Effectiveness of Recruitment Strategies of Latino Smokers: Secondary Analysis of a Mobile Health Smoking Cessation Randomized Clinical Trial.
Effectiveness of Recruitment Strategies of Latino Smokers: Secondary Analysis of a Mobile Health Smoking Cessation Randomized Clinical Trial.
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DOI：
10.2196/34863
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发表时间：
2022-06-27
影响因子：
7.4
通讯作者：
中科院分区：
文献类型：
--
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拉丁美洲人在临床试验中的代表性仍然不成比例，仅占研究参与者的2%-3%。为了解决健康差距，增加拉丁裔吸烟者参加戒烟试验至关重要。对这一群体有效的征聘战略进行的研究有限。本研究的目的是比较直接与群众和高与低努力招聘策略的招聘和保留拉丁美洲吸烟者的随机戒烟试验的有效性。我们还研究了招聘的类型可能会影响注册参与者的特征。来自4个州--新泽西州、堪萨斯州、密苏里州和纽约的拉丁裔吸烟者被纳入Decídetexto。参与者于2018年8月至2021年3月招募。大规模招聘策略包括通过传单、Facebook广告、报纸、电视、广播、教会公告和我们的Decidetexto网站向拉丁裔社区投放英语和西班牙语广告。直接的、高努力的策略包括从与我们合作的诊所或社区组织转诊、亲自社区外展和患者登记电话。直接、低成本的策略包括发短信或通过电子邮件发送已有的吸烟患者名单。由来自9个不同西班牙语来源国的训练有素的双语（英语和西班牙语）招募人员组成的团队进行招募，评估合格性，并将受试者纳入试验。在接受筛选的1112例受试者中，895例（80.5%）符合合格标准，457例（457/895，51.1%）入组试验。在筛选的个人中，那些通过低努力招募策略招募的人（大众和直接）更有可能符合条件（比值比[OR] 1.67，95% CI 1.01-2.76和OR 1.70，95% CI 0.98-2.96）并入组试验（OR 2.60，95%CI 1.81-3.73和OR 3.02，95%CI 2.03-4.51）与直接、高努力策略招募的患者相比。在招募的参与者中，通过低努力策略（大众和直接）招募的参与者在3个月和6个月的保留率与通过直接，高努力方法招募的参与者相似。与通过直接招募的入组受试者相比（高努力和低努力）策略，通过大众策略招募的参与者不太可能拥有健康保险（44.0%对71.2%和71.7%; P<.001），在美国生活的年数较少（分别为22.4年vs 32.4年和30.3年; P<.001），更可能是第一代（92.7%对76.5%和77.5%; P= 0.007），更有可能主要讲西班牙语（分别为89.3% vs 65.8%和66.3%），更可能处于酒精滥用的高风险中（分别为5.8平均评分vs 3.8平均评分和3.9平均评分; P<0.001）。虽然大多数参与者是通过直接的高努力策略招募的，但直接的低努力招募策略产生了更有可能符合试验条件的筛选池。大规模招募策略与较少的文化适应登记者，获得医疗服务的机会较低，这些群体可能从干预中受益匪浅。ClinicalTrials.gov标识符：NCT 03586596; https://clinicaltrials.gov/ct2/show/NCT03586596 RR 2-DOI：10.1016/j.cct.2020.106188
Latinos remain disproportionately underrepresented in clinical trials, comprising only 2%-3% of research participants. In order to address health disparities, it is critically important to increase enrollment of Latino smokers in smoking cessation trials. There is limited research examining effective recruitment strategies for this population. The purpose of this study was to compare the effectiveness of direct versus mass and high- versus low-effort recruitment strategies on recruitment and retention of Latino smokers to a randomized smoking cessation trial. We also examine how the type of recruitment might have influenced the characteristics of enrolled participants. Latino smokers were enrolled into Decídetexto from 4 states—New Jersey, Kansas, Missouri, and New York. Participants were recruited from August 2018 until March 2021. Mass recruitment strategies included English and Spanish advertisements to the Latino community via flyers, Facebook ads, newspapers, television, radio, church bulletins, and our Decídetexto website. Direct, high-effort strategies included referrals from clinics or community-based organizations with whom we partnered, in-person community outreach, and patient registry calls. Direct, low-effort strategies included texting or emailing pre-existing lists of patients who smoked. A team of trained bilingual (English and Spanish) recruiters from 9 different Spanish-speaking countries of origin conducted recruitment, assessed eligibility, and enrolled participants into the trial. Of 1112 individuals who were screened, 895 (80.5%) met eligibility criteria, and 457 (457/895, 51.1%) enrolled in the trial. Within the pool of screened individuals, those recruited by low-effort recruitment strategies (both mass and direct) were significantly more likely to be eligible (odds ratio [OR] 1.67, 95% CI 1.01-2.76 and OR 1.70, 95% CI 0.98-2.96, respectively) and enrolled in the trial (OR 2.60, 95% CI 1.81-3.73 and OR 3.02, 95% CI 2.03-4.51, respectively) compared with those enrolled by direct, high-effort strategies. Among participants enrolled, the retention rates at 3 months and 6 months among participants recruited via low-effort strategies (both mass and direct) were similar to participants recruited via direct, high-effort methods. Compared with enrolled participants recruited via direct (high- and low-effort) strategies, participants recruited via mass strategies were less likely to have health insurance (44.0% vs 71.2% and 71.7%, respectively; P<.001), lived fewer years in the United States (22.4 years vs 32.4 years and 30.3 years, respectively; P<.001), more likely to be 1st generation (92.7% vs 76.5% and 77.5%, respectively; P=.007), more likely to primarily speak Spanish (89.3% vs 65.8% and 66.3%, respectively), and more likely to be at high risk for alcohol abuse (5.8 mean score vs 3.8 mean score and 3.9 mean score, respectively; P<.001). Although most participants were recruited via direct, high-effort strategies, direct low-effort recruitment strategies yielded a screening pool more likely to be eligible for the trial. Mass recruitment strategies were associated with fewer acculturated enrollees with lower access to health services—groups who might benefit a great deal from the intervention. ClinicalTrials.gov identifier: NCT03586596; https://clinicaltrials.gov/ct2/show/NCT03586596 RR2-DOI: 10.1016/j.cct.2020.106188
从招募社会经济处境不利的吸烟者中汲取的经验教训，以随机对照试验探索运动辅助减少的作用，然后停止吸烟（EARS）吸烟。
影响因子：
2.5
作者：
Thompson TP;Greaves CJ;Ayres R;Aveyard P;Warren FC;Byng R;Taylor RS;Campbell JL;Ussher M;Michie S;West R;Taylor AH
通讯作者：
Taylor AH