Brief participant information leaflet (PIL) vs full PIL (ID REC12)

Evidence Summary

What is it?

People are sent a brief participant information leaflet (PIL) instead of a full PIL when invited to take part in a trial.

Does it work?

A brief participant information leaflet (PIL) probably results in little to no difference in recruitment compared to a full PIL.

How big is the effect?

An increase of 0.2% (95% confidence interval = -1.5% to 1.8%).

How certain are we?

GRADE moderate certainty.

Recommendation

We recommend that trialists only consider brief PILs as part of a SWAT evaluation.

How can I use this straight away?

See More SWAT Resources below for details of how to build a SWAT evaluation of it into your trial.

Practical Impact

Imagine a trial that needs to recruit 30 participants and where 30% of approached people are recruited (see chart, 30/100 black dots).

Now imagine that people are sent a brief PIL instead of a full PIL. The chart below shows the impact of an absolute increase of 0.2% (95% CI = -1.5% to 1.8%). Recruitment is now 30.2%, which means our best estimate is that 99 people would now need to be approached to recruit 30 of them (see chart, 100 minus 1 pink dot).

Cumulative Meta-Analysis*

More SWAT resources

How to Cite

Treweek S, Bruhn H. Evidence pack–Recruitment: Brief participant information leaflet (PIL) vs full PIL (REC12), 2026, https://www.trialforge.org/recruitment-sector/brief-participant-information-leaflet-pil-vs-full-pil-id-rec12/

More Information

  1. This summary is from the Cochrane review of Strategies to improve recruitment to randomised trials.
  2. This summary was supported by the Irish Trial Methodology Research Network (HRB-TMRN) Phase III.
  3. The ‘Does it work?’ statement is structured according to effect size and GRADE certainty as per GRADE Guidelines 26 (https://doi.org/10.1016/j.jclinepi.2019.10.014). The statement is for a trivial, small unimportant or no effect size and GRADE moderate certainty (downgraded one level for indirectness: Chen 2011 measures entry to a pre-randomisation run-in period, not final recruitment).
  4. The recommendation statement is the consensus view of the authors of this summary based on the GRADE certainty and features of the trials contributing to the evidence.
  5. Claude Sonnet 5 (Anthropic) was used to draft narrative text, generate the SVG infographic and forest plot visualisations, and extract and independently calculate the cumulative meta-analysis figures from individual-study data obtained from the review’s supplementary RevMan data export. All outputs were reviewed, fact-checked against the source review, and approved by Treweek S and Bruhn H, who take full responsibility for the content. The generic prompts used to produce this summary are available upon request.
  6. If you have any questions contact info@trialforge.org
Version 1, 07/10/2026
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