Mail and Telephone Outreach from Electronic Health Records for Research Participation on Cognitive Health and Aging.
Mail and Telephone Outreach from Electronic Health Records for Research Participation on Cognitive Health and Aging.
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DOI：
10.14283/jpad.2021.18
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发表时间：
2021
影响因子：
--
通讯作者：
Sano M
中科院分区：
文献类型：
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作者：
Pun K;Zhu CW;Kinsella MT;Sewell M;Grossman H;Neugroschl J;Li C;Ardolino A;Velasco N;Sano M
本报告描述了通过邮件招募老年人参与使用电子健康记录（EHR）进行认知健康和衰老研究的有效性和实用性。通过西奈山卫生系统的EHR确定的65岁或65岁以上可能患有轻度认知障碍（MCI）的个人被发送了一封普通招募信（N= 12，951）。年龄相当且性别匹配的对照组也收到了这封信（N= 3，001）。在收到邮件的15，952人中，有953人（6.0%）回复。215人（1.3%）拒绝进一步接触。总体表达兴趣率为4.6%。在对进一步联系作出积极答复的738人中，321人表示愿意通过电话进一步联系。对这些人的随访产生了30例入组（占15，952例的0.2%）。MCI组和对照组之间的应答率无差异，但对照组的入组率较高。6名不是邮件预期收件人但仍联系我们研究的个体也入组。通过可信来源（例如他们接受临床护理的医疗中心）向个人发送邮件可能是达到该年龄组的个人的可行方法，因为这种努力产生了较低的拒绝率。然而，EHR信息并没有提高研究的入组率。改进招聘的影响进行了讨论。
This report describes the efficacy and utility of recruiting older individuals by mail to participate in research on cognitive health and aging using Electronic Health Records (EHR). Individuals age 65 or older identified by EHR in the Mount Sinai Health System as likely to have Mild Cognitive Impairment (MCI) were sent a general recruitment letter (N=12,951). A comparison group of individuals with comparable age and matched for gender also received the letter (N=3,001). Of the 15,952 individuals who received the mailing, 953 (6.0%) responded. 215 (1.3%) declined further contact. Overall rate of expression of interest was 4.6%. Of the 738 individuals who responded positively to further contact, 321 indicated preference for further contact by telephone. Follow-up of these individuals yielded 30 enrollments (0.2% of 15,952). No differences in response rate were noted between MCI and comparison groups, but the comparison group yielded higher enrollment. 6 individuals who were not the intended recipients of mailing but nevertheless contacted our study were also enrolled. Mailings to individuals identified through a trusted source, such as a medical center from which they have received clinical care, may be a viable means of reaching individuals within this age group as this effort yielded a low rejection rate. However, EHR information did not enhance study enrollment. Implications for improving recruitment are discussed.