Recruitment and enrollment of rural and urban medically underserved elderly into a randomized trial of telemedicine case management for diabetes care.
Recruitment and enrollment of rural and urban medically underserved elderly into a randomized trial of telemedicine case management for diabetes care.
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招募和招募农村和城市医疗服务不足的老年人参加糖尿病护理远程医疗病例管理的随机试验。
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
S. Shea
中科院分区：
文献类型：
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作者：
W. Palmas;J. Teresi;P. Morin;L. T. Wolff;Lesley Field;J. Eimicke;L. Capps;Alejandro Prigollini;Irma Orbe;R. Weinstock;S. Shea
我们的目标是确定参加或拒绝参加糖尿病远程医疗病例管理随机试验的原因。我们在糖尿病教育和远程医疗信息学 (IDEATel) 研究招募期间对参与者和非参与者进行了前瞻性调查，这是一项针对医疗服务不足的老年人进行糖尿病远程医疗病例管理的随机试验。有两个招聘区域：纽约市城区和纽约州北部农村。在基线 IDEATel 访视时进行了参与者问卷 (PQ)，在招募电话期间进行了非参与者问卷 (NPQ)。两份问卷都列出了可能的答复；受试者可以选择多个答案或给出自己的答案。在 1,660 名 IDEATel 参与者中，99.7% 完成了 PQ。最常见的参与原因是相信技术可以帮助他们（城市和农村受访者分别为 52% 和 42%）。在拒绝参与的 2,231 名受试者中，28% 回答了 NPQ（90% 的受访者来自农村地区）。在农村地区，不参与的最常见原因是太忙（23%）和对技术感到不舒服（22%），而在城市地区则认为技术对他们没有帮助（71%）、不喜欢技术（52%）和不喜欢参加研究（52%）。在多变量分析中（仅限农村受访者），了解如何使用计算机是参与的独立预测因素（p < 0.001）。总之，对技术的看法和信念，包括从中受益的期望，在参与决策中发挥了重要作用。
Our goal was to identify reasons for enrollment or refusal to participate in a randomized trial of telemedicine case management of diabetes. We performed a prospective survey of participants and non-participants during recruitment for the Informatics for Diabetes Education and Telemedicine (IDEATel) study, a randomized trial of telemedicine case management of diabetes mellitus in medically underserved elderly. There were two recruitment areas: urban New York City, and rural upstate New York. A Participant Questionnaire (PQ) was administered at the baseline IDEATel visit, and a Non-Participant Questionnaire (NPQ) was administered during the recruitment telephone call. Both questionnaires listed possible responses; subjects could choose more than one response or give their own. Of 1,660 IDEATel participants, 99.7% completed the PQ. Most frequent reason for participation was the belief that the technology could help them (52% and 42% of urban and rural respondents, respectively). Of the 2,231 subjects refusing participation, 28% answered the NPQ (90% of respondents were from rural area). Most frequent reasons not to participate in the rural area were being too busy (23%), and discomfort with the technology (22%), and in the urban area the belief that the technology could not help them (71%), discomfort with it (52%), and not liking to participate in studies (52%). In multivariate analysis (rural respondents only), knowing how to use a computer was an independent predictor of participation (p < 0.001). In conclusion, perceptions and beliefs regarding technology, including the expectation to benefit from it, played an important role in the decision to participate.