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Traditional clinical trial compensation strategies cost programs time, money, and, most importantly, participants.
Last year, TruCentive saved researchers hundreds of thousands of dollars in direct and administrative costs by helping update their clinical trial compensation and reimbursement programs to make them more compelling to participants, easier to manage, and more flexible to cope with the changing needs of researchers and their subjects.
HIPAA compliant · De-identification · Visa · AMEX · 3,000+ merchant gift cards
Six shifts are reshaping how studies recruit, retain and pay their participants. Each statement below is quoted from the source named beneath it.
Patient-centricity in clinical trials has increased, with sponsors involving patients in the design process to ensure trials align with participants’ needs and preferences.
— Quanticate
Globalization in clinical trials expands access to diverse populations, accelerates innovation, and enhances data reliability by incorporating varied demographics.
— Charles Darwin University
Recruiting participants for clinical trials is highly competitive, with approximately 85% of trials failing to enroll enough patients, leading to significant delays.
— Parexel
Clinical trial participants increasingly expect personalized care, transparency, convenience, and technological integration, prompting sponsors to adopt participant-centric approaches to enhance recruitment, retention, and satisfaction.
— WCG
“Diversity Action Plans to Improve Enrollment of Participants from Underrepresented Populations in Clinical Studies.”
— (FDA) Draft Guidance
Clinical trial sponsors increasingly focus on cost efficiency by leveraging automation, reducing manual processes, and optimizing resource allocation.
— MedCity News
of clinical trials provide
compensation or reimbursement
of compensation went
unclaimed in 2022
better retention when
recipients choose the card
of trials fail to enroll
enough patients
of registered trials
include children
of Phase I drugs
are ultimately approved
of subjects select a variety
of gift cards per study
merchant gift cards,
plus Visa and AMEX
Every clinical trial compensation and reimbursement programme that works is easy, compelling and flexible. The three sections that follow take each element in turn.
Easy compensation processes for both administrators and subjects in clinical trials are key to retention and engagement.
Compelling messaging, design, and attractive compensation options attract highly engaged and diverse audiences.
Flexible compensation delivery and recipient options reduce management overhead while assuring subject retention.
Straightforward compensation allows administrators to allocate their time to the trial rather than logistical issues.
For subjects, prompt and hassle-free compensation is a tangible acknowledgment of their valuable participation and builds trust, ensuring they feel valued and respected in the process.
Approximately 30% of studies end up being terminated early because they cannot enroll enough participants. Compelling compensation options attract more subjects and retain them longer.
86% of subjects select a variety of gift cards throughout the course of any given study.
Only about 30% of all clinical trials registered on ClinicalTrials.gov include children, even though many drugs used in children have not been tested explicitly for pediatric use.
According to a study by the Biotechnology Innovation Organization, only about 9.6% of drugs that start in Phase I clinical trials will ultimately be approved.
Flexibility in managing compensation delivery via SMS, email, or in-person with the ability to resend, edit, or revoke deliveries simplifies deliveries and ongoing management.
Subject flexibility in choice with options ranging from Visa, AMEX, 3,000+ merchant gift cards, and many physical card options.
SOURCES CITED ON THIS PAGE
“Retaining patients in clinical trials continues to be a challenge. On average, 25-30% of participants in Phase III trials drop out before the study completes.”
— Joshua D Grill, UCSF
Offering participants a choice of gift cards or payment methods encourages enrollment and participation as subjects look to future needs. Programs letting recipients choose their gift card have a 23% better retention.
Offering more compensation options increases enrollment diversity. The top five most popular gift cards choices among subjects include Visa, Amazon, Target, Starbucks, Best Buy.
By offering a choice of incentives to participants, researchers create a positive and rewarding experience, which can lead to increased motivation, engagement, and willingness to participate in future clinical trials.
Essentials
Life
Entertainment
When participants are given a choice, they feel more in control of the process and more invested in the trial.
By allowing participants to select a gift card that is most meaningful to them, they are more likely to be motivated to complete the trial and contribute to its success.
Receiving a “desired” reward creates a stronger positive association with the trial and its organizers.
Selecting a gift card or payment that is personally relevant to them increases the perceived value of the incentive.
Three published statements on why compensation choice is an ethical question and not only an operational one.
“The cornerstone of ethical research is respecting participant autonomy. By providing choices in compensation, we move closer to realizing this ideal.”
— Prof. Elise Kim, Research Ethicist
“Compensation choice acknowledges that one size doesn’t fit all. Just as each individual’s response to treatment can be unique, so can their preferences and needs related to compensation.”
— Prof. Elise Kim, Research Ethicist
“True patient-centered research recognizes the importance of choice at every stage, including compensation.”
— Dr. Nina Patel, Patient Engagement Specialist
Research Compensation can be a powerful tool for encouraging participation and engagement in research activities, such as Clinical Trials. Protecting patient privacy is a critical component of healthcare research.
TruCentive allows clinical trial providers to streamline their compensation and reimbursement operations and improve recruitment and retention.
De-identification enables Research or Trial Coordinators to enroll research subjects in compensation and reimbursement programs without compromising personally identifiable information (PII). When de-identification is active, all email addresses of subjects enrolled in a compensation program are permanently anonymized within TruCentive. This allows members of your organization platform access for funds management, reporting, and project design without concerns related to data privacy.
HIPAA compliance is crucial to protecting the rights of participants. Protecting participants’ privacy is vital to compliance with privacy standards. TruCentive’s de-identification of Personally Identifiable Information (PII) automatically alters information that could directly or indirectly reveal an individual’s identity.
De-identification removes or masks personal identifiers, thereby protecting participants’ privacy. This is crucial in clinical trials where sensitive health information is involved. By ensuring that individual participants cannot be easily identified, it encourages greater participation rates, as individuals are more likely to contribute to research when assured of their privacy.
Day 0 – Initial incentive delivery. Administrators may choose to deliver incentives via email, SMS message, or printed for in-person delivery, depending on your preference.
Day 1 – Reminder for unclaimed compensation. Initial incentive award messages are followed up with automated reminders to help assure that participants claim their reward.
Day 5 – Reminder for unclaimed compensation.
Day 15 – Additional reminders as needed.
A final reminder 5 days prior to the expiration of your incentive offer. Post-claim messages may be used in various ways, including additional feedback requests to reinforce the importance of your study or add an extra thank you.
Chooses email, SMS or printed in-person delivery
Adds subjects individually or loads a complete list
Can edit, resend or revoke a delivery
Tracks claim rates and identifies popular options
Receives the delivery by email, SMS or in person
Chooses the gift card or payment on a branded claim page
Is de-identified inside the platform
Gets automated reminders until the incentive is claimed
Sees post-claim feedback and thank-you messages
The research incentive sending process should be uncomplicated, seamless and flexible for administrators.
Administrators may choose to deliver incentives via email, SMS message, or printed for in-person delivery, depending on your preference.
Initial incentive award messages are followed up with automated reminders to help assure that participants claim their reward.
Post-claim messages may be used in various ways, including additional feedback requests to reinforce the importance of your study or add an extra thank you.
Incentive and Reward Delivery. Add subjects individually or load a complete list for instant delivery.
The clinical trial compensation process should be seamless and flexible for subjects because it respects their autonomy, ensures a more diverse participant pool, and enhances retention and compliance, ultimately supporting the integrity and success of the research.
Compensation choice can be delivered via email, SMS message, or printed for in-person delivery, depending on the need and trial logistics. Initial messages followed up with automated reminders help assure ongoing engagement. Post-claim messages may be used in various ways, including additional feedback requests to reinforce the importance of your study or add an extra thank you.
Subject compensation claim page. Compensation choice improves enrollment & retention by 23%.
Add subjects individually or load a complete list for instant delivery.
Flexibility in managing compensation delivery via SMS, email, or in-person with the ability to resend, edit, or revoke deliveries simplifies deliveries and ongoing management, and reduces management overhead with “revoke” and “resend” options.
Design Sessions are a great way to review best practices and build a complete, branded compensation delivery with your logo, look, feel and message. Or sign up and explore TruCentive on your own — no credit card is required to design and send samples.
Related reading: seven essentials of research compensation, clinical trial retention management and flexible payment options in clinical trials.
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