Exploring recruitment strategies for place-based research in rural areas of Australia: a comparative case study analysis.

Background: Recruitment of participants into research studies is commonly challenging and becomes more difficult when targeting underrepresented population groups. Recruiting individuals living in rural locations, must use appropriate strategies if the sample size is to be achieved. The aim of this...

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Publicado en:BMC Primary Care Vol. 26; no. 1; pp. 1 - 16
Autores principales: Schumacher, Tracy L., Jansson, Anna K., Kocanda, Lucy, May, Jennifer, Brown, Leanne J., Collins, Clare E.
Formato: clinical trial research tables/charts Journal Article
Publicado: BioMed Central 11/26/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/26/2025
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      pub: BioMed Central
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        10.1186/s12875-025-03055-x
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        atl: Exploring recruitment strategies for place-based research in rural areas of Australia: a comparative case study analysis.
      aug:
        au:
          Schumacher, Tracy L.
          Jansson, Anna K.
          Kocanda, Lucy
          May, Jennifer
          Brown, Leanne J.
          Collins, Clare E.
        affil: https://ror.org/00eae9z71 Department of Rural Health, University of Newcastle, 2340, Tamworth, NSW, Australia
      sug:
        subj:
          Residence Characteristics Evaluation
          Health Services Research
          Rural Areas Australia
          Research Subject Recruitment Evaluation
          Time Factors Evaluation
          Human
          Case Studies
          Comparative Studies
          Australia
          Funding Source
          Sample Size
          Geographic Factors Evaluation
          Conceptual Framework
          Organizational Development
          Descriptive Statistics
          Data Analysis Software
          Personnel Staffing and Scheduling
          Collaboration
          Personnel Turnover
          Clinical Trials
          Cardiovascular Diseases Diagnosis
          Nutritional Status
          Physical Examination
          Research Support
          Unit Closure
          Travel
          Skill Acquisition
          Social Participation
          Budgets
          Multidisciplinary Care Team
          Study Design
          Research Methodology
          Trust
          Interviews
          Survey Research
          Cholesterol Blood
          Biological Markers Blood
          Research Ethics
          Focus Groups
      ab: Background: Recruitment of participants into research studies is commonly challenging and becomes more difficult when targeting underrepresented population groups. Recruiting individuals living in rural locations, must use appropriate strategies if the sample size is to be achieved. The aim of this case study was to explore factors associated with research capacity, and to determine their impact on recruitment strategies, including timeframe and participant recruitment outcomes. Methods: This case study investigated the recruitment outcomes of four rurally based research projects performed between 2016-2024. Participants were enrolled either directly by the researchers (face-to-face method [f2f]), or through General Practitioners as trusted local intermediaries (TLI) through which all recruiting materials were passed. Projects were also categorised as large or small, according to the geographical size of the recruiting region. Cooke's framework on measuring progress with research capacity building was used to create the dataset, with time and personnel used as the units of analysis. Data was analysed using cross-case synthesis and descriptive statistics. Results: When the researchers performed their own f2f recruitment, the smaller study delivered 132% of anticipated 50 health checks (n=66) and achieved 72% of 25 interviews (n=18) across three separate time-points. The larger f2f study recruited 674 participants over seven events. The smaller TLI study took twice as long to recruit participants than planned (4 years) and achieved n=25 (25%) of the sample size. The larger TLI study took 43% longer (4.3 years) and achieved 44% (n=132) of the target sample size. Key factors in research capacity building were linked to staffing continuity and sustainability, as well as partnerships and collaborations that impact on recruitment. High turnover of staff affected both TLI studies, with one having eight different people in the recruitment role over two years. All studies were adapted iteratively to ensure the research was 'close to practice'. Conclusion: Recruitment in rural settings is complex with many factors impacting recruitment success. Researchers had greater capacity to recruit participants f2f, using intensive periods which was less affected by staff turnover. Both the research focus and recruitment strategy need to be 'close to practice' for all involved. Trial registration: RuralCVD: n/a, CHAaRGE: 20: n/a, Health SMaRT: n/a, Healthy Rural Hearts: ACTRN12621001495819 (Date registered: 03/11/2021).
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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