Recruitment challenges and strategies in a home-based telehealth study.

Recruitment challenges and strategies in a home-based telehealth study.
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家庭远程医疗研究中的招募挑战和策略。

DOI:
10.1089/tmj.2010.0017
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发表时间:
2010
期刊:
Telemedicine journal and e-health : the official journal of the American Telemedicine Association
影响因子:
--
通讯作者:
Porock,Davina
Porock,Davina
中科院分区:
--
文献类型:
--
作者:
ParkerOliver,Debra;Demiris,George;Wittenberg-Lyles,Elaine;Washington,Karla;Porock,Davina

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为家庭远程保健研究招募受试者的困难是有据可查的。本文分享招募统计数据和经验,通过视频电话接触试点研究,以家庭为基础的远程医疗干预的团队干预的护理人员的评估。该研究获得了所需样品的83%。挑战包括初始纳入标准的问题,与天气有关的问题,及时转诊和随访,登记过程,多次访问的需要,以及多个照顾者的不可预见的情况。详细监测和跟踪征聘统计数据,并立即应对挑战,对于最终成功征聘至关重要。策略包括重新分配资源以增加第二个研究地点,调整纳入标准,改善临终关怀入院流程,以及解决工作人员把关问题的策略。招募仍然是家庭远程保健研究的一个重要障碍,分享招募统计数据、挑战和战略可能是有益的。收集招募数据是试点研究的一个关键组成部分,有助于为未来的家庭远程保健研究制定成功的随机临床试验。
The difficulty in recruiting subjects for home-based telehealth research is well documented. This article shares the recruitment statistics and experiences in the Assessment of Caregivers for Team Intervention via Videophone Encounters pilot study, a home-based telehealth intervention. The study obtained 83% of the desired sample. Challenges included issues with initial inclusion criteria, weather-related problems, timely referrals and follow-up, the enrollment process, the need for multiple visits, and unforeseen cases of multiple caregivers. Detailed monitoring and tracking of recruitment statistics and immediate response to overcome challenges were critical to the eventual recruitment success. Strategies included the reallocation of resources to add a second research site, adjustments in inclusion criteria, process improvement with the hospice admissions process, and strategies to address staff gate-keeping. Recruitment continues to be an important barrier to home-based telehealth research and the sharing of recruitment statistics, challenges, and strategies can be beneficial. Gathering of recruitment data is a critical component of pilot studies, which assists in the development of successful randomized clinical trials for future home-based telehealth research.
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