A systematic process for recruiting physician-patient dyads in practice-based research networks (PBRNs).
BACKGROUND
Recruiting physicians and patients for primary care research is difficult, and low participation can greatly affect the validity of research. While practice-based research networks (PBRNs) offer advantages of scale for recruitment, the barriers are perennial. We designed a systematic process for recruiting physician-patient dyads in PBRNs and tested it in EXACKTE2, a large, cross-sectional, dyadic study.


METHODS
Based on known barriers, we designed a systematic process for recruiting dyads of family physicians and their patients and implemented it in 2 primary care practice-based research networks in Canada: one in Ontario (11 practices) and one in Quebec (6 practices). Dyads (one physician with one patient) were recruited simultaneously to explore their mutual influence during consultations. A key element of the process was a research assistant assigned to each practice. This person closely accompanied the recruitment process, liaising with staff and taking charge of interviews, questionnaires, and follow-up.


RESULTS
In total, 276 physicians and patients were recruited in 17 primary care practices in 2 primary care networks in Ontario and Quebec, representing a participation rate of more than 72% of eligible physicians and more than 64% of eligible patients.


CONCLUSIONS
We established a systematic process to conduct successful dyadic recruitment of physicians and patients in PBRNs.
From the CHU de Québec Research Centre-Hôpital St-François d'Assise/University Laval, Québec City, Québec, Canada (HR, FL); and the Department of Family Medicine and Emergency Medicine, University Laval, Québec City, Québec, Canada (FL, GT).
Hubert
H
Robitaille
From the CHU de Québec Research Centre-Hôpital St-François d'Assise/University Laval, Québec City, Québec, Canada (HR, FL); and the Department of Family Medicine and Emergency Medicine, University Laval, Québec City, Québec, Canada (FL, GT). France.legare@mfa.ulaval.ca.
France
F
Légaré
From the CHU de Québec Research Centre-Hôpital St-François d'Assise/University Laval, Québec City, Québec, Canada (HR, FL); and the Department of Family Medicine and Emergency Medicine, University Laval, Québec City, Québec, Canada (FL, GT).
Ghislaine
G
Tre
D002986:Clinical Trials as Topic; D003430:Cross-Sectional Studies; D006801:Humans; D018579:Patient Selection; D010560:Personnel Selection / Q000379:methods*; D058007:Physicians, Primary Care; D011320:Primary Health Care
Patient Recruitment; Practice-based Research; Primary Health Care