How should recruitment practices avoid coercion?

• A. Use forceful language to emphasize benefits.
• B. Use neutral language, voluntary participation, avoid power imbalances and inducements that pressure participation.
• C. Recruit only from medical staff.
• D. Use social media to broadcast benefits.

Answer: (B)

The main idea being tested is recruiting in a way that keeps participation truly voluntary and free from pressure. In TCPS 2, consent should be given without coercion, which means inviting people with neutral language, clearly outlining what participation involves, and making it explicit that joining is optional and can be declined without any penalty or consequence. Recruitment should minimize any power imbalances—avoiding situations where participants feel obligated because of authority, status, or professional relationships—and steer clear of inducements that could pressure someone to participate, even if the incentives seem small. This respectful, autonomy-preserving approach helps ensure decisions are voluntary and informed.

Using forceful language to push benefits is coercive and undermines voluntary choice. Recruiting only from medical staff creates a power dynamic and bias, not addressing the coercion issue. Broadcasting benefits on social media can mislead or unduly influence perceptions without ensuring a voluntary decision process.