Including a pen with the trial invitation pack. The pen can contain the research institution details and/or the trial name and logo.
Giving a pen at recruitment probably increases retention.
An increase of 20% (95% confidence interval = 7% to 32%).
GRADE Moderate certainty.
We recommend that trialists include a pen with the trial invitation pack sent to participants.
See Resource bundle below for support materials.
Imagine initial retention is 65% of those approached. You have a trial with 100 participants that needs responses from 80 to meet its statistical power calculations. Retention of 65% means that you will be 15 responses short (see chart below).
Now imagine giving a pen at recruitment. The chart below shows the impact of an absolute increase of 20% (95% CI = 7% to 32%). Retention is now 85%, which means our best estimate is that you would now have enough participants to meet the statistical power calculations.
Trial Forge will make trials more efficient by looking for marginal gains across all trial processes, from research question to implementation into routine care. It will encourage everyone connected with trials to be more sceptical of what we do by asking for the evidence behind all of our trial decisions.