Recruitment for a guided self-help binge eating trial: potential lessons for implementing programs in everyday practice settings.
Recruitment for a guided self-help binge eating trial: potential lessons for implementing programs in everyday practice settings.
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DOI：
10.1016/j.cct.2009.02.007
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发表时间：
2009-07
影响因子：
2.2
通讯作者：
Lynch F
中科院分区：
文献类型：
--
作者：
DeBar LL;Yarborough BJ;Striegel-Moore RH;Rosselli F;Perrin N;Wilson GT;Kraemer HC;Green R;Lynch F
目的：探讨不同招募策略对日常健康计划实践环境下进食障碍患者随机临床试验(RCT)进入特征的影响。在太平洋西北部的一家医疗保健组织中，随机选择了年龄在25-50岁之间的女性，请她们完成一项自我报告的暴饮暴食筛查，进行两项治疗试验。我们在健康计划中公布了试验，以允许自我转介。在这里，我们报告了招募(在线、邮寄、自我推荐)和评估(全面评估与简化评估)的模式和性质在进食障碍状况方面的差异，以及通过策略招募的参与者特征的可能差异(自我推荐与研究推广努力)。通过外展招募的人在以不同方式(互联网与邮件)答复的人、早应答者与晚应答者以及接受更全面或简短评估的人之间几乎没有区别。自我推荐的人更有可能达到暴饮暴食的阈值，报告的平均BMI比通过外展招募和通过邮件回复的人更高；然而，在大多数方面，这些群体比预期的更相似。在最初通过外展联系的人中，只有不到1%的人注册了。积极的外联和筛查很可能无法在日常工作环境中更广泛地传播，并招募人口和临床特征与通过比预期更简短和现实的筛查程序招募的人更相似的个人。
To explore effects of various recruitment strategies on randomized clinical trial (RCT)-entry characteristics for patients with eating disorders within an everyday health-plan practice setting. Randomly selected women, aged 25-50, in a Pacific Northwest HMO were invited to complete a self-report binge-eating screener for two treatment trials. We publicized the trials within the health plan to allow self-referral. Here, we report differences on eating-disorder status by mode and nature of recruitment (online, mail, self-referred) and assessment (comprehensive versus abbreviated) and on possible differences in enrollee characteristics between those recruited by strategy (self-referred versus study-outreach efforts). Few differences emerged among those recruited through outreach who responded by different modalities (internet versus mail), early-versus-late responders, and those enrolling under more comprehensive or abbreviated assessment. Self-referred were more likely to meet binge-eating thresholds and reported higher average BMI than those recruited by outreach and responding by mail; however, in most respects the groups were more similar than anticipated. Fewer than 1% of those initially contacted through outreach enrolled. Aggressive outreach and screening is likely not feasible for broader dissemination in everyday practice settings and recruits individuals with more similar demographic and clinical characteristics to those recruited through more abbreviated and realistic screening procedures than anticipated.
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影响因子：
6
作者：
Humphreys, K;Weingardt, KR;Finney, JW
通讯作者：
Finney, JW
影响因子：
5.5
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
2.9
作者：
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通讯作者：
Glasgow, Russell E.