Recruiting Hospitalized Mexican American Elder Adults and Caregivers Challenges and Strategies

Recruiting Hospitalized Mexican American Elder Adults and Caregivers Challenges and Strategies
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DOI:
10.3928/19404921-20121205-01
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发表时间:
2013-01-01
影响因子:
1.6
通讯作者:
Hepworth, Joseph T.
Hepworth, Joseph T.
中科院分区:
医学4区
文献类型:
--
作者:
Crist, Janice D.;Ruiz, Maricruz R.;Hepworth, Joseph T.

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少数群体成员参与临床研究对于消除健康差距至关重要。在当地医院进行的一项涉及少数族裔老年人的随机对照试验的早期招募程序不成功,在医院和个人层面都存在挑战。这些挑战包括在住院期间很晚才写家庭保健转诊,医院工作人员不愿意协助招聘人员,生病的少数老年人以及保护性或不可用的照顾者。我们通过循证策略应对了这些挑战,包括改变入选标准,增加研究人员,品牌化我们的研究,使用一贯的尊重方式,以及调整我们的过程。在以各种方式修改了我们的方法之后,我们招募了接近我们目标的人,保留率相对较好。参与者报告说,使社区受益,而不是金钱奖励,是参加研究的强烈动机。意外的征聘支出超出了征聘预算。我们的经验包括在医院和个人层面的未来研究中更具成本效益的策略。
Minority group members' participation in clinical research is essential for eliminating health disparities. Early recruitment procedures for a randomized control trial involving minority elder adults at local hospitals were unsuccessful, with challenges at the hospital and individual levels. These challenges included referrals for home health care being written late during hospitalization, hospital staff being reluctant to assist recruiters, ill minority elder adults, and protective or unavailable caregivers. We met these challenges with evidence-based strategies, including changing inclusion criteria, increasing study staff, branding our study, using a consistently respectful manner, and pacing our process. After revising our approaches in various ways, we recruited close to our goal, with relatively good retention. Participants reported that benefiting the community, rather than monetary reward, was a strong motivator to join the study. Unexpected recruitment expenditures exceeded the recruitment budget. Our experiences include strategies that can be more cost effective in future studies at both hospital and individual levels.