Two sides of the same coin: recruitment performance and perceived workload in primary care trials-insights from the AgeWell.de study.
Background: Recruitment through general practitioners (GPs) is a key challenge in primary care trials. Understanding how individual, practice, and regional characteristics affect recruitment and perceived workload could help optimize participation strategies. This study aims to identify barriers and...
| Publicado en: | BMC Primary Care Vol. 26; no. 1; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
8/5/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187141880&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187141880 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27314553 MZZU jtl: BMC Primary Care issn: 27314553 maglogo: N pubinfo: dt: 8/5/2025 vid: 26 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 187141880 187141880 187141880 10.1186/s12875-025-02948-1 187141880 ppf: 1 ppct: 10 formats: tig: atl: Two sides of the same coin: recruitment performance and perceived workload in primary care trials-insights from the AgeWell.de study. aug: au: Sanftenberg, Linda Kosilek, Robert Philipp Birnberger, Lorenz Schillok, Hannah Wittmann, Felix Luppa, Melanie Blawert, Anne Boekholt, Melanie Brettschneider, Christian König, Hans-Helmut Bauer, Alexander Weise, Solveig Frese, Thomas Kaduszkiewicz, Hanna Döhring, Juliane Escales, Catharina Thyrian, Jochen René Wiese, Birgitt Riedel-Heller, Steffi G. Gensichen, Jochen affil: https://ror.org/02jet3w32 Institute of General Practice and Family Medicine, University Hospital, LMU Munich, 80336, Munich, Germany sug: subj: Primary Health Care Workload Preventive Trials Physicians, Family Psychosocial Factors Dementia Prevention and Control Sociodemographic Factors Research Subject Recruitment Patient Participation Physician Researchers Psychosocial Factors Professional Practice Socioeconomic Factors Human Male Female Middle Age Funding Source Conceptual Framework Multiple Regression Odds Ratio Descriptive Statistics Data Analysis Software Spearman's Rank Correlation Coefficient Logistic Regression Confidence Intervals Dementia Patients Middle Aged: 45-64 years Male Female ab: Background: Recruitment through general practitioners (GPs) is a key challenge in primary care trials. Understanding how individual, practice, and regional characteristics affect recruitment and perceived workload could help optimize participation strategies. This study aims to identify barriers and facilitators to patient recruitment within the AgeWell.de dementia prevention trial. Methods: We analysed publicly available data on GPs participating in the AgeWell.de trial, including their sociodemographic characteristics, practice structures, and socioeconomic indicators of their practice locations, alongside recruitment and survey data. We used correlation analysis and uni- and multivariable regression models to explore determinants of study engagement in terms of recruitment performance and perceived workload. Results: Among 120 participating GPs, a total of 1,173 patients were recruited, though contributions varied widely. The top 20% of recruiters (Q5) accounted for 42.1% of all participants, while the lowest quintile (Q1) recruited just 3.2%. GPs with a doctorate degree recruited more patients (IRR = 1.45, p < 0.05). Higher perceived workload was linked to increased recruitment engagement (IRR = 1.30, p < 0.1). In contrast, larger practice teams were associated with lower perceived workload (OR = 0.71, p < 0.1). Conclusion: GP recruitment performance and perceived workload are closely linked, influenced by both individual research interest and structural support. The disproportionate recruitment burden among a small subset of GPs highlights the need for strategies to engage low recruiters and support high performers. Strengthening practice-based research networks, could help make research involvement more feasible for a wider range of GPs. Trail registration: German Clinical Trials Register (DRKS; trial identifier: DRKS00013555); Date of Registration: 2017-12-07. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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