PRP004: A Hub-and-Spoke Recruitment Model for Large Scale Recruitment and Resident Education: An RCT on Unhealthy Alcohol Use
Alison Huffstetler, MD; John Epling, MD, MSEd; Paulette Lail Kashiri, MPH; Timothy Yu, MD, CAQSM, FAAFP, RMSK; Roy Sabo, PhD; Alexander Krist, MD, MPH; Alicia Richards, BS
Objective: Identify best practices for recruitment and successful strategies for practice engagement while providing residency education on research methods.
Methods: Practice enrollment began in January 2020. We developed a hub-and-spoke model based around five-family medicine (FM) residencies; each site is responsible for recruitment of 30 local practices. Practices are primarily recruited via three methods: (1) personal relationships with clinicians, (2) participation in previous research activities, and (3) identification of new practices. After enrollment, practices will be randomly allocated to intervention or control.
Intervention: Each FM residency site identifies a practice champion who leads the recruitment effort and participates in ongoing practice facilitation efforts. The champions offer study information to practices, often reaching out to local residency graduates. The champion and central research team educate and involve residents in recruitment efforts. Study methods are reviewed and residents then reach out to local practices; discuss study background, outcomes and supporting evidence; and actively engage community physicians.
Outcomes: Recruitment of Virginia primary care practices will rely heavily on personal knowledge and relationships with practices based on prior experiences of our FM residencies. Resident involvement is mutually beneficial. The study team benefits from additional outreach to regional practices from local physicians. In turn, residents benefit from education on recruitment methodology and general research best practices; these skills may be used for future studies in their professional careers.