Table 5 Summary of challenges and opportunities from the ORBIT trial
Challenge | Solutions and opportunities |
|---|---|
Recruitment | National (or geographically large scale) recruitment |
Self-referrals (reduce reliance on clinical referrals) | |
Intervention meets an unmet need | |
Patient and public involvement on design and patient facing documents | |
Regular monitoring and communication with recruiting sites | |
Reimbursement for participant travel and early exclusion prior to attending a face-to-face appointment | |
Retention | Online outcome measures |
Participant tokens of appreciation | |
Building participant rapport and patient and public involvement in study design | |
Flexibility in completing follow-up interviews outside normal office hours | |
Regular monitoring and communication with trial staff | |
Engaging with the intervention | Poor current provision of care in the area of interest |
Active control intervention | |
Intervention remotely delivered | |
Parent/carer actively involved | |
Therapist support | |
Research-supported infrastructure (research teams provide require staff/training) | |
Research staff | Peer support |
Flexibility in working pattern | |
Continuity | |
Early identification of training | |
Additional funding |