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Table 2 Strategies to maximise enablers to implementing primary care pragmatic randomised controlled trials

From: Implementing Kanyini GAP, a pragmatic randomised controlled trial in Australia: findings from a qualitative study

Enablers

Strategies to help maximise

Recruitment and participation

Leveraging pre-existing networks and relationships with key stakeholders

• Provide adequate pre-recruitment engagement with stakeholders and elicit expressions of interest

• Engage with stakeholders at trial-design stage to build a sense of ownership and address research objectives of participants

Increased research capacity

• Understand research needs of sites and fulfil gaps in research capacity as requested

• Incorporate capacity building as a key outcome for participation

• Provide opportunity for training at health service level to build research capacity within primary healthcare.

Research as a quality service indicator and team building exercise

• Provide structured training for sites as a means for team building between and across sites

• Research participation as a quality assurance indicator for primary practices: policy development consideration

Professional support for the intervention under evaluation and tangible benefits to the service or participant

• Understand and address professional concerns about the intervention under evaluation

• Promote the potential benefits of trial participation to health service and participants

Personal and community benefits research participation

• Understand and promote benefits (and risks) of research to individuals and community

• Educate participants about research goals and needs

• Ensure participants feel sufficiently empowered to make decisions about ongoing participation

Research and primary practice settings

Provision of research coordinator

• Prior to implementation, proactively identify site resource needs in terms of trial-related administration, communication, data management and patient management

• Ensure adequate research and logistical support is provided