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


Context: Virginia Commonwealth University is one of six grantees for a three-year study to design and implement an intervention to address unhealthy alcohol use. AHRQ funders called for enrollment of at least 125 primary care practices in the study. To enroll this large number of practices, a hub-and-spoke model was designed to ensure successful enrollment and equitable geographic distribution.
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.
Leave a Comment
Michelle Rockwell 11/21/2020

Nice poster, Alison! And thank you for your leadership in this very important work. :)

Doug 11/24/2020

Maps, of course!  Interesting recruitment model. Lots of questions about the strength of relationships between residencies and local practices, size of incentives needed, etc. But then, covid really messed up so much,

Bill K 11/24/2020

great work; thank you for sharing!

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