What does it take to retain substance-abusing adolescents in research protocols? Delineation of effort required, strategies undertaken, costs incurred, and 6-month post-treatment differences by retention difficulty
What does it take to retain substance-abusing adolescents in research protocols? Delineation of effort required, strategies undertaken, costs incurred, and 6-month post-treatment differences by retention difficulty
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DOI：
10.1016/s0376-8716(02)00252-1
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发表时间：
2003-01-24
影响因子：
4.2
通讯作者：
Randall, M
中科院分区：
文献类型：
--
作者：
Meyers, K;Webb, A;Randall, M
研究保留率差异很大，因为当参与者是未成年人时，实际困难可能会加剧。本文描述：（1）完成对药物滥用青少年研究参与者的面对面后续访谈所需的努力范围和后续策略类型； （二）常见的后续访谈地点； (3) 难以留住青少年参与者和容易留住的青少年参与者的特征。需要采用多样化的接触策略和大量的接触尝试，才能在药物滥用青少年研究参与者中获得 94% 的 1 个月和 92% 的 6 个月保留率。大约一半的年轻人对基本的电话追踪没有反应，需要加强追踪工作。大约 40% 的年轻人在面试完成之前需要 6 次或更多的接触。大多数后续访谈（60%）是在社区环境中进行的，例如快餐店，这是青少年首选的访谈地点。电话采访很少发生，因为青少年想要隐私并担心家庭成员会听他们的回答。那些难以留住的青少年在治疗后 6 个月内更有可能在酒精/毒品、青少年司法、家庭和教育领域报告严重的问题行为和较差的结果。据估计，为了充分跟踪、定位和采访青少年研究参与者，每次后续波次需要为每位参与者额外提供 85 美元（超出项目预算）。为了确保数据集可靠/有效，这笔支出似乎是合理的。讨论了评估用于防止损耗的不同方法的成本/效益，确定避免响应偏差的最低标准，并检查访谈者/参与者联盟对数据可靠性/有效性的影响。 (C) 2002 Elsevier Science Ireland Ltd. 保留所有权利。
Research retention rates vary widely due to practical difficulties that can be exacerbated when participants are minors. This article describes: (1) the range of effort required and type of follow-up strategies used to complete face-to-face follow-up interviews with substance-abusing adolescent research participants; (2) common locations of follow-up interviews; and (3) characteristics of, difficult- versus easy-to-retain adolescent participants. Diverse contact strategies and numerous contact attempts were needed to obtain a 94% 1-month and 92% 6-month retention rate among substance-abusing adolescent research participants. About half of the youth did not respond to basic telephone tracking and required enhanced tracking efforts. Approximately 40% of the youth required 6 or more contacts prior to interview completion. The majority of follow-up interviews (60%) were conducted in community settings such as fast food restaurants, constituting the adolescent's preferred interview location. Telephone interviews were infrequent since adolescents wanted privacy and were concerned that a household member would listen to their answers. Those youth proving difficult-to-retain were significantly more likely to report serious problem behavior and poorer outcomes 6-months post-treatment within the alcohol/drug, juvenile justice, family, and educational domains. It was estimated that an additional $85 per participant per follow-up wave (over and above project budgets) was needed to adequately track, locate and interview an adolescent research participant. This expenditure appears reasonable to ensure a reliable/valid data set. Assessing the cost/benefit of different methods used in preventing attrition, identifying the minimum standards that avoid response bias and examining the impact of interviewer/ participant alliances on data reliability/validity is discussed. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.