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Table 1 Characteristics of the included studies (grouped according to the relevant retention category)

From: Non-randomised evaluations of strategies to increase participant retention in randomised controlled trials: a systematic review

Trial

Study design

Host trial (number randomised)

Disease/condition

Participants

Setting

Retention strategies (number of participants)

Outcome (retention study)

Time point(s) used in the analysis

1. Studies that involved a change in mode of data collection

Atherton 2010 [25]

Cohort study

Prevention of Pelvic Infection (POPI) trial (1329)

Chlamydia screening

Young female students

12 universities and colleges across London

A postal follow-up questionnaire (299)

Online questionnaire (1030)

Questionnaire response rate

12 months after randomisation

4 weeks and 12 months after follow-up commenced

Childs 2015 [26]

Cohort study

Prevention of Lower Back Pain in the Military (POLM) trial (4325)

Low back pain

Geographically dispersed soldiers in the US Army

A military training setting

Web-based survey (632)

Telephone call center (571)

Both the web-based

and telephone survey (233)

M2 database (2788)

Follow-up rate

Monthly follow-up surveys (12 weeks after training).

Telephone contact with soldiers who had not responded to 3 monthly web-based surveys at the end of the first year

Dormandy 2008 [27]

Before and after study

SHIFT (Screening for Haemoglobinopathies in the First trimester) (775)

Antenatal Sickle Cell and Thalassaemia (SCT) screening

People from minority ethnic groups and with high levels of material and social deprivation

UK primary care

Postal questionnaire completion only (61)

Choice of telephone or postal completion (714)

Questionnaire response rate

11 months after randomisation

Johnson 2015 [28]

Before and after study

The hospital outpatient alcohol project (HOAP) (837)

Alcohol consumption

Hospital outpatients with hazardous or harmful drinking

Outpatient department of a large tertiary referral hospital in Newcastle (population 540,000), Australia

Postal questionnaire + link a web-based questionnaire (520/837)

Telephone follow-up (317)

Questionnaire response rate

6 months after randomisation

4 weeks later if questionnaire remained unreturned

Lall 2012 [29]

Cohort study

Back Skills Training Trial (BeST) (701)

Back pain

Patients with subacute and chronic low back pain

UK primary care

Postal questionnaires

Telephone interviews

Questionnaire response rate

12 months after randomisation

6 weeks later if questionnaire remained unreturned

Peterson 2012 [30]

Post hoc analysis method

Randomised clinical trial of elective coronary artery bypass grafting (248)

Coronary artery disease

Coronary artery bypass graft surgery patients

The New York Hospital–Cornell Medical Center

Routine follow-up approach (return to hospital for follow-up) (187)

Home follow-up (61)

Follow-up rate and its impact on main trial outcome

6-month follow-up

2. Studies that used a different questionnaire format for follow-up

Bailey 2013 [31]

Before and after study

The Sexunzipped trial (2006)

Sexual well-being

Young people aged 16 to 20 years and resident in the UK

Online study

Online questionnaire (1208)

A shortened version of the online questionnaire by post (798)

Retention of valid participants at 3-month follow-up

3 months after randomisation

3. Studies that used a different design strategy for follow-up

Ulmer 2008 [32]

Historically controlled study

Randomised controlled trial of a telephone-delivered behavioral intervention (153)

Hypertension

Participants with uncontrolled hypertension

New York Harbor Healthcare System

A 4-week simple run-in period before participation in the study

Drop-out rate

12 months after randomisation

4. Studies that used a change in mode of reminder delivery

Hansen 2014 [33]

Cohort study

‘Preventive consultations for 20- to 40-year-old young adults’ randomised trial (495)

Change in health behavior

Young adults with multiple psychosocial and lifestyle problems

General practices in Denmark

Follow-up questionnaire and up to two reminders by mail (495)

Telephone reminder to primary non-responders (179)

Questionnaire response rate

1-year follow-up after randomisation

Varner 2017 [34]

Nested cohort analysis

An RCT assessing minor traumatic brain injury (MTBI) discharge instructions (118)

Traumatic brain injury

Patients ages 18 to 64 years presenting to the ED with a chief complaint of a head injury or suspected concussion

Emergency department (ED) of an academic tertiary care hospital in Toronto, Ontario

Telephone contact (78)

A reminder text message (40)

The proportional difference in loss to a follow-up between the two groups

First 4 months

Final 3 months

5. Studies that used incentives

Brealey 2007 [35]

Historically controlled study

DAMASK Trial (a pragmatic randomised trial to evaluate whether GPs should have direct access to MRI for patients with suspected internal derangement of the knee) (547)

Knee problems

Patients aged 18 to 55 with suspected internal derangement of the knee

General practices across North Wales, North East Scotland, and Yorkshire

No incentive (105)

Unconditional direct payment of £5 to patients for the completion and return of questionnaires (442)

Completion rate of postal questionnaires

12 months after randomisation

Rodgers 2016 [36]

Prospective cohort study

An RCT evaluated the effectiveness of a brief social work intervention (479)

Instances of violence and heavy drinking among women

Abused women who were also heavy drinkers

Two US academic urban EDs

Cash incentives for participants enrolled during the first 8 months of the study (111)

A reloadable bank card for all subsequent participants (358)

Participant completion rates of follow-up study activities and overall retention

3-, 6- and 12-month follow-up after randomisation

6. Studies that used multi-faceted strategies

Ezell 2013 [37]

Post hoc analysis method

RCT comparing asthma outcomes of students exposed to tailored asthma management versus those exposed to generic asthma management (422)

The burden of asthma

Students in grades 9 through 12

Six Detroit public high schools

Incentives ($80 for completion of all program modules) (380).

4 retention strategies to locate missing participants (re-dials of non-working telephone numbers, Facebook, assistance from school) (125)

Attrition rate

12-month follow-up

Sellers 2015 [38]

Before and after study with no control group

The BAN trial was designed to evaluate the efficacy of 3 mother-to-child HIV transmission prevention strategies (2369)

HIV prevention

Pregnant women who tested HIV-positive and their infants

Four antenatal clinics Lilongwe, Malawi

Routine strategies (support groups, home visits) (1686)

Intensive tracing efforts (638)

Attrition rate

28 weeks after randomisation