Recruitment of physician offices for an office-based adolescent smoking cessation study.

Recruitment of physician offices for an office-based adolescent smoking cessation study.
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招募医生办公室进行基于办公室的青少年戒烟研究。

DOI:
10.1080/14622200500125567
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发表时间:
2005
期刊:
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.
影响因子:
--
通讯作者:
Klein,JonathanD
Klein,JonathanD
中科院分区:
--
文献类型:
--
作者:
McIntosh,Scott;Ossip-Klein,DeborahJ;Hazel-Fernandez,Leslie;Spada,Jean;McDonald,PaulW;Klein,JonathanD

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Physician office settings play an important role in tobacco cessation intervention. However, few tobacco cessation trials are conducted at these sites, in part because of the many challenges associated with recruiting community physician offices into research. The present study identified and implemented strategies for recruiting physician offices into a randomized clinical trial of tobacco screening and cessation interventions with adolescent patients. A total of 30 community physicians participated in focus groups to elicit their perceptions of facilitators of and barriers to initial engagement of physician practices and the subsequent enrollment of the practices in long-term research projects. Physicians identified facilitators such as (a) the involvement of office staff in the recruitment process and (b) on-site presentations of the study's background and aims. Some of the barriers identified were time commitment concerns and the lack of incentives in exchange for participation. These focus group findings were then integrated with theory-based and empirically driven recruitment strategies for a 12-month randomized tobacco intervention trial with adolescent patients. Of 185 office practices approached to participate (screened from a pool of 273 practices), 103 agreed to on-site presentations of the study. Subsequently, almost all of the practices (101) that received the presentation agreed to enroll in the study. Conclusions are that (a) recruitment is a multicomponent process, (b) the processes of communication, engagement, and enrollment must be carefully planned and implemented to achieve maximal results, and (c) the development of effective strategies for recruiting health care provider practices presents an important infrastructure for testing adolescent smoking cessation interventions.
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