Recruitment and retention strategies and methods in the HEALTHY study.

Recruitment and retention strategies and methods in the HEALTHY study.
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DOI:
10.1038/ijo.2009.113
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发表时间:
2009-08
影响因子:
4.9
通讯作者:
Roullet, J-B
Roullet, J-B
中科院分区:
医学2区
文献类型:
--
作者:
Drews, K. L.;Harrell, J. S.;Thompson, D.;Mazzuto, S. L.;Ford, E. G.;Carter, M.;Ford, D. A.;Yin, Z.;Jessup, A. N.;Roullet, J-B

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健康是一项为期3年的以中学为基础的一级预防试验,旨在减少青年2型糖尿病的可改变风险因素。这项研究在全国七个中心进行。本文介绍了招聘和保留活动中采用的研究。学校和学生是招聘和留住人才的重点。每个中心负责六所学校的招生;资格是基于招收足够数量的少数民族和社会经济地位较低的学生的能力。研究人员会见了地区主管和学校校长,以核实学校的资格,并确定学校进行试验的适当性。六年级的学生被采用各种技术招募;学生和他们的父母不知道他们的学校是被随机分配到干预组还是对照组。在八年级,以类似的方式招募了最初未参加研究的学生的额外样本,以参与数据收集,以进行横断面和剂量反应次要分析。根据当地机构审查委员会的需要,父母签署知情同意书,儿童签署知情同意书。在六年级和八年级收集数据后,家长们收到了一封信,信中描述了他们孩子的健康筛查结果。留住学校和学生对于研究的成功至关重要,并通过使用财政奖励和其他战略加以鼓励。在很大程度上,由于向外移民(转学和异地安置)而退学的学生超出了研究的控制能力。一个多层次的方法,积极解决学校和家长的关注是至关重要的成功招聘和保留在健康的研究。
HEALTHY was a 3-year middle school-based primary prevention trial to reduce modifiable risk factors for type 2 diabetes in youth. The study was conducted at seven centers across the country. This paper describes the recruitment and retention activities employed in the study. Schools and students were the focus of recruitment and retention. Each center was responsible for the recruitment of six schools; eligibility was based on ability to enroll a sufficient number of predominately minority and lower socioeconomic status students. Study staff met with district superintendents and school principals to verify the eligibility of schools, and to ascertain how appropriate the school would be for conducting the trial. Sixth grade students were recruited employing a variety of techniques; students and their parents did not know whether their school was randomized to the intervention or control arm. This cohort was followed through sixth, seventh and eighth grades. In the eighth grade, an additional sample of students who were not originally enrolled in the study was recruited in a similar manner to participate in data collection to allow for cross-sectional and dose-response secondary analyses. Parents signed informed consent forms and children signed informed assent forms, as per the needs of the local Institutional Review Board. Parents received a letter describing the results of the health screening for their children after data collection in sixth and eighth grades. Retention of schools and students was critical for the success of the study and was encouraged through the use of financial incentives and other strategies. To a large extent, student withdrawal due to out-migration (transfer and geographical relocation) was beyond the ability of the study to control. A multi-level approach that proactively addressed school and parent concerns was crucial for the success of recruitment and retention in the HEALTHY study.
DOI: 10.1038/ijo.2009.112
发表时间: 2009-08
影响因子: 4.9
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通讯作者: --
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