期刊论文详细信息
BMC Medical Research Methodology
Maximising response from GPs to questionnaire surveys: do length or incentives make a difference?
Nadine E Foster1  Mark Porcheret1  Elaine Thomas1  Trishna Rathod1  Edward Roddy1  Elizabeth Cottrell1 
[1] Research Institute for Primary Care & Health Sciences, Keele University, Keele, Staffordshire ST5 5BG, UK
关键词: Response;    Questionnaire length;    Non-response;    Incentive;    General practice;    Postal questionnaires;    Cross-sectional survey;   
Others  :  1090127
DOI  :  10.1186/1471-2288-15-3
 received in 2014-10-01, accepted in 2014-12-23,  发布年份 2015
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【 摘 要 】

Background

General Practitioners (GPs) respond poorly to postal surveys. Consequently there is potential for reduced data quality and bias in the findings. In general population surveys, response to postal questionnaires may be improved by reducing their length and offering incentives. The aim of this study was to investigate whether questionnaire length and/or the offer of an incentive improves the response of GPs to a postal questionnaire survey.

Methods

A postal questionnaire survey was sent to 800 UK GPs randomly selected from Binley’s database; a database containing contact details of professionals working in UK general practices. The random sample of GPs was assigned to one of four groups of 200, each receiving a different questionnaire, either a standard (eight sides of A4) or an abbreviated (four sides of A4) questionnaire, with or without the offer of an incentive (a prize draw entry for a £100 voucher) for completion. The effects of questionnaire length and offer of incentive on response were calculated.

Results

Of 800 mailed questionnaires, 19 GPs did not meet inclusion criteria and 172 (adjusted response 22.0%) completed questionnaires were received. Among the four groups, response ranged from 20.1% (standard questionnaire with no incentive and abbreviated questionnaire with incentive) through 21.8% (standard questionnaire with incentive), to 26.0% (abbreviated questionnaire with no incentive). There were no significant differences in response between the four groups (p = 0.447), between the groups receiving the standard versus the abbreviated questionnaire (% difference -2.1% (95% confidence interval (CI) -7.9, 3.7)) or the groups offered an incentive versus no incentive (% difference -2.1% (95% CI -7.9, 3.7).

Conclusions

Strategies known to improve response to postal questionnaire surveys in the general population do not significantly improve the response to postal questionnaire surveys among GPs. Further refinements to these strategies, or more novel strategies, aimed at increasing response specifically among GPs need to be identified in order to maximise data quality and generalisability of research results.

【 授权许可】

   
2015 Cottrell et al.; licensee BioMed Central.

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【 参考文献 】
  • [1]Cartwright A: Professionals as responders: variations in and effects of response rates to questionnaires, 1961–77. Br Med J 1978, 2(6149):1419-21.
  • [2]Brownell LW, Naik PC: Does method of distribution improve GPs' response rate in questionniare studies? J Epidemiol Commun H 2001, 55:687a.
  • [3]Creavin ST, Creavin AL, Mallen CD: Do GPs respond to postal questionnaire surveys? A comprehensive review of primary care literature. Fam Pract 2011, 28(4):461-7.
  • [4]Bishop A, Foster NE, Thomas E, Hay EM: How does the self-reported clinical management of patients with low back pain relate to the attitudes and beliefs of health care practitioners? A survey of UK general practitioners and physiotherapists. Pain 2008, 135:187-95.
  • [5]Wynne-Jones G, Mallen CD, Main CJ, Dunn KM: Sickness certification and the GP: what really happens in practice? Fam Pract 2010, 27:344-50.
  • [6]Clarson L: Do general practitioners monitor patients with osteoarthritis? Ann Rheum Dis 2011, 70(Suppl3):771.
  • [7]Cockburn J, Campbell E, Gordon JJ, Sanson-Fisher RW: Response bias in a study of general practice. Fam Pract 1988, 5(1):18-23.
  • [8]Stocks N, Gunnell D: What are the characteristics of general practitioners who routinely do not return postal questionnaires: a cross sectional study. J Epidemiol Community Health 2000, 54(12):940-1.
  • [9]Barclay S, Todd C, Finley I, Grande G, Wyatt P: Not another questionnaire! Maximising the response rate, predicting non-response and assessing non-response bias in postal questionnaire studies of GPs. Fam Pract 2002, 19:105-11.
  • [10]de Vaus D: Chapter 6: finding a sample. In Surveys in Social Research. 6th edition. Abingdon: Routledge; 2014:66-92.
  • [11]Sibbald B, Addington-Hall J, Brenneman D, Freeling P: Telephone versus postal surveys of general practitioners: methodological considerations. Br J Gen Pract 1994, 44(384):297-300.
  • [12]Kaner EFS, Haighton CA, McAvoy BR: "So much post, so busy with practice - so, no time!": a telephone survey of general practitioners' reasons for not participating in postal questionniare surveys. BJGP 1998, 48:1067-9.
  • [13]Armstrong D, Ashworth M: When questionnaire response rates do matter: a survey of general practitioners and their views of NHS changes. Br J Gen Pract 2000, 50(455):479-80.
  • [14]Edwards PJ, Roberts I, Clarke MJ, DiGuiseppi C, Wentz R, Kwan I, et al.: Methods to increase response to postal and electronic questionnaires (Review). The Cochrane database of systematic reviews 2009., 3doi:10.1002/14651858
  • [15]Draper H, Wilson S, Flanagan S, Ives J: Offering payments, reimbursement and incentives to patients and family doctors to encourage participation in research. Fam Pract 2009, 26(3):231-8.
  • [16]Cottrill M: Surveys demand too much time. BMJ: BMJ Publishing Group Ltd; 1996. 313(7071):1552
  • [17]Sim J, Wright C: Research in health care. Cheltenham: Stanley Thornes (Publishers) Ltd; 2000.
  • [18]de Vaus D: Chapter 7: constructing questionnaires. In Surveys in Social Research. 6th edition. Abingdon: Routledge; 2014:93-120.
  • [19]Brueton VC, Tierney JF, Stenning S, Meredith S, Harding S, Nazareth I, et al.: Strategies to improve retention in randomised trials: a Cochrane systematic review and meta-analysis. BMJ Open 2014, 4(2):e003821-2013-003821.
  • [20]Jepson C, Asch DA, Hershey JC, Ubel PA: In a mailed physician survey, questionnaire length had a threshold effect on response rate. J Clin Epidemiol 2005, 58(1):103-5.
  • [21]Kowall B, Breckenkamp J, Heyer K, Berg-Beckhoff G: German wide cross sectional survey on health impacts of electromagnetic fields in the view of general practitioners. Int J Pub Health 2010, 55(5):507-12.
  • [22]Glidewell L, Thomas R, MacLennan G, Bonetti D, Johnston M, Eccles MP, et al.: Do incentives, reminders or reduced burden improve healthcare professional response rates in postal questionnaires? Two randomised controlled trials. BMC Health Serv Res 2012, 12:250-6963-12-250.
  • [23]Grava-Gubins I, Scott S: Effects of various methodologic strategies. Survey response rates among Canadian physicians and physicians in training. Can Fam Phys 2008, 54(10):1424-30.
  • [24]Thorpe C, Ryan B, McLean SL, Burt A, Stewart M, Brown JB, et al.: How to obtain excellent response rates when surveying physicians. Fam Pract 2009, 26(1):65-8.
  • [25]Moore M, Post K, Smith H: 'Bin bag' study: a survey of the research requests received by general practitioners and the primary health care team. Br J Gen Pract 1999, 49(448):905-6.
  • [26]Hummers-Pradier E, Scheidt-Nave C, Martin H, Heinemann S, Kochen MM, Himmel W: Simply no time? Barriers to GPs' participation in primary health care research. Fam Pract 2008, 25(2):105-12.
  • [27]Coyte PC, Hawker G, Croxford R, Attard C, Wright JG: Variation in rheumatologists and family physicians' perceptions of the indications for an outcomes of knee replacement surgery. J Rheumatol 1996, 23(4):730-8.
  • [28]Chard J, Dickson J, Tallon D, Dieppe P: A comparison of the views of rheumatologists, general practitioners and patients on the treatment of osteoarthritis. Rheumatology 2002, 41(10):1208-10.
  • [29]Holden MA, Nicholls EE, Hay EM, Foster NE: Physical therapists' use of therapeutic exercise for patients with clinical knee osteoarthritis in the United Kingdom: in line with current recommendations? Phys Ther 2008, 88(10):1109-21.
  • [30]Mason V, Shaw A, Wiles N, Mulligan J, Peters T, Sharp D, et al.: GPs' experiences of primary care mental health research: a qualitative study of the barriers to recruitment. Fam Pract 2007, 24(5):518-25.
  • [31]Kaplowitz MD, Hadlock TD, Levine R: A comparison of web and mail survey response rates. Public Opin Quart 2004, 68(1):94-101.
  • [32]Royal College of General Practitioners: Royal College of General Practitioners Curriculum 2010: 2.04 The contextual statement on enhancing professional knowledge. 2013. Available at: http://www.rcgp.org.uk/gp-training-and-exams/~/media/Files/GP-training-and-exams/Curriculum-2012/RCGP-Curriculum-2-04-Enhancing-Professional-Knowledge.ashx webcite. Accessed 07/29, 2014
  • [33]Cadwallader JS, Lebeau JP, Lasserre E, Letrilliart L: Patient and professional attitudes towards research in general practice: the RepR qualitative study. BMC Fam Pract 2014, 15(1):136. BioMed Central Full Text
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