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Learn about online and traditional recruitment strategies for medical research studies, including online advertisements, web design, and optimization techniques. Explore tools for secure data collection and engagement opportunities.
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Novel research Recruitment Strategies Stephen Juraschek, MD PhD
Learning Objectives • Become familiar with various forms of online and traditional advertisements to direct traffic to a study website as well as traffic monitoring tools • Discover tools for web design, secure data collection, web referrals, engagement opportunities • Be introduced to advanced techniques in recruitment optimization (A/B/n testing) as a tool to improve messaging and increasing recruitment yields
Recruitment Framework Agnostic (trial-based) vs. Ethnographic research
Media Goals • Inform • Applicable • Match values/interests • Excite • Peak interest for participants to seek more information • Traditional approaches: • Newspaper ads • Mailed/hand-delivered brochures • Fliers
Online Advertisements • Banner advertisements: • Brief description (~30 sec on Facebook) • Link to additional information • Cost primarily based on clicks • Varies based on demand to display ad to your target audience • Exception: Facebook charges to display ad
Targeting “Marry the right person in the right place at the right time.” (“Life’s Obligations,” Ensign, February 1999)
Targeting • Traditional: • Purchased contacts • Fairs/events with target of interest • Chart reviews
Online Ads • Data gathered by Facebook, Google • Demographic data • Interests, behaviors • Prior online activities • Geography (IP address)
Early insights • Online targeting differs from traditional targeting • Demographics seem to be more reliable online than interests • Geographic radius can be important
Response media: website • Traditional: phone, mail, email, clinic visit • Website opportunity: • Accessible (transcends time/place) • Very informative • Adapt content (via randomized experiments)
Important considerations • Security for data collection • Qualtrics • IRB review of content • Anticipate adaptations • Ease of use • Trust
Case: Participant reply to mailers • Two community-based trials • SPIRIT: cancer survivors, age 35+ years • STURDY: seniors, age 70+ years • Mailed brochure: • SPIRIT: no mention of website • STURDY: website listed as option for reply • Number of people signing up online from mailers: • SPIRIT: 0 • STURDY: 147
Staff Response • Tracking • Timeliness • Quality of response • Require complete contact information • Engendering interest
Opportunity for Optimization • Randomized trials • Ads: Facebook, Google • Website content: Optimizely • Enrollment form: Qualtrics • Agnostic approach vs. ethnographic research • Goal: precision recruiting
Facebook Randomization • Case: • Spirit response to logo • Spirit response to title • Sturdy response to film
Other opportunities • Online referrals • Social engagement and retention • Online community • Social media • Privacy • Reputation management
Acknowledgements ICTR: Cheryl Denison PhD, RN; Crystal Evans, MS Collaborators: Tim Plante MD, MHS; Pete Miller MD, PhD; Manuel Hermosilla, PhD Study Principal Investigators: Larry Appel, MD, MPH; Jessica Yeh, PhD; Jeanne Charleston, RN, STURDY & SPIRIT teams Team: Manik Arora, BS; Olive Tang, BA; Seamus Wang; Simon Zhang
Resources • Web editor: Weebly • Domain name purchases: • Godaddy, Hover • Website randomization: Optimizely • PHI security: Qualtrics
IRB Considerations “We would like to use paid banner ads on websites (Google, Facebook, and possibly other sites) that direct individuals to a STURDY landing page. By necessity, the ads must be brief. We intend to use text and images that we use in other IRB-approved recruitment materials. We ask for flexibility in selecting and changing these images and text in the banner ads, as long as they are drawn from IRB approved-materials. Sample text and images are attached. Note - this is not a social media platform - screenees will not be able to identify or contact other individuals. Hence, there is no exchange of PHI.” Larry Appel, MD MPH