Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2018 Nov 14;19(1):630.
doi: 10.1186/s13063-018-2958-z.

Recruitment of Patients With De Novo Parkinson Disease: Successful Strategies in a Randomized Exercise Clinical Trial

Collaborators, Affiliations
Free PMC article
Randomized Controlled Trial

Recruitment of Patients With De Novo Parkinson Disease: Successful Strategies in a Randomized Exercise Clinical Trial

Deborah A Hall et al. Trials. .
Free PMC article

Abstract

Introduction: Recruitment of sufficient patients with Parkinson disease into clinical trials is a barrier to successful, timely study completion. Non-pharmacologic studies have shown to be even more challenging for recruitment, despite some studies focusing on de novo Parkinson disease populations. This paper describes successful recruitment techniques from a randomized exercise clinical trial in Parkinson disease.

Methods: Several recruitment strategies were used to enroll de novo patients with Parkinson disease into a year-long clinical trial. Strategies focused on infrastructure included fast-track clinic scheduling, weekly research meetings, an established clinical repository, real-time clinic recruitment, and outreach to the community. The nature of the study facilitated recruitment by offering a wait-listed control group, exercise at a local fitness center with a paid membership, and collection of data by shipping equipment foregoing some visits. An experienced nurse study coordinator involved in recruitment and training of the principal investigator in recruitment of minorities enhanced overall recruitment. Finally, the patient population chosen for this study, patients with de novo Parkinson disease, may be more likely to enroll in an exercise study than patients with later stage disease.

Results: Seventy-six patients with de novo Parkinson disease were successfully enrolled into the exercise clinical trial from a single site.

Conclusion: Targeted recruitment strategies were successful in this study. Additional modifications to the study protocol, such as eliminating treadmill stress tests before randomization, travel to an urban downtown location for study visits, and a relatively healthy Parkinson disease population, may also have impacted this study. These strategies could all be adopted for other studies in Parkinson disease, neurodegenerative diseases, or other chronic disorders.

Trial registration: Clinicaltrials.gov, NCT01506479 . Registered on 10 January 2012.

Keywords: Clinical trial; De novo; Parkinson disease; Recruitment; Treadmill training.

Conflict of interest statement

Ethics approval and consent to participate

The exercise RCT was approved at each participating institutions IRB – University of Colorado, University of Pittsburgh, and Rush University.

Consent for publication

All authors give consent for publication.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Flow diagram of patient participation in the study for the first six months

Similar articles

See all similar articles

Cited by 1 article

References

    1. Picillo M, Kou N, Barone P, Fasano A. Recruitment strategies and patient selection in clinical trials for Parkinson’s disease: Going viral and keeping science and ethics at the highest standards. Parkinsonism Relat Disord. 2015;21(9):1041–1048. doi: 10.1016/j.parkreldis.2015.07.018. - DOI - PubMed
    1. McDonald AM, Knight RC, Campbell MK, Entwistle VA, Grant AM, Cook JA, et al. What influences recruitment to randomised controlled trials? A review of trials funded by two UK funding agencies. Trials. 2006;7:9. doi: 10.1186/1745-6215-7-9. - DOI - PMC - PubMed
    1. Keus SH, Bloem BR, Hendriks EJ, Bredero-Cohen AB, Munneke M, Practice Recommendations Development Group Evidence-based analysis of physical therapy in Parkinson’s disease with recommendations for practice and research. Mov Disord. 2007;22(4):451–460. doi: 10.1002/mds.21244. - DOI - PubMed
    1. Moore CG, Schenkman M, Kohrt WM, Delitto A, Hall DA, Corcos D. Study in Parkinson disease of exercise (SPARX): translating high-intensity exercise from animals to humans. Contemp Clin Trials. 2013;36(1):90–98. doi: 10.1016/j.cct.2013.06.002. - DOI - PMC - PubMed
    1. Schenkman M, Moore CG, Kohrt WM, Hall DA, Delitto A, Comella CL, et al. Effect of high-intensity treadmill exercise on motor symptoms in patients with de novo Parkinson disease: a phase 2 randomized clinical trial. JAMA Neurol. 2018;75(2):219–226. doi: 10.1001/jamaneurol.2017.3517. - DOI - PMC - PubMed

Associated data

Feedback