The "Far Side" of Recruitment and Retention Part 2 - Retention

Overview: High attrition rates are not only frustrating and costly, but the also pose a risk to the interpretation and validity of research findings. This problem is extremely important in translational research where the goal is to create effective treatment programs that can be widely employed and that are useful to large numbers of people across a broad geographical range.

Because of the threat to scientific integrity and validity, recent research has focused on the drop put problem, asking two questions: 1.) What are the characteristics of participants who are more likely to dropout or become non-compliant? And 2.) What strategies are most helpful in improving rates of volunteer retention and adherence? As with the recruitment process, we can also apply “the Leaky Pipe Analogy”. We need to see where “the pipe” is leaking and then fix the leaks.

Why should you attend: Efficient subject recruitment is the key to timely completion of a clinical trial. Today, the pharmaceutical industry is faced with rising costs and is increasingly under scrutiny. The data contained on this slide is from a CenterWatch Survey conducted in 2002.

In weight loss and lifestyle change research, the average drop-out rate was 32% according to a paper published un 1999 by Davis and Addis. This figure can be higher depending on the patient population, the length of the study, and the demands of the protocol. In clinical research, each subject represents a significant amount of time, effort and other resources, so high drop out rates are very costly.

Areas Covered in the Session:

• Fixing the “leak”
• Anatomy of a retention plan.
• Developing a relationship with your volunteer
• Sings and symptoms of possible attrition
• Potential causes of attrition
• Recognizing the barriers to participation
• Understanding volunteer concerns
• Retention strategies and solutions

Who Will Benefit:

• Principal Investigators
• Clinical Research Coordinators
• Clinical Research Managers
• Clinical Research Associates

Mark Koscin, M.T., CCRA, ACRP has more than 27 years of experience as a medical technologist and Clinical Research Associate (CRA) overseeing the implementation of trials across a diversity of applications and delivery environments including: respiratory, cardiovascular, metabolic diseases, gastro-intestinal diseases, neurological, anesthesia, gene therapy, stem cell, surgical devices, women’s health, virology, and infectious disease. Mr. Koscin has held positions with Hoffman La-Roche, Baxter, Merck, Schering-Plough, Bristol Myers Squibb, Sanofi Aventis, and others. As a Clinical Research Associate, International Project Manager, and Regulatory Compliance & Training Officer, Mr. Koscin has extensive industry experience.

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Roger Steven
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