Theme | Example |
---|---|
Patient level barriers (perceived by GP) | Ā |
Patient unwilling to participate | āPatients who were well controlled on [Diskus] and Turbuhalers were very reluctant to change over to Seretide [Advair] MDI and about 3 patients refused to enter study for this reason.ā |
Patients unavailable to participate | āSome patients were geographically unavailable: [they worked as fly-in-fly-out employees in mines in Western Australia], some changed address.ā |
GP level recruitment barriers | Ā |
Few eligible patients perceived by GP | āI don't think you could have done any more. I guess most of my patients have well-controlled asthma!ā |
Difficulty prioritizing research due to perceived demands of study or time constraints | āYou did a lot to assist recruitment. The excessive amounts of work involved put us off the desire. We then did not give much effort.ā |
Confusion about recruitment information | āWhen invited to participate I agreed because I had patients on Symbicort and Seretide. Unfortunately by the time I entered the study only Seretide was an option. I was not prepared to swap patients off Symbicort (my drug of choice).ā* |
Study thought to be too intellectual or confronting for patients | āI feel your program is too intellectual for ordinary patients who find instructions too difficult and give up & avoid anything too confronting and being shown up by other parties is unhelpful.ā |
Confusion around disease diagnosis and management | āAsthma/COAD i.e. Patient was diagnosed with asthma in the past and later diagnosed with COAD by specialist.ā |
Practice/organization level barriers | Ā |
GP not empowered to recruit within a group practice | āI had a poster in my [office], this did result in some patients volunteering when they read [the] notice (our waiting room is very large and we are prohibited to putting up such posters).ā |
āAs I am a new GP here I could not/did not try to recruit other doctor's patients into the study. I did not want to take other doctors patients unless they spontaneously moved to see meā. | |
Study level barriers | Ā |
Need for more recruitment support | āIf a personnel from MICA was sent to help with recruitment that will be a great help for us or for future sites.ā |
Study materials needed in languages other than English | āI have a lot of patients with limited English, explanation (how to use spacer etc.) in [a language] other than English will help for some.ā |
Lack of incentive for patient | āIt was very hard to convince the patients to participate. [There was] not much incentive.ā |
GP level recruitment enablers | Ā |
Good recruitment support | āNo! The support and induction processes were excellent.ā |
Study perceived as beneficial to GPs practice | āMICA study was beneficial personally in learning some new techniques and also had satisfaction [in] that it helped my patients in many ways to improve control and understand their condition.ā |