Why do patients take part in research? An overview of systematic reviews of psychosocial barriers and facilitators
- PDF / 1,030,569 Bytes
- 18 Pages / 595.276 x 790.866 pts Page_size
- 64 Downloads / 177 Views
RESEARCH
Open Access
Why do patients take part in research? An overview of systematic reviews of psychosocial barriers and facilitators Rebecca Sheridan1, Jacqueline Martin-Kerry1, Joanna Hudson2, Adwoa Parker1, Peter Bower3 and Peter Knapp4*
Abstract Background: Understanding why people take part in health research is critical to improve research efficiency and generalisability. The aim of this overview of systematic reviews was to identify psychosocial determinants of research participation and map them to psychological theory and empirical recruitment research, to identify effective strategies to increase research participation. Methods: Qualitative and quantitative systematic reviews were systematically identified. No date or language limits were applied. Two reviewers independently selected reviews. Methodological quality was rated using AMSTAR, and poor-quality reviews (scoring 0–3) were excluded. Barriers and facilitators were coded to psychological theory (Theoretical Domains Framework) and empirical recruitment research (recruitment interventions that had been subjected to randomised controlled trial evaluation). Results: We included 26 systematic reviews (429 unique primary studies), covering a wide range of patient populations and health settings. We identified five groups of facilitators, of which three were dominant (potential for personal benefit, altruism, trust) and appear to be relevant across research setting and design. We identified nine groups of barriers, which were more dependent on the particular study (context, population, design). Two determinants (participant information, social influences) were found to be both barriers and facilitators. Barriers and facilitators could be coded to the Motivation and Opportunity components of the Theoretical Domains Framework; only one was coded to a Capability component. There was some overlap between psychosocial determinants and empirical recruitment research, but some barriers and facilitators had not been tested at all. Conclusions: Identifying effective recruitment strategies could increase the efficiency and generalisability of primary research. We identified a number of barriers and facilitators that could be addressed by researchers. There is a need for more research to identify effective recruitment strategies that draw on the psychosocial facilitators and barriers identified in this overview. Keywords: Recruitment, Research participation, Psychosocial, Systematic review, Overview, Consent
Background Research is essential to the development of improved health care; however, the recruitment of participants remains low [1–3]. This is a particular problem for * Correspondence: [email protected] 4 University of York and the Hull York Medical School, York, UK Full list of author information is available at the end of the article
randomised trials, which test the effectiveness of interventions aimed at prevention, diagnosis, screening or treatment [4]. Suboptimal recruitment can result in underpowered and inconclusive studies, increased rese
Data Loading...
