Research staff turnover and participant adherence in the Women's Health Initiative

Jackson, Marie; Berman, Nancy; Huber, Margaret; Snetselaar, Linda; Granek, Iris A.; Boe, Kathryn; Milas, Carole; Spivak, Jill; Chlebowski, Rowan T.

doi:10.1016/s0197-2456(03)00027-8

Cited by 16 publications

(13 citation statements)

References 9 publications

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“…Veterans Administration staff reviewed all trial sites with the SMART system based on an extensive GCP checklist [8]. GCP scores increased at follow-up visits, and these reviews are now annual [18]. GCP compliance of National Institute for Health sites in America and China was recently compared using the SMART checklist [19].…”

Section: Discussionmentioning

confidence: 99%

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A Peer Review Intervention for Monitoring and Evaluating sites (PRIME) that improved randomized controlled trial conduct and performance

Lane¹,

Wade²,

Down³

et al. 2011

Journal of Clinical Epidemiology

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Section: Discussionmentioning

confidence: 99%

“…We have changed things in [site] because of the review'' [18]. Abbreviations: PRIME, peer review intervention for monitoring and evaluating sites; CRF, case report form.…”

Section: Prime Acceptability and Impact On Staffmentioning

confidence: 99%

A Peer Review Intervention for Monitoring and Evaluating sites (PRIME) that improved randomized controlled trial conduct and performance

Lane¹,

Wade²,

Down³

et al. 2011

Journal of Clinical Epidemiology

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“…The “Sedentary women exercise adherence trial” (SWEAT) study found that the type of activity did not affect retention in a comparison of two different modes of aerobic activity, and concurred that supervised settings were more effective in retaining participants [7]. Other investigators report that the rapport between the research team and the participants is critical in preventing attrition, and that high turnover of research team staff is a negative influence on the cohort [8]. Practical barriers to participation include time, transport, costs involved and procedures [4].…”

Section: Introductionmentioning

confidence: 99%

The change in motivating factors influencing commencement, adherence and retention to a supervised resistance training programme in previously sedentary post-menopausal women: a prospective cohort study

Viljoen

Christie

2015

BMC Public Health

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BackgroundUnderstanding motivators for exercise participation in post-menopausal women may impact retention to exercise programmes and inform intervention trial designs. The purpose of this investigation was to assess self-reported motivational factors influencing adherence and retention to a 24-week progressive resistance training programme.MethodsPost-menopausal females (n = 34) were passively recruited to undertake a 24-week progressive resistance training protocol, in small-group sessions, on three non-consecutive days of the week. Attendance was recorded by the researcher. Qualitative reports were sourced from the sample for four phases of the study: pre-study (prior to week 1), recruitment (week 1), during study (weeks 2 – 24), and post-intervention (beyond week 24). Responses were categorised according to ten descriptors: specific health index improvement, education, flexibility of time, social contact, conscience (loyalty to the researcher), wellness, weight management, organisation parameters (pertaining to the study programme) and enjoyment of the exercises.ResultsOf the initial sample, 76.5% (n = 26) met the specified ≥80% attendance criterion. The primary findings were that motivation to volunteer for the study was driven by a perceived need for a structured exercise programme (50% of respondents). A commitment to the researcher was the primary motivator for continued adherence to the study for 50% of participants. Social contact with other participants was cited by 60% of the sample as the primary reason for adherence for the full duration of 24 weeks. A desire to maintain the “wellness” derived from the programme was cited by 60% as a reason for continuing an exercise routine post-study.ConclusionThis study identified that routine and supervision initially attract women to exercise programmes, while social cohesion of the group setting contributes to retention over time. Understanding the changing nature of motivating factors may contribute to better overall adherence and retention to exercise programmes and interventions.

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“…It occurred at half the rate planned, extending the duration of the trial and making it harder to maintain local interest and Maternal and Child Health Nurses' enthusiasm. Another factor slowing recruitment was staff turnover [37]. A common work pattern at the time was moving to a new position after two years, to get a broad experience in community settings.…”

Section: Discussionmentioning

confidence: 99%

Aiming to increase birth weight: a randomised trial of pre-pregnancy information, advice and counselling in inner-urban Melbourne

Lumley

Donohue

2006

BMC Public Health

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BackgroundIn the 1980s there was substantial interest in early pregnancy and pre-pregnancy interventions to increase birth weight and reduce preterm birth. We developed an inter-pregnancy intervention, implemented in a randomised controlled trial, to be provided by midwives at home soon after women's first birth.MethodsMCH nurses invited women to take part during their home visit to new mothers. Women's contact details, with their permission, were passed to the study midwife. She had a randomisation schedule to which women's names were added before she met the women or their partners. All women recruited had a home visit from the study midwife with a discussion of their first pregnancy, labour and birth and the postpartum experience. Women in the intervention arm received in addition a pre-pregnancy intervention with discussion of social, health or lifestyle problems, preparation and timing for pregnancy, family history, rubella immunisation, referrals for health problems, and a reminder card. The primary outcome was defined as a birth weight difference in the second birth of 100 g (one-sided) in favour of the intervention. Additional data collected were gestational age, perinatal deaths and birth defects. Analyses used EPI-INFO and STATA.ResultsIntervention and comparison groups were comparable on socioeconomic factors, prior reproductive history and first birth outcomes. Infant birth weight in the second birth was lower (-97.4 g,)) among infants in the intervention arm. There were no significant differences between intervention and comparison arms in the proportion of women having a preterm birth, an infant with low birthweight, or an infant with a birth weight <10th percentile. There were more adverse outcomes in the intervention arm: ten births <32 weeks), compared with one in standard care, and more infants with a birth weight <2000 g, 16 compared with two in standard careConclusionAs the primary outcome was envisaged to be either improved birth weight or no effect, the study was not designed to identify the alternative outcome with confidence. Despite widespread support for pre-pregnancy interventions to improve maternal and perinatal health, this first randomised controlled trial of a multi-component intervention provided at home, did not have a beneficial outcome.

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Research staff turnover and participant adherence in the Women's Health Initiative

Cited by 16 publications

References 9 publications

A Peer Review Intervention for Monitoring and Evaluating sites (PRIME) that improved randomized controlled trial conduct and performance

A Peer Review Intervention for Monitoring and Evaluating sites (PRIME) that improved randomized controlled trial conduct and performance

The change in motivating factors influencing commencement, adherence and retention to a supervised resistance training programme in previously sedentary post-menopausal women: a prospective cohort study

Aiming to increase birth weight: a randomised trial of pre-pregnancy information, advice and counselling in inner-urban Melbourne

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