Recruiting experiences of NIH-funded principal investigators for community-based health behavior interventions during the COVID-19 pandemic.

Recruiting experiences of NIH-funded principal investigators for community-based health behavior interventions during the COVID-19 pandemic.
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DOI:
10.1016/j.cct.2023.107271
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发表时间:
2023-08
影响因子:
2.2
通讯作者:
Patterson, Megan S.
Patterson, Megan S.
中科院分区:
医学4区
文献类型:
--
作者:
Seguin-Fowler, Rebecca A.;Demment, Margaret;Folta, Sara C.;Graham, Meredith;Hanson, Karla;Maddock, Jay E.;Patterson, Megan S.

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随机试验和干预措施的成功招募对于推进科学知识以改善健康至关重要。这项快速评估研究探讨了COVID-19大流行如何影响参与者招募的整体情况,确定了它如何加剧了招募难以接触的人群的现有挑战,并描述了NIH资助的主要研究者(PI)如何应对COVID时代的招募挑战。在2022年对NIH资助的PI进行了一项横断面调查,这些PI进行了与健康行为相关的干预和试验。这项调查由52名PI完成,其中大多数在这类研究方面经验丰富。18名PI报告说,现在很难招募参与者(39.1%),而COVID-19之前只有1名PI(2.2%)。参与者报告说,他们改变了招聘和数据收集方法(29.4%),增加了专门从事招聘的工作人员(29.4%),并增加了参与者的报酬(23.5%)。征聘方法从面对面活动转向社交媒体和其他电子通信。招聘的障碍包括不愿参与研究、COVID-19协议和预防措施、不堪重负的社区合作伙伴、工作人员倦怠和流动,以及一些本已难以接触的人群获得技术的机会有限。促进招聘的因素包括增加使用远程技术的机会和能力,使用社交媒体,强大的社区联系,以及希望成为积极的一部分。PI认为,在COVID-19爆发后,招聘变得更加困难,尽管研究团队能够转向更多的在线和远程选择。这些工具可能会对未来试验中的招募、数据收集和干预技术的现代化产生持久的影响。
Successful recruitment into randomized trials and interventions is essential to advance scientific knowledge to improve health. This rapid assessment study explored how the COVID-19 pandemic affected participant recruitment overall, identified how it exacerbated existing challenges to recruit hard-to-reach populations, and described how NIH-funded Principal Investigators (PIs) responded to COVID-era recruitment challenges. A cross-sectional survey of NIH-funded PIs conducting interventions and trials related to health behaviors was conducted in 2022. The survey was completed by 52 PIs, most of whom were highly experienced in this type of research. Eighteen PIs reported it was very difficult to recruit participants now (39.1%) compared to before COVID-19 when only one did (2.2%). PIs reported changing recruitment and data collection methods (29.4%), increasing staff dedicated to recruitment (29.4%), and increasing participant compensation (23.5%). Recruitment methods shifted from in-person activities to social media and other electronic communications. Barriers to recruitment included reluctance to participate in research, COVID-19 protocols and precautions, overwhelmed community partners, staff burnout and turnover, and limited access to technology for some populations that were already hard to reach. Facilitators to recruitment consisted of increased access and ability to use remote technologies, use of social media, strong community ties, and wanting to be part of something positive. PIs perceived recruitment as much more difficult after the onset of COVID-19, though research teams were able to pivot to more online and remote options. These tools may have a lasting impact in modernizing recruitment, data collection, and intervention techniques in future trials.
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