James Aimee S, Daley Christine M, Engelman Kimberly, Greiner K Allen, Ellerbeck Edward
Department of Surgery, Washington University in Saint Louis, School of Medicine, St. Louis, Missouri 63110, USA.
Health Promot Pract. 2011 Sep;12(5):696-703. doi: 10.1177/1524839910366402. Epub 2011 Apr 6.
Many cancer screening studies are conducted in primary care settings, yet few systematically analyze recruitment challenges found at these sites. During a randomized trial promoting colorectal cancer screening, we implemented a process evaluation of recruitment. Recruiters maintained logs that registered the numbers of patients entering the clinic, approached by recruiters, declining to participate, and reasons for nonapproach and nonparticipation. One half of age-eligible patients were approached (n = 1,489), and half of those who met basic eligibility requirements agreed to engage further (n = 527). A small proportion of patients (n = 98) completed the 15-min assessment before their appointment. Major reasons for nonapproach included previous approach, patients called to the exam room, and appearing ill. The major reason for nonparticipation was "not interested"; a few patients did not want to share contact information. Some participants exited the assessment midway because of further ineligibility or time limitations. Best-practice recommendations for recruitment in primary care are discussed.
许多癌症筛查研究在初级保健机构中开展，但很少有研究系统分析这些机构在招募方面面临的挑战。在一项推广结直肠癌筛查的随机试验中，我们对招募过程进行了评估。招募人员记录进入诊所的患者数量、被招募人员接触的患者数量、拒绝参与的患者数量以及未接触和未参与的原因。符合年龄条件的患者中有一半被接触（n = 1489），而符合基本资格要求的患者中有一半同意进一步参与（n = 527）。一小部分患者（n = 98）在预约前完成了15分钟的评估。未接触的主要原因包括之前已被接触、患者被叫到检查室以及看起来生病。未参与的主要原因是“不感兴趣”；少数患者不想分享联系信息。一些参与者由于进一步不符合资格或时间限制而中途退出评估。文中讨论了初级保健机构招募的最佳实践建议。
