@article{8b420d1a36f74749906c54e27d2ebacf,
title = "Barriers and Facilitators in the Recruitment and Retention of More Than 250 Small Independent Primary Care Practices for EvidenceNOW",
abstract = "Few studies have examined factors that facilitate recruitment of small independent practices (SIPs) (<5 full-time clinicians) to participate in research and methods for optimizing retention. The authors analyzed qualitative data (eg, recruiter's field notes and diary entries, provider interviews) to identify barriers and facilitators encountered in recruiting and retaining 257 practices in HealthyHearts New York City (NYC). This study was a stepped-wedge randomized controlled trial that took place 2015 through 2018 across 5 boroughs in NYC. Three main factors facilitated rapid recruitment: (1) a prior well-established relationship with the local health department, (2) alignment of project goals with practice priorities, and (3) providing appropriate monetary incentives. Retention was facilitated through similar mechanisms and an ongoing multifaceted communication strategy. This article identifies specific strategies that enhance recruitment of SIPs and fills gaps in knowledge about factors that influence retention in the context of a design that requires waiting to receive the intervention.",
keywords = "primary care, quality improvement, recruitment, retention, Primary Health Care/organization & administration, Cardiovascular Diseases/prevention & control, Humans, Quality Indicators, Health Care, Quality of Health Care/organization & administration, New York City, Motivation, Organizational Objectives, Interinstitutional Relations, Personnel Selection/organization & administration, Electronic Health Records",
author = "Allison Cuthel and Erin Rogers and Flora Daniel and Emily Carroll and Hang Pham-Singer and Donna Shelley",
note = "Funding Information: https://orcid.org/0000-0002-9978-6706 Cuthel Allison MPH 1 Rogers Erin DrPH 1 Daniel Flora MPH 2 Carroll Emily MPH 2 Pham-Singer Hang PharmD 2 Shelley Donna MD, MPH 1 1 New York University School of Medicine, New York, NY 2 New York City Department of Health and Mental Hygiene, Queens, NY Allison Cuthel, MPH, Ronald O. Perelman Department of Emergency Medicine, New York University School of Medicine, 227 East 30th Street, Room 117, New York, NY 10016. Email: Allison.Cuthel@NYULangone.org 12 2019 1062860619893422 {\textcopyright} The Author(s) 2019 2019 American College of Medical Quality Few studies have examined factors that facilitate recruitment of small independent practices (SIPs) (<5 full-time clinicians) to participate in research and methods for optimizing retention. The authors analyzed qualitative data (eg, recruiter{\textquoteright}s field notes and diary entries, provider interviews) to identify barriers and facilitators encountered in recruiting and retaining 257 practices in HealthyHearts New York City (NYC). This study was a stepped-wedge randomized controlled trial that took place 2015 through 2018 across 5 boroughs in NYC. Three main factors facilitated rapid recruitment: (1) a prior well-established relationship with the local health department, (2) alignment of project goals with practice priorities, and (3) providing appropriate monetary incentives. Retention was facilitated through similar mechanisms and an ongoing multifaceted communication strategy. This article identifies specific strategies that enhance recruitment of SIPs and fills gaps in knowledge about factors that influence retention in the context of a design that requires waiting to receive the intervention. recruitment retention primary care quality improvement Agency for Healthcare Research and Quality https://doi.org/10.13039/100000133 1R18HS023922 edited-state corrected-proof typesetter ts1 Declaration of Conflicting Interests The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was supported by grant number 1R18HS023922 from the Agency for Healthcare Research and Quality (AHRQ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the AHRQ. ORCID iD Allison Cuthel https://orcid.org/0000-0002-9978-6706 Publisher Copyright: {\textcopyright} The Author(s) 2019.",
year = "2020",
month = sep,
day = "1",
doi = "10.1177/1062860619893422",
language = "English (US)",
volume = "35",
pages = "388--396",
journal = "American Journal of Medical Quality",
issn = "1062-8606",
publisher = "SAGE Publications Inc.",
number = "5",
}