Recruiting South Asians to a lifestyle intervention trial: experiences and lessons from PODOSA (Prevention of Diabetes & Obesity in South Asians)
Recruiting South Asians to a lifestyle intervention trial: experiences and lessons from PODOSA (Prevention of Diabetes & Obesity in South Asians)
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DOI：
10.1186/1745-6215-12-220
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发表时间：
2011-10-06
期刊：
影响因子：
2.5
通讯作者：
Sheikh, Aziz
中科院分区：
文献类型：
--
作者：
Douglas, Anne;Bhopal, Raj S.;Sheikh, Aziz
背景：尽管将少数民族患者纳入研究越来越受到重视，但关于招募这些人群的文献很少，特别是在英国进行的随机、基于社区的生活方式干预试验。方法：我们分享了我们在PODOSA(南亚预防糖尿病和肥胖)试验中招募到筛查少数民族患者的经验，该试验筛选了1319名新兵(目标1800人)，以获得试验资格。采用了多管齐下的招聘方法。通过国家卫生服务的登记包括卫生保健专业人员的直接转介和通过一般做法发出的书面邀请。社区内的招聘是由研究团队进行的，并通过我们与当地南亚团体和组织的伙伴关系进行。在整个招募期间，参与者被鼓励推荐朋友和家人。结果：卫生保健专业人员只推荐了55名潜在参与者。全科医生对书面邀请的回复率为5.2%，低于其他普通人群的报告。面向社区的个人招募方法相对有效，有1728人(82%)转诊到筛查阶段。结论：PODOSA的经验表明，面向社区的个人方法在招募南亚少数民族人口方面可以在试验环境中取得成功。我们建议考虑支付与社区参与和其他个性化办法相关的招聘费用。研究人员应该考虑优先考虑将对专业人员工作的干扰降至最低的方法，特别是在当前的经济环境下，将成本保持在最低水平。在PODOSA中吸取的经验教训应该有助于今后在南亚人中进行基于社区的试验。
Background: Despite the growing emphasis on the inclusion of ethnic minority patients in research, there is little published on the recruitment of these populations especially to randomised, community based, lifestyle intervention trials in the UK.Methods: We share our experience of recruitment to screening in the PODOSA (Prevention of Diabetes and Obesity in South Asians) trial, which screened 1319 recruits (target 1800) for trial eligibility. A multi-pronged recruitment approach was used. Enrolment via the National Health Service included direct referrals from health care professionals and written invitations via general practices. Recruitment within the community was carried out by both the research team and through our partnerships with local South Asian groups and organisations. Participants were encouraged to refer friends and family throughout the recruitment period.Results: Health care professionals referred only 55 potential participants. The response to written invitations via general practitioners was 5.2%, lower than reported in other general populations. Community orientated, personal approaches for recruitment were comparatively effective yielding 1728 referrals (82%) to the screening stage.Conclusions: The PODOSA experience shows that a community orientated, personal approach for recruiting South Asian ethnic minority populations can be successful in a trial setting. We recommend that consideration is given to cover recruitment costs associated with community engagement and other personalised approaches. Researchers should consider prioritising approaches that minimise interference with professionals' work and, particularly in the current economic climate, keep costs to a minimum. The lessons learned in PODOSA should contribute to future community based trials in South Asians.