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- Title
Recruiting for a pragmatic trial using the electronic health record and patient portal: successes and lessons learned.
- Authors
Pfaff, Emily; Lee, Adam; Bradford, Robert; Pae, Jinhee; Potter, Clarence; Blue, Paul; Knoepp, Patricia; Thompson, Kristie; Roumie, Christianne L; Crenshaw, David; Servis, Remy; DeWalt, Darren A
- Abstract
<bold>Objective: </bold>Querying electronic health records (EHRs) to find patients meeting study criteria is an efficient method of identifying potential study participants. We aimed to measure the effectiveness of EHR-driven recruitment in the context of ADAPTABLE (Aspirin Dosing: A Patient-centric Trial Assessing Benefits and Long-Term Effectiveness)-a pragmatic trial aiming to recruit 15 000 patients.<bold>Materials and Methods: </bold>We compared the participant yield of 4 recruitment methods: in-clinic recruitment by a research coordinator, letters, direct email, and patient portal messages. Taken together, the latter 2 methods comprised our EHR-driven electronic recruitment workflow.<bold>Results: </bold>The electronic recruitment workflow sent electronic messages to 12 254 recipients; 13.5% of these recipients visited the study website, and 4.2% enrolled in the study. Letters were sent to 427 recipients; 5.6% visited the study website, and 3.3% enrolled in the study. Coordinators recruited 339 participants in clinic; 23.6% visited the study website, and 16.8% enrolled in the study. Five-hundred-nine of the 580 UNC enrollees (87.8%) were recruited using an electronic method.<bold>Discussion: </bold>Electronic recruitment reached a wide net of patients, recruited many participants to the study, and resulted in a workflow that can be reused for future studies. In-clinic recruitment saw the highest yield, suggesting that a combination of recruitment methods may be the best approach. Future work should account for demographic skew that may result by recruiting from a pool of patient portal users.<bold>Conclusion: </bold>The success of electronic recruitment for ADAPTABLE makes this workflow well worth incorporating into an overall recruitment strategy, particularly for a pragmatic trial.
- Subjects
ELECTRONIC health records; WEB portals; QUERYING (Computer science); INFORMATION science; WORKFLOW management; CLINICAL trials
- Publication
Journal of the American Medical Informatics Association, 2019, Vol 26, Issue 1, p44
- ISSN
1067-5027
- Publication type
journal article
- DOI
10.1093/jamia/ocy138