Recruitment of older adults into randomized controlled trials: Issues and lessons learned from two community-based exercise interventions in Shanghai.

Recruitment of older adults into randomized controlled trials: Issues and lessons learned from two community-based exercise interventions in Shanghai.
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招募老年人参加随机对照试验:上海两项社区运动干预措施的问题和经验教训

DOI:
10.1016/j.jshs.2016.07.009
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发表时间:
2016-09
影响因子:
11.7
通讯作者:
Liu Y
Liu Y
中科院分区:
医学1区
文献类型:
--
作者:
Huang L;Lü J;Chen N;Liu Y

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随着中国对高质量运动干预的需求不断增加,人们对招募中国老年人参与基于运动的疾病预防干预的问题和挑战知之甚少。本研究旨在描述在中国上海进行的两种运动干预的招募过程和结果。招募信息来自两项基于社区的随机对照试验,其中两项运动干预,第一项旨在改善患有膝关节骨关节炎的老年妇女的健康状况,第二项旨在研究轻度认知障碍成人认知功能的变化。结果总结了招聘来源、筛选人数、筛选与入学比率和费用。招聘工作主要是通过与当地居民部门(即邻里协会和居民委员会)合作完成的。两项研究都在1年的时间框架内达到了计划的老年人目标数量(分别为45岁和46岁),筛查与随机比例为5:1,并且在6个月时表现出优异的保留率(87%-93%)。两项研究的初始招募成本平均为189元人民币(约30美元),随机招募参与者平均为738元人民币(约119美元)。在招募过程中遇到的一些主要问题包括:(1)使用社区社区来支持项目的开展;(2)获得参与者;(3)可行性。对两项随机对照试验的分析为招募过程提供了有价值的见解,并确定了有助于更好地规划和招募未来干预措施的资源。提出了旨在提高今后征聘工作成功率的建议。
With the increasing need for high-quality exercise interventions in China, relatively little is known about issues and challenges related to recruitment of older Chinese adults into exercise-based disease prevention interventions. This study aims to describe the recruitment process and outcomes of 2 exercise interventions conducted in Shanghai, China. Recruitment information was ascertained from 2 community-based randomized controlled trials for 2 exercise interventions, the first designed to improve health outcomes for older women with knee osteoarthritis and the second to study changes in cognitive function in adults with mild cognitive impairment. Results were summarized in terms of recruitment sources, number screened, screening-to-enrollment ratios, and costs. Recruitment was primarily achieved through working with local residential divisions (i.e., neighborhood associations and residential committees). Both studies achieved their planned target number of older adults (45 and 46, respectively) within a 1-year time frame, with a screening-to-randomized ratio of 5:1 and demonstrated excellent retention rates (range 87%–93%) at 6 months. The recruitment cost for the 2 studies averaged RMB 189 (about USD 30) per initial recruit and RMB 738 (about USD 119) per participant randomized. Some major issues encountered during the recruitment process included (1) the use of community neighborhoods to support the conduct of the projects, (2) access to participants, and (3) feasibility. Analysis of the 2 randomized controlled trials has provided valuable insights into the recruitment process and identified resources that can help better planning and recruitment for future interventions. Recommendations aimed at increasing the success of future recruitment efforts are provided.
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影响因子: 3.6
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