Anne and others
You are raising a very important question on the barriers to create a long-term relationship with your stakeholders. I think lack of proper planning can be a barrier on its own. My experience is that community engagement activities take priority before and during the trial implementation. What I mean here is that after meeting your recruitment accruals, there is a shift in focus. Usually this is where most of us are loosing it. When you need some of your stakeholders later in the trial, you will have lost some of your key stakeholders. Proper planning will ensure on-going and continuous stakeholder engagement. This also require aligning your stakeholder engagement plan with various phases of a clinical trial
