A Qualitative Study of Recruitment Barriers, Motivators, and Community-Based Strategies for Increasing Clinical Trials Participation Among Rural and Urban Populations
A Qualitative Study of Recruitment Barriers, Motivators, and Community-Based Strategies for Increasing Clinical Trials Participation Among Rural and Urban Populations
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DOI：
10.4278/ajhp.130514-qual-247
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发表时间：
2015-05-01
影响因子：
2.7
通讯作者：
Kim, Sei-Hill
中科院分区：
文献类型：
--
作者：
Friedman, Daniela B.;Foster, Caroline;Kim, Sei-Hill
目的.农村社区参与临床试验的人数很少。调查人员报告说，很难招募农村个人进行CT。该研究的主旨是确定招聘障碍，激励因素和策略，以帮助增加农村和城市社区的CM的获得和参与。定性焦点小组/访谈。东南部一个州的乡村和城市县。212名非洲裔美国人，而男性和女性年龄21+。进行了19个焦点小组和9次访谈。音频文件被转录和组织成NVivo 10反复出现的主题进行了检查的地理位置。虽然城市和农村群体报告了类似的障碍、动机和战略，但对其重要性的看法各不相同。在农村和城市群体中提到的招聘障碍包括：副作用、理解有限、时间有限和不信任。农村群体更注意所涉及的时间承诺。农村和城市参与者都报告说，经济激励是参与CT的最大动机，其次是个人疾病（城市组）和家庭福利（农村组）。农村参与者建议的招募策略涉及与学校/教会合作，并使用口碑，而与学校，口碑和媒体的合作伙伴关系，最建议的城市群体。感知招聘障碍，激励因素和策略之间没有很大差异。农村和城市群体。与会者指出的主要障碍应在未来的CT招聘和教育中加以解决。努力调查结果可以。为城市和农村社区的招聘和宣传战略提供信息。
Purpose. Participation in clinical trials (CTs) is low among rural communities. Investigators report difficulty recruiting rural individuals for CTs. The study pus pose was to identify recruitment barriers, motivators, and strategies to help increase access to and participation in CM in rural and urban communities.Approach. Qualitative focus groups/interviews.Setting. Rural and urban counties in one southeastern state.Participants. Two hundred twelve African-American and while men and women ages 21+.Method. Nineteen focus groups and nine interviews were conducted. Audio files were transcribed and organized into NVivo10 Recurring themes were examined by geographic location.Results. Although similar barriers, motivators, and strategies were reported by urban and rural groups, perceptions regarding their importance varied. Recruitment barriers mentioned in both rural and urban groups included few; side effects, limited understanding, limited time, and mistrust. Rural groups were more mindful of time commitment involved. Both rural and urban participants reported financial incentives as the top motivator to CT participation, followed by personal illness (urban groups) and benefits to family (rural groups). Recruitment strategies suggested by rural participants involved working with schools/churches and using word of mouth, whereas partnering with schools, word of mouth, and media were recommended most by urban groups.Conclusion. Perceived recruitment barriers, motivators, and strategies did not differ considerably between. rural and urban groups. Major barriers identified by participants should be addressed in future CT recruitment and education. efforts. Findings can. inform recruitment and communication strategies for reaching both urban and rural communities.