Successful recruitment and retention strategies for a randomized weight management trial for people with diabetes living in rural, medically underserved counties of South Carolina: The POWER Study
Successful recruitment and retention strategies for a randomized weight management trial for people with diabetes living in rural, medically underserved counties of South Carolina: The POWER Study
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DOI：
10.1016/j.jada.2003.10.014
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发表时间：
2004-01-01
影响因子：
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通讯作者：
Mayer-Davis, E
中科院分区：
文献类型：
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作者：
Parra-Medina, D;D'Antonio, A;Mayer-Davis, E
我们评估了招募生活在农村、医疗服务不足社区的超重糖尿病成年人参加体重管理干预的可行性，该干预包括12个月的两个体重管理项目的临床试验和常规护理。抽样框架包括来自两个社区卫生中心的45岁及以上临床诊断为糖尿病的成年人。招募过程包括医疗记录审查、预筛选电话、两次筛选访问和一次随机访问。审查了1 400多份医疗记录；78.6%符合资格标准；60.1%的人被联系进行电话预选，35.5%的人仍然符合条件并有兴趣参加。其中187人完成了第1次访问，164人完成了第2次访问，143人被随机分组。在第一次筛查访问时，46人随机进入研究，共189名受试者。最终收益率为21.5%。受试者平均年龄为60.4岁，平均体重指数为36.4 kg/m(2)， 80%为非洲裔美国人，46.6%为高中以下文化程度。12个月留存率为81.5%。成功的战略包括与社区保健中心合作、积极加强和社会支持、监测进展和免费运输。这项工作为学术界与社区的合作提供了一个有用的例子，旨在接触到以前认为难以接触到的群体。
We evaluated the feasibility of recruiting overweight adults with diabetes, living in rural, medically under-served communities, to a weight management intervention consisting of a 12-month clinical trial of two weight management programs and usual care. The sampling frame consisted of adults ages 45 years and older with clinically diagnosed diabetes from two community health centers. The recruitment process included medical record review, prescreening telephone call, two screening visits, and a randomization visit. Over 1,400 medical records were reviewed; 78.6% met eligibility criteria; 60.1% were contacted for telephone prescreening, and 35.5% remained eligible and were interested in participating. Of these, 187 completed visit 1, 164 completed visit 2, and 143 were randomized. Forty-six people were randomized who entered the study as walk-ins at screening visit 1, resulting in 189 subjects. The final yield was 21.5%. Subject mean age was 60.4 years, mean body mass index was 36.4 kg/m(2), 80% were African-American, and 46.6% had less than a high school education. Retention at 12 months was 81.5%. Successful strategies included partnering with community health centers, positive reinforcement and social supportiveness, monitoring progress, and free transportation. This work provides a useful example of an academic-community partnership designed to reach groups previously considered hard to reach.