有效的招募策略与基于社区的参与性研究：社区网络项目中心在癌症预防研究中的招募工作
Effective recruitment strategies and community-based participatory research: community networks program centers' recruitment in cancer prevention studies.
作者信息
Greiner K Allen, Friedman Daniela B, Adams Swann Arp, Gwede Clement K, Cupertino Paula, Engelman Kimberly K, Meade Cathy D, Hébert James R
机构信息
Authors' Affiliations: Departments of Family Medicine and Preventive Medicine, University of Kansas Medical Center; University of Kansas Cancer Center, Kansas City, Kansas; South Carolina Statewide Cancer Prevention and Control Program; Arnold School of Public Health; College of Nursing, University of South Carolina, Columbia, South Carolina; and Moffitt Cancer Center and the University of South Florida, Tampa, Florida.
出版信息
Cancer Epidemiol Biomarkers Prev. 2014 Mar;23(3):416-23. doi: 10.1158/1055-9965.EPI-13-0760.
BACKGROUND
Community-based participatory research (CBPR) approaches that involve community and academic partners in activities ranging from protocol design through dissemination of study findings can increase recruitment of medically underserved and underrepresented racial/ethnic minority populations into biomedical research.
METHODS
Five cancer screening and prevention trials in three National Cancer Institute (Bethesda, MD)-funded Community Networks Program Centers (CNPC), in Florida, Kansas, and South Carolina, were conducted across diverse populations. Data were collected on total time period of recruitment, ratios of participants enrolled over potential participants approached, selected CBPR strategies, capacity-building development, and systematic procedures for community stakeholder involvement.
RESULTS
Community-engaged approaches used included establishing colearning opportunities, participatory procedures for community-academic involvement, and community and clinical capacity building. A relatively large proportion of individuals identified for recruitment was actually approached (between 50% and 100%). The proportion of subjects who were eligible among all those approached ranged from 25% to more than 70% (in the community setting). Recruitment rates were very high (78%-100% of eligible individuals approached) and the proportion who refused or who were not interested among those approached was very low (5%-11%).
CONCLUSIONS
Recruitment strategies used by the CNPCs were associated with low refusal and high enrollment ratios of potential subjects. Adherence to CBPR principles in the spectrum of research activities, from strategic planning to project implementation, has significant potential to increase involvement in biomedical research and improve our ability to make appropriate recommendations for cancer prevention and control programming in underrepresented diverse populations.
IMPACT
CBPR strategies should be more widely implemented to enhance study recruitment.
背景
基于社区的参与性研究（CBPR）方法，让社区和学术伙伴参与从方案设计到研究结果传播的各项活动，可增加医疗服务不足和代表性不足的种族/族裔少数群体参与生物医学研究的人数。
方法
在佛罗里达州、堪萨斯州和南卡罗来纳州的三个由美国国立癌症研究所（马里兰州贝塞斯达）资助的社区网络项目中心（CNPC），针对不同人群开展了五项癌症筛查和预防试验。收集了关于招募总时长、招募的参与者与接触的潜在参与者的比例、选定的CBPR策略、能力建设发展以及社区利益相关者参与的系统程序的数据。
结果
采用的社区参与方法包括建立共同学习机会、社区 - 学术参与的参与式程序以及社区和临床能力建设。确定要招募的个体中，实际接触的比例相对较大（在50%至100%之间）。在所有接触者中符合条件的受试者比例在社区环境中为25%至70%以上。招募率非常高（接触的符合条件个体的78% - 100%），接触者中拒绝或不感兴趣的比例非常低（5% - 11%）。
结论
CNPC采用的招募策略与潜在受试者的低拒绝率和高入选率相关。在从战略规划到项目实施的研究活动范围内坚持CBPR原则，具有显著潜力增加对生物医学研究的参与，并提高我们为代表性不足的不同人群制定癌症预防和控制规划提出适当建议的能力。
影响
应更广泛地实施CBPR策略以加强研究招募。
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