Support for sites
RECRUITMENT, BREAST
At the start of the project, communication workshops were delivered regionally to recruiting sites’ staff (see A year into the main trial, a funder monitoring visit highlighted recruitment rate concerns so a recovery plan was developed to increase recruitment. Postal surveys were sent to PIs, site leads, and then other members of the recruiting site teams. The surveys explored which specific aspects of the LORIS protocol were most challenging. In parallel to surveys, all PIs and site leads were invited to participate in semi-structured telephone interviews to discuss further recruitment challenges. The information derived from surveys and interviews helped identify those teams likely to benefit from either communication workshops or refresher site initiation visits (SIVs). For example, those raising concerns about discussing randomisation, dealing with patient preferences for different management, or HCPs with negative attitudes towards LORIS, were invited to communication workshops. Refresher SIVs were offered to teams who had experienced organisational changes, or who had diagnostic or pathway logistic challenges. In addition, a LORIS awareness poster and leaflet were created and made available within hospitals, breast screening units, published within the Association of Breast Surgeons bulletins and shared to Linked-In and Twitter.