Enhanced participant information sheet for the recruitment of caregivers to a multicentre randomised trial

ISRCTN ISRCTN15757498
DOI https://doi.org/10.1186/ISRCTN15757498
IRAS number 298247
Secondary identifying numbers NIHR130487, IRAS 298247, CPMS 50258
Submission date
12/09/2021
Registration date
23/09/2021
Last edited
19/08/2024
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Recruiting people to a trial, that is people being invited and agreeing to take part in the research study, can sometimes be difficult or slower than expected. In some cases, trials are stopped early before enough people have been recruited. Ending a trial early can reduce the value of the trial results when trying to improve healthcare practices into the future. In an effort to make sure enough people are recruited to a trial so that the trial results have meaning for healthcare practice, researchers often put in place measures that they think could help with this. For example, the lead researcher may visit the study site more often to talk about the trial and recruitment, or the researchers may offer incentives (small gifts such as a voucher) to people for taking part. It is not always clear though if these measures work or not because they are not always formally studied.
When a person is being invited to take part in a trial, the researcher will give the person a participant information sheet (PIS). The PIS contains all of the information about the trial to help a person decide if they would like to take part, or not, as the case may be. The amount of detail in the PIS, the length of the PIS and how easy the PIS is to read can all affect a person's understanding of the trial, and their decision to take part. To study this we aim to compare two types of PIS which will be given to people invited to take part in a randomised trial.

Who can participate?
Carers of people with heart failure who are being invited, along with the person who has heart failure, to take part in the REACH-HFpEF trial.

What does the study involve?
The REACH-HFpEF trial is studying the effect of a home-based rehabilitation intervention for patients with heart failure. The intervention PIS for use in the REACH-HFpEF trial will be enhanced with information that carers have described as motivating as well as challenging for them when deciding to take part in a trial. The control PIS will be the usual PIS that was originally designed for use in the REACH-HFpEF trial. Twenty hospitals are taking part in the REACH-HFpEF trial, so half of these will use the enhanced PIS when inviting carers to take part, and the other half will use the usual PIS.

What are the possible benefits and risks of participating?
There are no known risks or benefits to carers by taking part in this embedded study, but it will help us find out if using an enhanced PIS, compared to using a usual PIS, is helpful when we are recruiting carers to a trial. Knowing this information will help other researchers when designing their PIS for carers in future trials.

Where is the study run from and who is funding the study?
The main REACH-HFpEF trial is funded by the UK Government through the National Institute for Health Research. This embedded PIS study has not received extra funding as it will be done as part of the main REACH-HFpEF trial.

When is the study starting and how long is it expected to run for?
September 2021 to December 2025

Who is the main contact?
Prof Valerie Smith, valerie.smith@ucd.ie

Contact information

Prof Valerie Smith
Scientific

School of Nursing, Midwifery and Health Systems
University College Dublin
Dublin
D04
Ireland

ORCiD logoORCID ID 0000-0003-2249-6038
Phone +353-1-8964031
Email valerie.smith@ucd.ie

Study information

Study designCluster randomized trial
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)Hospital
Study typeOther
Participant information sheet Not available for public view as the PIS is the intervention in this study. Once the trial is complete, both the enhanced PIS and usual PIS will be made available.
Scientific titleEvidence-based enhanced participant information sheet for recruiting caregivers to the REACH-HFpEF multicentre randomised trial: A Study Within a Trial (SWAT)
Study hypothesisTo determine if an evidence-based enhanced participant information sheet (PIS) impacts on recruitment and retention of caregivers to the REACH-HFpEF multi-center randomised trial (REACH-HFpEF trial registry number: ISRCTN47894539)
Ethics approval(s)Approved 27/10/2021, West of Scotland Research Ethics Committee (West of Scotland Research Ethics Service, Ward 11, Dykebar Hospital, Grahamston Road, Paisley, PA2 7DE, UK; +44 (0)141 3140213; WoSREC3@ggc.scot.nhs.uk), ref: 21/NS/0085
ConditionTrial recruitment using an enhanced participant information sheet
InterventionPart of the REACH-HFpEF multi-center trial (ISRCTN47894539) to assess the effect of using the enhanced compared to the standard participant information.

REACH-HFpEF trial sites will be randomised on a 1:1 ratio to use the intervention enhanced PIS or the control PIS. Sites will be blinded to which PIS they have been allocated.
Intervention typeBehavioural
Primary outcome measure1. Proportion of caregivers who are approached and agree to participate in the REACH-HFpEF trial measured using the numbers of caregivers who have consented and are enrolled in the trial
2. Proportion of caregivers allocated in each intervention and control group who provide REACH-HFpEF trial outcomes measured using the numbers of participants who return outcome questionnaires at 4- and 12-months follow-up
Secondary outcome measures1. Caregiver’s level of satisfaction with the PIS (measured on a Likert scale of 1 not at all satisfied to 5 extremely satisfied) in both the intervention PIS and control PIS groups measured at baseline following randomisation to the trial, and at 4-months follow-up
2. Caregivers’ priority motivators and barriers for participating in the REACH-HFpEF trial measured a validated questionnaire (Likert scale options from 1 very unimportant to 5 very important) at entry to the trial and at 4 months after enrolling in the trial
Overall study start date13/09/2021
Overall study end date31/12/2025

Eligibility

Participant type(s)Carer
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants268
Participant inclusion criteriaCarers/support persons, who are aged 18 years and older and who are being invited to take part in the REACH-HFpEF host trial with their care recipient.
Participant exclusion criteriaCarers/support persons who decline to take part in the REACH-HFpEF host trial.
Recruitment start date01/11/2021
Recruitment end date31/12/2025

Locations

Countries of recruitment

  • England
  • Scotland
  • United Kingdom

Study participating centres

Ninewells Hospital and Medical School
NHS Tayside
Department of Cardiology
Dundee
DD1 9SY
United Kingdom
Glasgow Royal Infirmary
NHS Greater Glasgow and Clyde
84 Castle Street
Glasgow
G4 0SF
United Kingdom
Lister Centre
NHS Ayrshire and Arran
University Hospital Crosshouse
Kilmarnock
KA2 0BE
United Kingdom
Aintree University Hospital
Liverpool University Hospitals NHS Foundation Trust
Lower Lane
Liverpool
L9 7AL
United Kingdom
Darlington Memorial Hospital
County Durham and Darlington NHS Foundation Trust
Hollyhurst Road
Darlington
DL3 6HX
United Kingdom
St Thomas' Hospital
Guy's and St Thomas' NHS Foundation Trust
Westminster Bridge Road
London
SE1 7EH
United Kingdom
Kings College Hospital NHS Foundation Trust
Denmark Hill
London
SE5 9RS
United Kingdom
Glenfield Hospital
Leicestershire Partnership NHS Trust
Groby Road
Leicester
LE39 9QP
United Kingdom
Manchester Royal Infirmary
Manchester Heart Centre
Manchester University NHS Foundation Trust
Oxford Road
Manchester
M13 9WL
United Kingdom
University Hospital of North Tees
North Tees and Hartlepool NHS Foundation Trust
Hardwick Road
Stockton on Tees
TS19 8PE
United Kingdom
City Hospital
Nottingham University Hospitals NHS Trust
Trent Cardiac Centre
Hucknall Road
Nottingham
NG5 1PB
United Kingdom
Queen Alexandra Hospital
Department of Cardiology
Portsmouth Hospitals University NHS Trust
Southwick Hill Road
Porstmouth
PO6 3LY
United Kingdom
Royal Devon and Exeter Hospital
Cardiology Department
Royal Devon and Exeter NHS Foundation Trust
Barrack Road
Exeter
EX2 5DW
United Kingdom
The Royal Wolverhampton NHS Trust
Cardiothoracic Directorate
The Heart and Lung Centre
Wolverhampton
WV10 0QP
United Kingdom
Russell's Hall Hospital
The Dudley Group NHS Foundation Trust
Pensnett Road
Dudley
DY1 2HQ
United Kingdom
West Suffolk Hospital
The Cardiac Centre
West Suffolk NHS Foundation Trust
Hardwick Lane
Bury Saint Edmunds
IP33 2QZ
United Kingdom
St Catherine's Health Centre
Wirral Community Health and Care NHS Foundation Trust
Derby Road
Tranmere, Wirral
Merseyside
CH42 7HA
United Kingdom
Wycombe Hospital
Cardiology Research
Ward 3B
Buckinghamshire Healthcare NHS Trust
Wycombe
HP11 2TT
United Kingdom
York Hospital
York Teaching Hospital NHS Foundation Trust
Wigginton Road
York
YO31 8HE
United Kingdom

Sponsor information

NHS Greater Glasgow and Clyde
Hospital/treatment centre

Research and Innovation
Ward 11 Dykebar Hospital
Grahamston Road
Paisley
PA2 7DE
Scotland
United Kingdom

Phone +44 (0)141 314 4012
Email Maureen.Travers@ggc.scot.nhs.uk
Website http://www.nhsggc.org.uk/
ROR logo "ROR" https://ror.org/05kdz4d87

Funders

Funder type

Government

Health Technology Assessment Programme
Government organisation / National government
Alternative name(s)
NIHR Health Technology Assessment Programme, HTA
Location
United Kingdom

Results and Publications

Intention to publish date01/05/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planAll data generated or analysed during this study will be included in the subsequent results publication. The dataset containing the priority motivators and barriers for participating in the REACH-HFpEF trial is an anonymous dataset and will be made available on the open access platform ‘Open Science Framework’ once data collection is complete, with a link to the dataset provided in the Journal publication reporting the results of the trial.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No

Editorial Notes

19/08/2024: The following changes were made to the trial record:
1. The recruitment end date was changed from 30/06/2023 to 31/12/2025.
2. The overall end date was changed from 30/05/2025 to 31/12/2025.
12/08/2024: The contact details were updated.
29/09/2022: The following changes were made to the trial record:
1. The recruitment end date was changed from 30/09/2022 to 30/06/2023.
2. The overall end date was changed from 31/08/2024 to 30/05/2025.
3. The intention to publish date was changed from 01/08/2025 to 01/05/2026.
4. The plain English summary was updated to reflect these changes.
5. The ethics approval was added.
6. The trial website was added.
01/10/2021: The CPMS number was added to the protocol/serial no. field.
24/09/2021: Internal review.
13/09/2021: Trial's existence confirmed by the National Institute for Health Research (NIHR) (UK).