Contextualizing Response Rates During the COVID-19 Pandemic: Experiences From a Boston-Based Community Health Centers Study.
Contextualizing Response Rates During the COVID-19 Pandemic: Experiences From a Boston-Based Community Health Centers Study.
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DOI：
10.1097/phh.0000000000001785
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发表时间：
2023-11-01
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这项研究的重点是计算在2019冠状病毒病大流行期间进行的一项基于社区的研究的响应率并将其置于背景中，这是一个缺乏数据的主题，并分享从招募和登记中吸取的经验教训，以实施未来的研究。生命+健康研究是一项基于人口的横断面研究，旨在推进新方法来衡量和分析人口健康研究中的多种形式的歧视。该研究于2020年5月至2022年7月期间从马萨诸塞州波士顿的3个社区卫生中心招募了参与者。共有699名年龄在25岁至64岁之间的成年参与者，他们出生在美国，并在过去2年内访问过其中一家健康中心。答复率计算如下：（完成人数+脱落人数）/（脱落人数+入组人数）。为了说明这一响应率，我们综合了与当地COVID-19病例数、社会政治事件、流行病相关限制和项目方案调整以及与患者互动的例子有关的证据。我们的研究有一个低于预期的响应率（48.4%），从社区卫生中心的最低利率主要为低收入的有色人种患者。在COVID-19病例数较高期间，完成率较低。我们描述了导致大流行期间招聘挑战和经验教训的背景因素，包括美国社会政治事件的影响。Life+Health研究在大流行期间结束招募，回应率低于预期，其他4份关注COVID-19对社区研究回应率影响的美国出版物也有报道。我们的研究结果提供了一个大流行和相关的美国社会政治事件对响应率的影响的例子，可以作为一个框架，用于在大流行期间进行的其他研究的背景下，并强调了最佳实践的重要性，在研究招募服务不足的人群。
The focus of this study was to calculate and contextualize response rates for a community-based study conducted during the COVID-19 pandemic, a topic on which scant data exist, and to share lessons learned from recruiting and enrolling for implementation of future studies. The Life+Health Study, a cross-sectional population-based study designed to advance novel methods to measure and analyze multiple forms of discrimination for population health research. The study recruited participants from 3 community health centers in Boston, Massachusetts, between May 2020 and July 2022. A total of 699 adult participants between the ages of 25 and 64 years who were born in the United States and had visited one of the health centers within the last 2 years. The response rate was calculated as follows: (number of completions + number of dropouts)/(dropouts + enrollments). To contextualize this response rate, we synthesized evidence pertaining to local COVID-19 case counts, sociopolitical events, pandemic-related restrictions and project protocol adjustments, and examples of interactions with patients. Our study had a lower-than-expected response rate (48.4%), with the lowest rates from the community health centers serving primarily low-income patients of color. Completion rates were lower during periods of higher COVID-19 case counts. We describe contextual factors that led to challenges and lessons learned from recruiting during the pandemic, including the impact of US sociopolitical events. The Life+Health Study concluded recruitment during the pandemic with a lower-than-expected response rate, as also reported in 4 other US publications focused on the impact of COVID-19 on response rates in community-based studies. Our results provide an example of the impact of the pandemic and related US sociopolitical events on response rates that can serve as a framework for contextualizing other research conducted during the pandemic and highlight the importance of best practices in research recruitment with underserved populations.