Recruitment and retention of rural African Americans in diabetes research - Lessons learned

Recruitment and retention of rural African Americans in diabetes research - Lessons learned
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DOI:
10.1177/0145721705275517
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发表时间:
2005-03-01
期刊:
影响因子:
3.9
通讯作者:
Sullivan, P
Sullivan, P
中科院分区:
医学4区
文献类型:
--
作者:
Loftin, WA;Barnett, SK;Sullivan, P

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目的 本文的目的是描述从已发表的文献、作者的研究和研究经验中获得的关于招募和保留农村非裔美国人的经验教训。两项针对患有糖尿病的非裔美国人的农村社区研究被用来说明招募和保留方面的不同问题和策略。方法回顾了相关的 MEDLINE 文章和临床研究,并对这两项基于社区的研究的设计、实施和结果进行了评估。综合来自文献、研究结果以及样本选择、参与和流失经验的信息,以确定招募和保留的有效方法。结果 研究经费、设计和实施;招聘方法;具有文化能力的方法;关怀、信任的医患关系;激励措施;后续行动;农村环境中的因素成为影响招募和保留的重要问题。 结论 在农村糖尿病研究中招募和保留非裔美国人是一项重大挑战,应在研究过程的早期寻求足够的资金。具有文化能力的方法;关怀、信任的关系;激励措施;和后续行动是成功招募、参与和留住非裔美国人的重要概念。汲取的经验教训可能适用于糖尿病教育项目中招募和保留农村非裔美国人这一更普遍的问题。
Purpose The purpose of this article was to describe lessons learned about recruitment and retention of rural African Americans from published literature, the authors' research, and research experience. Two rural, community-based research studies with African Americans with diabetes are used to illustrate different issues and strategies in recruitment and retention.Methods Relevant MEDLINE articles and clinical studies were reviewed, and the design, implementation, and results of the 2 community-based studies were evaluated. Information from the literature, research results, and sample selection, participation, and attrition experiences were synthesized to determine effective approaches for recruitment and retention.Results Research funding, design, and implementation; recruitment methods; culturally competent approaches; caring, trusting provider-patient relationships; incentives; follow-up; and factors in the rural environment emerged as important issues influencing recruitment and retention.Conclusion Recruitment and retention of African Americans in rural diabetes research is a significant challenge, and adequate funding should be sought early in the research process. Culturally competent approaches; caring, trusting relationships; incentives; and follow-up are important concepts in successful recruitment, participation, and retention of African Americans. The lessons learned may be applicable to the more widespread issue of recruitment and retention of rural African Americans in diabetes education programs.