<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Fernald, Douglas H.</style></author><author><style face="normal" font="default" size="100%">Jortberg, Bonnie T.</style></author><author><style face="normal" font="default" size="100%">Hessler, Danielle M.</style></author><author><style face="normal" font="default" size="100%">Wearner, Robyn</style></author><author><style face="normal" font="default" size="100%">Dickinson, L. Miriam</style></author><author><style face="normal" font="default" size="100%">Fisher, Lawrence</style></author><author><style face="normal" font="default" size="100%">Dickinson, W. Perry</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Recruiting Primary Care Practices for Research: Reflections and Reminders</style></title><secondary-title><style face="normal" font="default" size="100%">The Journal of the American Board of Family
                Medicine</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2018</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2018-11-01 00:00:00</style></date></pub-dates></dates><pages><style  face="normal" font="default" size="100%">947-951</style></pages><doi><style  face="normal" font="default" size="100%">10.3122/jabfm.2018.06.180025</style></doi><volume><style face="normal" font="default" size="100%">31</style></volume><issue><style face="normal" font="default" size="100%">6</style></issue><abstract><style  face="normal" font="default" size="100%">Background: Recruiting primary care practices for research projects has always required carefully tended relationships, a compelling message, and good timing. Recruiting practices to participate in practice transformation research trials may take more and different efforts. We reflect on practice recruitment for a recently-concluded trial of a diabetes self-management support system in 2 states and 36 practices.Methods: Iterative qualitative analysis of field notes, semistructured clinician and staff interviews, and meeting notes from a 2-state, cluster-randomized trial that aimed to improve self-management support for patients with type 2 diabetes mellitus.Results: Although all 36 enrolled practices finished the study, fully recruiting practices early on took considerable effort, yielding 2 primary lessons: 1) practice-based research networks (PBRNs) must recruit more stakeholders at more levels, at the clinic, in the system, and across roles; and 2) practice recruitment is a process and may take longer than expected with unplanned turnover of key contacts. Adjusting our recruitment strategies required: helping with communication efforts in practices; aligning our study message according to stakeholders' interests; allowing for minor adaptations at the practice-level to align with critical practice workflows, staffing, and resources; re-engaging with clinical leadership over time; and identifying a “backup” champion due to turnover.Conclusions: When undertaking a pragmatic clinical trial requiring substantial practice change in a PBRN setting across a large number of practices, it is important that PBRN leaders develop a comprehensive strategy to identify and engage a broad group of stakeholders within each practice, understand their needs and priorities around research, and design and implement a structured communications strategy to maintain engagement throughout every phase of the project.</style></abstract></record></records></xml>