Comparing the Efficiency of Online and Field-Based Outreach for the Recruitment of Black and Latino Sexual Minority Men into an HIV Prevention Implementation Trial.
Comparing the Efficiency of Online and Field-Based Outreach for the Recruitment of Black and Latino Sexual Minority Men into an HIV Prevention Implementation Trial.
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DOI：
10.1007/s11121-022-01367-3
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发表时间：
2022-08
影响因子：
3.5
通讯作者：
Starks, Tyrel J
中科院分区：
文献类型：
--
作者：
Bradford-Rogers, Jesse;Lopez-Matos, Jonathan;Cain, Demetria;Lopez, David;Starks, Tyrel J
自2011年以来，年轻的黑人和拉丁裔性少数男性（SMM）中的艾滋病诊断率持续上升；与此同时，美国的总体发病率却有所下降。尽管种族和族裔少数性少数男性在艾滋病预防服务和研究中很重要，但学术和医疗机构往往难以吸引和招募他们参与。本研究比较了两种招募种族和族裔少数性少数男性的策略的成效。招募是在一项更大规模的实施研究背景下进行的，该研究旨在测试一种针对艾滋病感染高风险的性少数男性的药物使用和艾滋病预防干预措施的有效性。通过以下两种方式招募到了778名性少数男性：（1）由两个实施干预措施的当地社区组织（CBO）进行的实地外展活动；（2）由试验的学术研究合作伙伴协调的在线招募。实地招募所涉及的黑人（42.9%对比在线招募的18.2%）和拉丁裔个体（40.3%对比在线招募的28.1%）比例明显更高。尽管在线招募符合试验入选标准的性少数男性比例更高（58.4%对比实地外展的35.3%；卡方(1)=38.471，p<0.001），但通过实地外展确定的符合条件的参与者实际参加研究试验的比例更高（30.9%对比在线招募的18.8%；卡方(1)=7.82，p<0.01）。因此，实地招募所需的招募人员工时（每名入组参与者2.62小时）比在线招募（每名入组参与者3.46招募人员工时）少。研究结果表明，基于实地的、由社区组织执行的招募方式有可能接触到黑人和拉丁裔性少数男性，并且社区组织能够成功招募那些符合条件的人员。未来的预防和实施研究应常规性地让社区合作伙伴参与制定研究招募策略，以便为艾滋病预防研究和预防的外展和营销工作提供信息。（Clinicaltrials.gov = NCT03488914）
Rates of HIV diagnoses among young Black and Latino sexual minority men (SMM) have continued to increase since 2011; meanwhile, overall rates in the U.S. have decreased. Despite their importance, academic and medical institutions have often struggled to engage and recruit racial and ethnic minority SMM in HIV prevention services and research. The current study compares the success of two strategies for recruiting racial and ethnic minority SMM. Recruitment occurred in the context of a larger implementation study testing the effectiveness of a substance use and HIV prevention intervention among SMM at high risk for HIV infection. SMM (n = 778) were reached through either (1) field-based outreach conducted by two local community-based organizations (CBOs) delivering the intervention or (2) online recruitment coordinated by the trial’s academic research partner. Field-based recruitment reached a significantly larger proportion of Black (42.9% vs. 18.2% reached online) and Latino individuals (40.3% vs. 28.1% reached online). Although online recruitment reached a greater proportion of SMM who met trial eligibility criteria (58.4% vs. 35.3% for field-based outreach; χ2(1) = 38.471, p < .001), a greater proportion of eligible participants identified through field-based outreach actually enrolled into the study trial (30.9% vs. 18.8% for online recruitment; χ2(1) = 7.82, p < .01).As a result, field-based recruitment required fewer recruitment staff hours (2.62 per enrolled participant) than online recruitment (3.46 recruitment staff hours per enrolled participant). Findings illustrate the potential for field-based, CBO-executed recruitment to reach Black and Latino SMM and for CBOs to successfully enroll those identified as eligible. Future prevention and implementation research should routinely engage community partners in the development of study recruitment strategies in a manner that can inform outreach and marketing efforts for HIV prevention research and prevention. (Clinicaltrials.gov= NCT03488914)