Table 4.

Possible Recruitment Suggestions and Challenges

RECRUIT SUGGESTIONS
Doctors as gatekeepers (pros and cons about this)*	P, C
CHW’s/coordinators to introduce research and engage patients*	P, C
Social service, clergy, advocates as gatekeepers	P
Go through trusted organizations	P
Transparency with possible benefits to patients*	P, C
Identify and honor language preferences	P
No texts-don’t trust from stranger (could use for follow-up)	P
Text and email patients	C
Mail or phone call from someone from their institution	P
Approach person in waiting room if recruiter from that site.	P
Don’t cold contact patients	C
Use fundraisers for recruitment	P
Use local research champions within practices	C
Have dedicated research staff to speak/enroll patient (warm handoff)	C
Research staff should look like patients	P
New consent strategies (video consent)	C
Social media to advertise for research (especially for young)*	P, C
Create referral tool and process for docs to use	C
Incentives for patients	C
RECRUIT CHALLENGES
No clinical/research separation (baby/bathwater)	P
Research futilism (research to date hasn’t made impact)	P
Trust-Petri dish/victimization concerns	P
Acknowledge past abuses in research before taking part	P
Don’t trust people outside their own hospital/clinic	P
Don’t direct contact-will scare people that their info was released	P
Want to know who sponsors research before take part*	P, C
Socio-Economic patient issues (several comorbidities)	C
Consenting when patients have an appointment is too time consuming	C
Consenting by EMR is too time consuming for provider	C
Patients scared of term “research”	C
Disruption to clinical workflow	C
Time burden on patient	P

^*denotes patient and clinician agreement