The development and acceptability of an educational and training intervention for recruiters to neonatal trials: the TRAIN project

V. Smith* (Corresponding Author), Hannah Delaney, A. Hunter, D Torgerson, Shaun Treweek, Carrol Gamble, Nicola Mills, Kayleigh Stanbury, E. Dempsey, E. Dempsey, J. O'Shea, K. Weatherup, Shalmali Deshpande, M. A. Ryan, J Lowe, G. Black, Declan Devane

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Background
Suboptimal or slow recruitment affects 30–50% of trials. Education and training of trial recruiters has been identified as one strategy for potentially boosting recruitment to randomised controlled trials (hereafter referred to as trials). The Training tRial recruiters, An educational INtervention (TRAIN) project was established to develop and assess the acceptability of an education and training intervention for recruiters to neonatal trials. In this paper, we report the development and acceptability of TRAIN.

Methods
TRAIN involved three sequential phases, with each phase contributing information to the subsequent phase(s). These phases were 1) evidence synthesis (systematic review of the effectiveness of training interventions and a content analysis of the format, content, and delivery of identified interventions), 2) intervention development using a Partnership (co-design/co-creation) approach, and 3) intervention acceptability assessments with recruiters to neonatal trials.

Results
TRAIN, accompanied by a comprehensive intervention manual, has been designed for online or in-person delivery. TRAIN can be offered to recruiters before trial recruitment begins or as refresher sessions during a trial. The intervention consists of five core learning outcomes which are addressed across three core training units. These units are the trial protocol (Unit 1, 50 min, trial-specific), understanding randomisation (Unit 2, 5 min, trial-generic) and approaching and engaging with parents (Unit 3, 70 min, trial-generic). Eleven recruiters to neonatal trials registered to attend the acceptability assessment training workshops, although only four took part. All four positively valued the training Units and resources for increasing recruiter preparedness, knowledge, and confidence. More flexibility in how the training is facilitated, however, was noted (e.g., training divided across two workshops of shorter duration). Units 2 and 3 were considered beneficial to incorporate into Good Clinical Practice Training or as part of induction training for new staff joining neonatal units.

Conclusion
TRAIN offers a comprehensive co-produced training and education intervention for recruiters to neonatal trials. TRAIN was deemed acceptable, with minor modification, to neonatal trial recruiters. The small number of recruiters taking part in the acceptability assessment is a limitation. Scale-up of TRAIN with formal piloting and testing for effectiveness in a large cluster randomised trial is require
Original languageEnglish
Article number265
Number of pages11
JournalBMC Medical Research Methodology
Volume23
Issue number1
Early online date11 Nov 2023
DOIs
Publication statusPublished - 11 Nov 2023

Keywords

  • Trial recruitment
  • Training recruiters
  • Intervention development
  • Neonatal trials

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