Quantitative assessment of recruitment efforts for prevention trials in two diverse black populations

Quantitative assessment of recruitment efforts for prevention trials in two diverse black populations
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DOI:
10.1006/pmed.1998.0367
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发表时间:
1998-11-01
影响因子:
5.1
通讯作者:
Singh, V
Singh, V
中科院分区:
医学2区
文献类型:
--
作者:
Fitzgibbon, ML;Prewitt, TE;Singh, V

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背景:减少美国黑人和白人之间发病率和死亡率差距的预防工作是国家卫生优先事项。然而,黑人参与预防试验的比例一直很低。本研究报告了两个经济上不同的黑人群体的成功招聘过程。这两项研究都是独立的项目,但都是国家资助的心血管健康合作项目的一部分。“嘻哈健康”是一项为期4年的随机对照试验,旨在减少饮食脂肪,增加城市黑人家庭的锻炼。非裔美国人减脂干预试验项目是一项为期b年的试验,旨在减少来自工薪阶层社区的黑人家庭的总脂肪、饱和脂肪和胆固醇摄入量。这两个人群在人口统计学特征上有所不同。在“Hip Hop to Health”项目中,直接展示是最有效的招募策略。相比之下,电话招募和社区拉票是fritaa更成功的策略。虽然这两个人群都是黑人,心血管疾病风险相当,但两组人口结构的不同使得有必要采取不同的招募策略。这项研究记录了成功招聘的劳动密集型质量,结果表明,成功的招聘需要针对目标群体的需求、经验和环境量身定制的策略。(C) 1998年美国卫生基金会和学术出版社。
Background, Prevention efforts to reduce the morbidity and mortality disparity between blacks and whites in the United States present a national health priority. However, participation of blacks in prevention trials has been low. The present study reports successful recruitment processes from two economically diverse black populations.Methods. The two studies were independent projects, but both were part of a nationally funded collaboration on cardiovascular health. "Hip Hop to Health" is a 4-year randomized controlled trial aimed at dietary fat reduction and increased exercise among inner-city black families. The Fat Reduction Intervention Trial in African-Americans project is a B-year trial to reduce total fat, saturated fat, and cholesterol intake among black families from a working class community.Results. The two populations differed on demographic characteristics. Direct presentation was the most effective recruitment strategy in the "Hip Hop to Health" program. In contrast, telephone recruitment and neighborhood canvassing were the more successful strategies for FRITAA.Conclusions. Although both populations were black and at comparable cardiovascular disease risk, the differing demographics between the groups made different recruitment strategies necessary. This study documented the labor-intensive quality of successful recruitment, and results suggest that successful recruitment requires strategies tailored to the needs, experiences, and environment of the target group. (C) 1998 American Health Foundation and Academic Press.