Recruitment strategies to engage African American men in HIV testing randomized controlled trials in the rural southern United States.
Recruitment strategies to engage African American men in HIV testing randomized controlled trials in the rural southern United States.
复制标题
在美国南部农村地区招募非洲裔美国男性参与艾滋病毒检测随机对照试验的策略。
DOI：
10.1016/j.jana.2014.06.006
复制
发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Sutton,MadelineY
中科院分区：
文献类型：
--
作者：
Brown,EmmaJ;Thomas,Peter;Willis,LeighA;Sutton,MadelineY
方法农村黑人男性HIV检测因素（HiTFARM）研究遵循三阶段混合方法设计：（a）横断面音频计算机辅助自我访谈（ACASI），（B）HIV检测干预的随机对照试验（RCT），和（c）使用焦点小组的过程评估。所有三个阶段都由西方机构审查委员会和CDC的机构审查委员会审查和批准。本研究的重点是在研究中使用的招聘策略。我们收集了北方佛罗里达三个非裔美国人HIV感染率较高的县的数据：两个农村县（哥伦比亚和汉密尔顿）和一个半农村县（阿拉丘亚;图1）。符合条件的参与者是年龄在18至64岁之间的非洲裔美国男性，他们自我认定为异性恋，居住在农村地区或小城市，根据先前的检测未感染艾滋病毒或艾滋病毒状态未知，并且能够说，读和理解英语。使用nQuery Advisor 6.0（Statistical Solutions，Boston，MA）进行把握度计算，我们确定需要入组300例受试者（每组150例男性）。在招募期间，男性被告知研究的RCT和ACASI组成部分。根据当地卫生部门以往的经验，我们预计在ACASI调查参与者中RCT的接受率仅为30%，因此目标是在ACASI阶段招募1，000名参与者，以达到RCT的300名参与者。
MethodsThe HIV Testing Factors among Rural, Black Men (HiTFARM) study followed a three-phase mixed method design:(a) a cross-sectional audiocomputer-assisted self-interview (ACASI),(b) a randomized controlled trial (RCT) of an HIV testing intervention, and (c) a process evaluation using focus groups. All three phases were reviewed and approved by the Western Institutional Review Board and the institutional review board of the CDC. Recruitment strategies used in the study are the focus of this research brief. We collected data in three northern Florida counties with high rates of HIV among African Americans: two rural (Columbia and Hamilton) and one semi-rural (Alachua; Figure 1). Eligible participants were African American men between the ages of 18 and 64 years who self-identified as heterosexual, resided in a rural area or small city, were HIV uninfected based on prior testing or had an unknown HIV status, and were able to speak, read, and understand English. Using nQuery Advisor 6.0 (Statistical Solutions, Boston, MA) for power calculations, we determined that 300 total participants (150 men per arm) would need to be enrolled. During recruitment, men were informed about the RCT and the ACASI components of the study. Based on the local health departments’ previous experiences, we anticipated only a 30% acceptance rate for the RCT among the ACASI survey participants and therefore targeted enrolling 1,000 participants for the ACASI phase to reach 300 for the RCT.