Breland-Noble Alfiee M, Bell Carl C, Burriss Antoinette, Poole H Kathy
Department of Psychiatry & Behavioral Sciences, Duke University Medical Center, Box 3527, Durham, NC 27710, USA.
J Child Fam Stud. 2012 Apr 1;21(2):273-280. doi: 10.1007/s10826-011-9472-1. Epub 2011 Mar 4.
We present baseline data and describe the utility of a community engaged, culturally relevant approach to recruiting African American youth and families for phase I of The AAKOMA Project. The AAKOMA Project is a two phase treatment development study to improve mental health service use among depressed African American youth. We completed capacity building activities using a community engaged framework and Community Based Participatory Research (CBPR) methods. Replicating the (Alvarez et al. in West J Nurs Res 28:541-560, 2006) model of systematic community out-reach enhanced our ability to effectively recruit partners and evaluate outreach efforts as demonstrated by our Recruitment Success Factor (RSF-i.e. 'an adjusted ratio of eligible participant yield to contacts made'). Using the chi-square goodness-of-fit statistic; we compared the RSFs of the various modes of participant study entry to determine which was most effective. Our target enrollment was 56 persons. We recruited 130 and enrolled 57. Our baseline data is drawn from a gender balanced and socioeconomically diverse sample who participated in youth focus groups and individual interviews and adult focus groups. We identified 3 study participant referral modes (self-referral, provider referral and participant-to-participant referral) with multiple sources per mode and an overall RSF of 0.41. Study findings support the effectiveness of assiduous and systematic community interaction, reflective review of recruitment efforts and the importance of disseminating information on strategic recruitment processes for engaging diverse populations in clinical research.
我们展示了基线数据，并描述了一种社区参与、与文化相关的方法在为AAKOMA项目第一阶段招募非裔美国青年及其家庭方面的效用。AAKOMA项目是一项两阶段的治疗开发研究，旨在提高抑郁非裔美国青年对心理健康服务的利用率。我们使用社区参与框架和基于社区的参与性研究（CBPR）方法完成了能力建设活动。复制（阿尔瓦雷斯等人，《西部护理研究杂志》28:541 - 560，2006年）的系统性社区外展模式增强了我们有效招募合作伙伴和评估外展工作的能力，我们的招募成功因素（RSF，即“合格参与者产出与所接触人数的调整比率”）证明了这一点。使用卡方拟合优度统计量，我们比较了参与者进入研究的各种模式的RSF，以确定哪种模式最有效。我们的目标招募人数是56人。我们招募了130人，登记了57人。我们的基线数据来自一个性别均衡且社会经济背景多样的样本，他们参与了青年焦点小组、个人访谈以及成人焦点小组。我们确定了3种研究参与者推荐模式（自我推荐、提供者推荐和参与者之间的推荐），每种模式有多个来源，总体RSF为0.41。研究结果支持了持续且系统的社区互动、对招募工作的反思性审查的有效性，以及传播关于吸引不同人群参与临床研究的战略招募过程信息的重要性。
