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一项针对艾滋病毒感染者的社区干预研究中招募策略的成本效益分析。

Cost-effectiveness analysis of recruitment strategies in a community-based intervention study of HIV-infected persons.

作者信息

Baigis J, Francis M E, Hoffman M

机构信息

Georgetown University School of Nursing and Health Studies, Silver Spring, MD, USA.

出版信息

AIDS Care. 2003 Oct;15(5):717-28. doi: 10.1080/09540120310001595203.

DOI:10.1080/09540120310001595203
PMID:12959823
Abstract

This paper describes and evaluates recruitment methods used to reach adults with HIV infection and to enroll eligible candidates in a randomized trial of aerobic exercise. Potential participants residing in the metropolitan Washington DC area were recruited from January 1994 to December 1996. The yield and associated cost of clinic centre site-visit (CSV) recruitment are compared to similar outcomes for community-based (CB) recruitment strategies, which consisted of presentations to local groups, mail/phone canvasses of caregivers, neighbourhood network promotion, public site postings and print media notices. Of 833 HIV infected adults ascertained during the recruitment phase as prospective study candidates, 66.7% were initially contacted during CSV recruitment. The remainder, 33.3% were CB recruits. The percentage of screened candidates who were subsequently enrolled in the study was 13.5% for CSV recruitment and 21% for CB recruitment. Ascertainment and screening costs combined were $158 per CB recruit compared to $232 per CSV recruit. Using multiple recruitment approaches we successfully achieved our enrollment goal of at least 100 volunteers from diverse populations by the end of the planned recruitment period.

摘要

本文描述并评估了为招募感染艾滋病毒的成年人并让符合条件的候选人参加有氧运动随机试验所采用的招募方法。1994年1月至1996年12月期间,招募了居住在华盛顿特区大都市地区的潜在参与者。将临床中心实地访问(CSV)招募的成功率及相关成本与基于社区(CB)的招募策略的类似结果进行了比较,后者包括向当地团体进行展示、对护理人员进行邮件/电话拉票、邻里网络推广、公共场地张贴以及印刷媒体公告。在招募阶段确定为潜在研究对象的833名感染艾滋病毒的成年人中,66.7%最初是在CSV招募期间被联系上的。其余33.3%是CB招募对象。CSV招募的筛选候选人中随后被纳入研究的比例为13.5%,CB招募的这一比例为21%。CB招募对象的确定和筛选成本总计为每人158美元,而CSV招募对象为每人232美元。通过采用多种招募方法,我们在计划招募期结束时成功实现了从不同人群中至少招募100名志愿者的招募目标。

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