Recruitment for an Internet-Based Diabetes Self-Management Program: Scientific and Ethical Implications
Recruitment for an Internet-Based Diabetes Self-Management Program: Scientific and Ethical Implications
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DOI：
10.1007/s12160-010-9189-1
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发表时间：
2010-08-01
影响因子：
3.8
通讯作者：
Osuna, Diego
中科院分区：
文献类型：
--
作者：
Glasgow, Russell E.;Strycker, Lisa A.;Osuna, Diego
背景 对互联网自我管理干预措施的影响力知之甚少。目的本研究的目的是评估参与率的不同定义，并使用去识别化的电子病历数据比较参与者和非参与者子类别在人口和临床因素方面的特征。方法提供了 2,603 名患有 2 型糖尿病的健康维护组织成员被邀请参加互联网自我管理计划的招募结果和特征的数据。结果在所有试图联系和参与的成员中，参与率为 37%。假定有资格。参与者和非参与者之间以及参与者亚组之间（例如主动志愿者与电话受访者）在年龄、收入、种族、吸烟率、教育程度、血压和糖化血红蛋白等因素上存在一些显着差异。结论这些结果对于不同招募方法对健康差异和结果概括的影响具有重要意义。我们为报告合格率、参与率和代表性分析提供建议。
Background Little is known about the reach of Internet self-management interventions.Purpose The aim of this study was to evaluate different definitions of participation rate and compare characteristics among subcategories of participants and nonparticipants on demographic and clinical factors using de-identified electronic medical record data.Methods Data are presented on recruitment results and characteristics of 2,603 health maintenance organization members having type 2 diabetes invited to participate in an Internet self-management program.Results There was a 37% participation rate among all members attempted to contact and presumed eligible. There were several significant differences between participants and nonparticipants and among subgroups of participants (e.g., proactive volunteers vs. telephone respondents) on factors including age, income, ethnicity, smoking rate, education, blood pressure, and hemoglobin A1c.Conclusion These results have important implications for the impact of different recruitment methods on health disparities and generalization of results. We provide recommendations for reporting of eligibility rate, participation rate, and representativeness analyses.