Successful Strategies for Practice-Based Recruitment of Racial and Ethnic Minority Pregnant Women in a Randomized Controlled Trial: the IDEAS for a Healthy Baby Study
Successful Strategies for Practice-Based Recruitment of Racial and Ethnic Minority Pregnant Women in a Randomized Controlled Trial: the IDEAS for a Healthy Baby Study
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DOI：
10.1007/s40615-015-0192-x
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发表时间：
2016-12-01
影响因子：
3.9
通讯作者：
Lindenauer, Peter K.
中科院分区：
文献类型：
--
作者：
Goff, Sarah L.;Youssef, Yara;Lindenauer, Peter K.
背景：临床试验中，种族/少数民族患者的代表性往往不足。努力解决参与的障碍可能会提高代表性，从而提高我们的理解如何研究结果适用于更多样化的population.Methods的IDEAS（信息，描述，教育，援助和支持）的健康婴儿研究是一项随机对照试验（RCT）的干预措施，以减少障碍，使用公开报道的低收入，种族/少数民族妇女的高质量数据。我们采用基于健康公平框架的策略，以解决招聘和保留在三个领域的障碍：准备，过程和以患者为中心。“准备”包括向研究人员讲授卫生不公平现象，角色扮演技巧以建立融洽和信任，以及与诊所工作人员合作。“过程”包括使用电子注册系统来预先筛选潜在的候选人，并确定合格的参与者何时在诊所和电子数据库中跟踪患者通过研究。采用灵活的方案、津贴和考虑识字水平促进了“以病人为中心”。“结果我们预计需要在18个月内招募800名妇女，以实现650人的完成目标。使用上述招聘和保留策略，我们在15个月内招募了746名女性，实现了比我们预期更高的招聘率（87.1%）和保留率（97.3%）。寻求招募种族和少数民族孕妇在类似的设置研究人员可能会发现本研究中使用的准备，过程和以患者为中心的策略适用于自己的研究。
Background Racial/ethnic minority patients are often under-represented in clinical trials. Efforts to address barriers to participation may improve representation, thus enhancing our understanding of how research findings apply to more diverse populations.Methods The IDEAS (Information, Description, Education, Assistance, and Support) for a Healthy Baby study was a randomized controlled trial (RCT) of an intervention to reduce barriers to using publicly reported quality data for low-income, racial/ethnic minority women. We used strategies grounded in a health equity framework to address barriers to recruitment and retention in three domains: preparation, process, and patient-centeredness. "Preparation" included teaching study staff about health inequities, role-playing skills to develop rapport and trust, and partnering with clinic staff. "Processes" included use of electronic registration systems to pre-screen potential candidates and determine when eligible participants were in clinic and an electronic database to track patients through the study. Use of a flexible protocol, stipends, and consideration of literacy levels promoted "patient-centeredness."Results We anticipated needing to recruit 800 women over 18 months to achieve a completion goal of 650. Using the recruitment and retention strategies outlined above, we recruited 746 women in 15 months, achieving higher recruitment (87.1 %) and retention rates (97.3 %) than we had anticipated.Discussion These successful recruitment and retention strategies used for a large RCT promoted inclusivity and accessibility. Researchers seeking to recruit racial and ethnic minority pregnant women in similar settings may find the preparation, process, and patient-centered strategies used in this study applicable for their own studies.