Blazeby, Jane

Culliford, Lucy A

Donovan , Jenny L

Jepson, Marcus J

Mills, Nicola J

Parker, Adwoa

Rooshenas, Leila

English

ObjectiveTo test the feasibility of undertaking a simultaneous Study Within A Trial (SWAT) to train staff who recruit participants into surgical randomised controlled trials (RCTs), by assessing key uncertainties around recruitment, randomisation, intervention delivery and data collection.Study design and settingTwelve surgical RCTs were eligible. Interested sites (clusters) were randomised 1:1, with recruiting staff (surgeons and nurses) offered training or no training. The primary outcome was the feasibility of recruiting sites across multiple surgical trials simultaneously. Secondary outcomes included numbers/types of staff enrolled, attendance at training, training acceptability, confidence in recruiting and participant recruitment rates six months later.ResultsFour RCTs (33%) comprising 91 sites participated. Of these, 29 sites agreed to participate (32%) and were randomised to intervention (15 sites, 29 staff) or control (14 sites, 29 staff). Research nurses attended and found the training to be acceptable; no surgeons attended. In the intervention group, there was evidence of increased confidence when pre- and post- training scores were compared (mean difference in change 1.42; 95% CI 0.56, 2.27; p = 0.002). There was no effect on recruitment rate.ConclusionIt was feasible to randomise sites across four surgical RCTs in a simultaneous SWAT design. However, as small numbers of trials and sites participated, and no surgeons attended training, strategies to improve these aspects are needed for future evaluations

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Staff training to improve participant recruitment into surgical randomised controlled trials:a feasibility Study Within A Trial (SWAT) across four host randomised controlled trials simultaneously

https://doi.org/10.1177/26320843221106950

Staff training to improve participant recruitment into surgical randomised controlled trials:a feasibility Study Within A Trial (SWAT) across four host randomised controlled trials simultaneously

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