Evaluation of approaches to recruitment of racially and ethnically diverse breast cancer patients from an integrated health care setting for collection of observational social network data.

Evaluation of approaches to recruitment of racially and ethnically diverse breast cancer patients from an integrated health care setting for collection of observational social network data.
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DOI:
10.1007/s10552-023-01709-8
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发表时间:
2023-08
影响因子:
2.3
通讯作者:
Kennedy, David P.
Kennedy, David P.
中科院分区:
医学4区
文献类型:
--
作者:
Kroenke, Candyce H.;Kurtovich, Elaine;Aoki, Rhonda;Shim, Veronica C.;Chan, Tracy D.;Brenman, Leslie Manace;Bethard-Tracy, Jane;Adams, Alyce S.;Kennedy, David P.

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在一项旨在收集复杂社会网络数据的研究中,我们比较了招募不同乳腺癌女性的方法。我们从Kaiser Permanente北加州人口中招募了440名新诊断为乳腺癌的女性,或者是在诊所,或者是通过电子邮件,或者是通过邮寄的信件。在诊所和邮件招募中,女性完成了一份简短的3页纸调查(仅流行病学数据),女性可以选择完成一份单独的、更长时间(30-40分钟)的在线个人社交网络调查。在电子邮件招聘中,我们将流行病学和个人社会网络措施结合在一起进行在线调查。在电子邮件和邮件招聘中,我们将非西班牙裔白人(NHW)女性的样本限制在其总数的30%。我们使用描述性分析和多项逻辑回归来检验招聘与邮寄信件的几率。女性在确诊后平均3.7个月接受社交网络调查。平均年龄59.3岁(中位数为61.0岁)。门诊上门招聘成功率为52.1%,邮件招聘成功率为35.6%,邮件招聘成功率为17.3% (χ2 = 65.9, p < 0.001)。Email招聘的个人网络数据完成率(82.1%)高于诊所(36.5%)和邮件(28.7%),差异有统计学意义(χ2 = 114.6, p < 0.001)。尽管有意对NHW患者取样不足,亚裔、西班牙裔和黑人女性通过电子邮件的回复率较低。然而,我们发现面对面诊所招聘与信件招聘在种族和民族方面的招聘率没有显著差异。信件招聘的总体反应最高。邮寄信件是对不同类型乳腺癌女性进行代表性招募和收集社交网络数据的最佳方法,并进一步获得了最高的绝对响应。
We compared approaches to recruitment of diverse women with breast cancer in a study designed to collect complex social network data. We recruited 440 women from the Kaiser Permanente Northern California population newly diagnosed with breast cancer, either in person at a clinic, by email, or by mailed letter. In clinic and mail recruitment, women completed a brief 3-page paper survey (epidemiologic data only), and women had the option to complete a separate, longer (30–40 min) personal social network survey online. In email recruitment, we administered epidemiologic and personal social network measures together in a single online survey. In email and mail recruitment, we limited the sample of non-Hispanic white (NHW) women to 30% of their total. We used descriptive analysis and multinomial logistic regression to examine odds of recruitment vs. mailed letter. Women responded to the social network surveys on average 3.7 months post-diagnosis. Mean age was 59.3 (median = 61.0). In-person clinic recruitment was superior with a 52.1% success rate of recruitment compared with 35.6% by mail or 17.3% by email (χ2 = 65.9, p < 0.001). Email recruitment produced the highest completion rate (82.1%) of personal network data compared with clinic (36.5%) or mail (28.7%), (χ2 = 114.6, p < 0.001). Despite intentional undersampling of NHW patients, response rates for Asian, Hispanic, and Black women by email were lower. However, we found no significant differences in recruitment rates by race and ethnicity for face-to-face clinic recruitment vs. by letter. Letter recruitment produced the highest overall response. Mailed letter was the best approach to representative recruitment of diverse women with breast cancer and collection of social network data, and further yielded the highest absolute response.
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影响因子: 6.6
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