A community-based intervention strategy is used where public volunteers are trained and used as research partners. This results in a peer-led follow-up strategy (e.g., through peer reminder calls).
A peer‐led follow‐up strategy may result in a large increase in retention.
An increase of 22% (95% confidence interval = 14% to 30%).
GRADE Low certainty.
We recommend that trialists consider using a peer-led follow-up strategy.
See Resource bundle below for details on how to implement a peer-led follow-up strategy.
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 using a peer-led follow-up strategy. The chart below shows the impact of an absolute increase of 22% (95% CI = 14% to 30%). Retention is now 87%, which means our best estimate is that you would now have enough participants to meet the statistical power calculations.