Recruitment of Older Adults: Success May Be in the Details

Recruitment of Older Adults: Success May Be in the Details
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DOI:
10.1093/geront/gns079
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发表时间:
2015-10-01
期刊:
影响因子:
5.7
通讯作者:
Morrow, Daniel G.
Morrow, Daniel G.
中科院分区:
医学1区
文献类型:
--
作者:
McHenry, Judith C.;Insel, Kathleen C.;Morrow, Daniel G.

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目的:描述招募策略中使用的随机临床试验的行为前瞻性记忆干预,以提高药物治疗的老年人服用抗高血压medication.Results:招募策略代表4个主题:访问一个适当的人群,沟通和建立信任,提供舒适和安全,并表示感谢。招募活动共招募了276名参与者,平均年龄为76.32岁,研究入组包括207名女性,69名男性和54名少数民族。招募成功与培养与社区组织的关系,与潜在研究参与者的面对面接触以及提供服务(例如,血压检查)作为合格参与者的接入点。72%完成随访电话并符合资格标准的潜在参与者参加了研究。结论:老年人数量的增加使得研究改善健康结果的干预措施的必要性增加。目前的挑战是招募足够数量的参与者,他们也代表老年人来测试这些干预措施。未能招募足够的代表性样本可能会影响统计功效和研究结果的普遍性。
Purpose: Describe recruitment strategies used in a randomized clinical trial of a behavioral prospective memory intervention to improve medication adherence for older adults taking antihypertensive medication.Results: Recruitment strategies represent 4 themes: accessing an appropriate population, communication and trust-building, providing comfort and security, and expressing gratitude. Recruitment activities resulted in 276 participants with a mean age of 76.32 years, and study enrollment included 207 women, 69 men, and 54 persons representing ethnic minorities. Recruitment success was linked to cultivating relationships with community-based organizations, face-to-face contact with potential study participants, and providing service (e.g., blood pressure checks) as an access point to eligible participants. Seventy-two percent of potential participants who completed a follow-up call and met eligibility criteria were enrolled in the study. The attrition rate was 14.34%.Implications: The projected increase in the number of older adults intensifies the need to study interventions that improve health outcomes. The challenge is to recruit sufficient numbers of participants who are also representative of older adults to test these interventions. Failing to recruit a sufficient and representative sample can compromise statistical power and the generalizability of study findings.