Musonda Simwinga

15 stakeholders were invited to the consensus meeting, which formed the final round of the process. Only one did not attend. A critical mass of 10 questions was considered and scored (box 2). Following further discussion each participant was asked to rank their top three themes. The themes that emerged as the top three were awareness of prostate cancer in the community; the cost of diagnostic investigations; availability of diagnostic services. Box 2 Barrier Cost of diagnostic investigations.

The initial research question and subsequent study design were influenced by the experiences of the study coordinator (AB-G) when translating recruitment materials for the feasibility study informing the main timing of delivery in pre-eclampsia trial,20 33 which suggested the specific difficulties encountered during this process may represent a wider issue.

The HPTN 071 (PopART) trial of universal HIV testing and treatment to reduce HIV incidence was conducted in nine communities in South Africa and 12 in Zambia. The trial's primary outcome results were complicated to explain. Dissemination of these complicated results in participating communities in Zambia was done using a community dialogue approach.