Reporting, Metrics & Accountability

Our patient recruitment strategies are backed by hundreds of programs, reporting and metrics. Read more...

The Leaders in Global Patient Recruitment

Only CSSi is the authority on global patient recruitment. Across all demographics, and all therapeutic areas. Read more...

Local Enrollment Specialists™

CSSi Local Enrollment SpecialistsTM increase performance at the site, making an impact for the entire program. Read more...

Mission and Vision


The mission of CSSi is to provide innovative patient enrollment and retention planning and performance designed to exceed our client's expectations. We achieve this mission by addressing the key factors in a successful patient recruitment campaign: the right strategy for the protocol and the right tools to complete enrollment on time and on budget.



CSSi is an advocate of patients receiving the highest quality of medical care while enrolled in a clinical trial. Our goal is to help our clients conduct efficient and quality clinical trials while reducing enrollment timelines and cost by delivering strategic solutions that utilize our expertise in developing site-specific patient recruitment plans.

Successful Adolescent Trials: Getting the Parent and Patient to Agree

Recently, the CSSi team addressed some of the extra considerations that are required when enrolling patients into pediatric trials (http://cssienroll.com/blogs/item/33-successful-pediatric-trials-the-parent-link-patient-recruitment). Another variation on this theme is targeting populations that require some of the same considerations and a few that are different: the adolescent population.

Adolescence (typically between 12 and 18 years of age) is a period of dramatic physical, cognitive, and emotional changes. Add a medical condition to that mix -- be it a serious and dire cancer diagnosis, an equally serious psychological disorder such as depression or anorexia, or simply a less threatening condition such as psoriasis – and it’s not a huge leap to understanding and appreciating the turmoil of an adolescent facing a medical situation that may impact quality of life. There are already numerous hurdles to any clinical trial, but adolescent patient recruitment can have additional and costly time delays, so it’s important to have the right media and message strategies.

Adolescent trials still operate very much like pediatric trials that target younger children. Adolescent recruitment efforts still entail targeting and reaching a decision-maker who is not the patient. Media strategies for minors are really all about the gatekeeper and that usually means Mom. Mom is essential for consent and transportation. So, the successful media plans that drive adolescent enrollment are the ones that use Mom-targeted strategies.  However, the Mom with an adolescent child is usually a bit older and more likely to be working outside the home. Plus, Mom, the adolescent patient, and probably the whole family are a lot busier, driving to school events, sports competitions, and other extra-curricular activities. So plan your media accordingly, perhaps using a stronger mix of radio to reach the targets during those school and business commutes.  Also, create strong online messaging for this tech-savvy family. In addition, community outreach to health, school and sports professionals can improve adolescent enrollment. Partnerships between primary care pediatric practices, school nurses, athletic league professionals, and church youth organizations can all supplement the media advertising campaign.

A second hurdle in adolescent recruitment is addressing the nature of adolescence itself. Teens are not always forthcoming about health matters, holding back information about risky behavior, for instance, that may include sexual activity, alcohol and tobacco use, and additional poor health habits. Unease about confidentiality, the fear of being lectured or scolded, discomfort with pregnancy screening, and other communication concerns can undercut the consent process. In addition, teens flip-flop almost daily between clinging to parental dependence and striking out for personal independence. It is of greatest value in the consent process that both the parent and the adolescent are equally educated about the confidentiality of the study, the importance of research, and the value of participation. Financial and case management needs can be complicated for many families, so it’s important to foster sufficient personal incentives for the adolescent. Yes, there are many reasons why a patient chooses not to enroll or drops out of a study, including seeking treatment elsewhere or avoidance of treatment altogether.  But, an equally engaged patient and parent are key part of a successful recruitment.

So what sort of messaging might drive patient enrollment for an adolescent study? The CSSi team realizes that compelling advertisements and materials designed for a clinical trial are the first step toward consent. Creating an image and message that will draw the attention of both the Mom and the adolescent is extremely important. These first impressions about a program pave the way for more steps toward becoming educated about the clinical trial. Keep in mind that, unlike younger pediatric studies, this adolescent, both dependent and independent at the same time, is viewing and regarding the recruitment message together with the parent.  So be sure your message educates, generates interest, and stresses the value of the study in a way that both parent and patient can agree.

With a team of Local Enrollment Specialists, management experts, and media professions, CSSi can create a message and an image that will resonate with both generations.  Give us a call today to discuss your next adolescent clinical trial!

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CSSi Announces Strategic New Hire - Karen Welch Welcomed to the Global Project Team

February 26, 2015

Glen Burnie, MD - CSSi, (www.CSSiEnroll.com) the leader in patient recruitment solutions for the clinical research industry, is pleased to announce the recent appointment of Karen Welch as a Project Manager, adding significant value and expertise to our CSSi Team.

  •    It was a long journey, and we are all delighted at the successful outcome. We appreciate the support [the CSS] team provided along the way. Hopefully, we can work together again in the future.

  •    You have made our advertising so much easier and taken time off my plate, which is always appreciated. We look forward to a prosperous relationship ahead!

    -Investigative Site
  •    …greatly appreciate your help throughout the year. You have taken a significant burden off my shoulders over the past several years.

    -Investigative Site
  •    I cannot begin to express my appreciation for a job well done and the continued efforts you place to ensure that this study was a success! Your candor and transparency has been refreshing and I am fortunate to have partnered with such a great group of patient recruitment and retention experts! You are wonderful!

    -Top 10 CRO
  •     I wanted to take a moment and say thank you for continuing to do a great job and meeting our expectations. I could not be more pleased with the teamwork and efficiency in which you both approach (our) study!

    Top 10 CRO
  •    To begin with, please let yourteam know that everyone is doing a FANTASTIC job with compiling the information for this difficult study.

    -Top 10 CRO
  •    I would not hesitate to use CSS again! Your team has been an absolute pleasure to work with and I consider us friends as well. If you are ever in the Raleigh area, please let me know.

  •    We had the phones ringing off the hook for a few days, and we ended with approximately 60 individuals who sounded like viable screeners from the contact list. They are spread out over the next six weeks. Up to this time we have only screened about 30 others (before campaign) had 16 that were cultured and four successfully enrolled, so we are running about 11% from screen appointment to successfully enrolled! By the way, overall this is the best ad response we have ever had!

    -Dermatology Investigator
  •    If this sounds like a "paid advertisement" for CSS, it's not. I just can't say enough good things about how they have helped us grow as a site by putting our name out there in a very professional way. To me it only makes sense to use CSS or a company like them (I just think they are the best one). We are in the business of research, not advertising. Let the experts in advertising handle that job for your site and put your energy into doing what you do best…research.

    -Multi-specialty Investigative Site
  •    It is a PLEASURE working with the CSS team! I could not be more pleased with the progress thus far and feel that the communication and team oriented approach is EXACTLY what we are looking for.

    -Top 10 CRO

Offices and Locations

  • US Address:
    6958 Aviation Blvd
    Suite H
    Glen Burnie, MD 21061
    UK Address:
    20-22 Bedford Row
    WC1R 4JS
    India Address:
    G-A, “Hyndava Techno Park”,
    Plot No. 12,
    Survey No. 64,
    Hitec City, Phase 2,
    Hyderabad - 500081