategies in similar populations.

Main Methods:

  • Two recruitment approaches were employed: a systematic approach using the Care Quality Commission database and a targeted approach via a network of research-ready care homes.
  • Care homes were screened based on eligibility criteria, including age of residents, previous research involvement, and quality ratings.
  • Standardized recruitment procedures involved invitation letters, telephone contact, site visits, and formal agreements.

Main Results:

  • The systematic approach screened 377 homes, inviting 230 and recruiting 11 (4.8% recruitment rate).
  • The targeted approach invited 15 homes and recruited two (13.3% recruitment rate).
  • Overall, 245 homes were approached, with 13 recruited (5.3% overall recruitment rate), representing diverse care home characteristics.

Conclusions:

  • Systematic recruitment of care homes is resource-intensive and time-consuming, though it can yield a diverse sample.
  • The targeted approach demonstrated a higher recruitment rate, suggesting its potential efficiency for future research.
  • Lessons learned from these methods can inform and improve the recruitment of care homes and residents for research studies.