Schuch, G. (Guyonne) (2020) Challenging Patient Recruitment : Impact of Intrinsic Motivation and Interest in the Research Topic of General Practitioners on Recruitment Success of Incident Cases in Primary Care Research. thesis, Medicine.
Full text available on request.Abstract
Background: Many primary care-based trials experience recruitment difficulties, especially concerning incident cases. This leads to underpowered studies, prolongation of inclusion periods, and prematurely ended trials, which is a waste of resources. Explaining factors and improvement strategies described in literature are still inadequate, since inclusion problems persist. In general intrinsic motivation is a moderate to strong predictor of performance. Therefore, intrinsic motivation might be of influence on inclusion success. Aim: To investigate whether intrinsic motivation of the recruiting general practitioner (GP) influences recruitment success of incident cases in primary care-based research. Methods: A cross-sectional survey aimed at GPs that had been recruiting for PIM-POM (UMCU), PRICE (UMCU), RAPIDA (MUMC) or URinControl (UMCG). The questionnaire consisted of proxies measuring intrinsic motivation and the validated short-version Utrecht Work Engagement Scale (UWES-9) for both the recruiter and GP job. Three or more inclusions per GP was considered successful. Logistic regression analysis was used to identify predictors. Results: 256 GPs were invited to fill out the questionnaire. 113 complete responses were received (44% response rate). A positive relationship with inclusion success was shown for interest in the research topic (OR 2.0, 95% CI [1.2 – 3.4]), returning the questionnaire (OR 2.4, 95% CI [1.4 – 4.0]), assistant involvement (OR 1.7, 95% CI [1.0 – 2.8]), subjective inclusion success (OR 2.4, 95% CI [1.5 – 3.9]), 6-10 expected inclusions (OR 7.2, 95% CI [2.2 – 23.4]), and >10 expected inclusions (OR 12.6, 95% CI [2.8 – 56.1]) both compared to 0-5 expected inclusions. A negative relationship with inclusion success was shown for the factor ‘considering one could have included more patients’ (OR 0.6, 95% CI [0.4 – 0.9]). Conclusion: Intrinsic motivation for scientific research of recruiting GPs might be of importance in successful patient recruitment. UWES-9 scores for both the recruiter and GP job could not predict inclusion success, however.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultair begeleider: and Blanker, dr. M.H. and Tweede begeleider: and Worp, dr. H. van der and UMCG and Department of General Practice |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:39 |
| Last Modified: | 25 Jun 2020 10:39 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/90 |
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