Background
Methods
Results
Step 1: needs assessment
Literature review (a)
Advisory groups (b)
Findings from two previous projects (c)
Step 2: selecting behavioral determinants and performance objectives
Step 3: selecting theory-informed intervention methods and practical applications
SCT determinants | Theoretical methods | Practical applications |
---|---|---|
Knowledge | • Discussiona | • Discussion with specialist investigators and coordinators at in person meeting and subsequent webinars |
• Elaborationa | • Specialist investigators prompted to discuss clinical experiences relating to differences in outcomes by race and ethnicity | |
Skills and self-efficacy | • Modelingb | • Videos |
• Skills trainingb | • In person meeting • Continuous quality improvement (CQI) training • Group work: mapping recruitment process and completion of fishbone diagram • Web-based educational modules (communication, navigation, CQI) | |
• Feedbackc | • Reports (on screening, recruitment and patient satisfaction) • Individual follow-up calls • Group calls with other sites | |
• Goal settingc | • Minority recruitment plan | |
• Verbal persuasionb | • Videos • Individual follow-up calls | |
• Active learningb | • Individual follow-up calls • Videos • Web-based educational modules | |
• Persuasive communicationb | • Presentations at in-person meeting • Web-based educational modules | |
• Individualizationd | • Individual follow-up calls | |
Outcome expectations | • Modelingb | • Videos • Group calls with other sites |
• Active learningb | • In-person meeting • Web-based educational modules |
Step 4: producing program components and materials and pre-testing
Description of the intervention components and delivery method
Module | Module 1 | Module 2 | Module 3 | Module 4 | Module 5 |
---|---|---|---|---|---|
Month | 1 | 2 | 3 | 4 | 5 |
Delivery method | In person | Webinar | Webinar | Webinar | Webinar |
Title |
Kick-off
meeting
|
Working with referring Physicians
|
CQI: developing a
minority recruitment plan
|
Communicating with
participants
|
Participant navigation
(coordinators only)
|
Content | Presentation: a brief overview of the RECRUIT interventiona ᅟ Discussion: disparities in morbidity/mortality of diseasea ᅟ Presentation: importance of minority recruitment: the NIH and FDA perspective ᅟ Presentation: importance of minority participation: biologic aspectsa ᅟ Discussion: differences in treatment outcomes for minorities ᅟ Presentation: what we know and do not know about minority recruitment ᅟ Presentation: importance of trust and relationship building in recruiting minority patients ᅟ Presentation: introduction to continuous quality improvement (CQI) for minority recruitment ᅟ Activity: flowchart of current recruitment process ᅟ Activity: fishbone diagram of low referrals from minority serving physicians | Activity: CQI updates and potential physician referral sources by site representative (SI or coordinator) ᅟ Presentation: barriers to referrals and physician-centered communication ᅟ
Video and discussion:
Physician-to-physician communication video | Activity: site representative (SI or coordinator) present their fishbone diagram ᅟ Activity: site representative (SI or coordinator) share their site’s CQI minority recruitment plan | Activity: site representative (SI or coordinator) discusses CQI update ᅟ Presentation: recap on communicating with minority-serving physicians ᅟ Presentation: patient-centered communication ᅟ
Video and discussion:
patient communication ᅟ
Video and discussion:
Participant’s fear of experimentation (“guinea pig”) | Activity: Coordinators discuss CQI updates ᅟ Discussion: take-home activity on communication styles ᅟ Presentation: how can coordinators become recruitment navigators? ᅟ
Video and discussion:
participant navigation ᅟ Discussion: what is currently done at your site and what could be added to help patients overcome structural barriers to recruitment |
Take home activity | Schedule a meeting with the rest of the trial team and review material from the meeting Revise fishbone if needed ᅟ Finding your patients worksheet ᅟ CQI minority recruitment plan worksheet ᅟ Review map of minority-dense areas within their communities to identify minority-serving physicians | Revise minority recruitment plan ᅟ SIs to make personal contact with at least two potential referring minority-serving physicians | Revise and implement your minority recruitment plan | Develop Q&A sheet for potential participants about enrolling in the trial ᅟ Continue to implement and revise your minority recruitment plan ᅟ Coordinators: communications style assessment (optional) | Navigation resources worksheet |