将农村乳腺癌幸存者有效纳入生活方式干预项目。
Effective recruitment of rural breast cancer survivors into a lifestyle intervention.
作者信息
Befort Christie A, Bennett Lara, Christifano Danielle, Klemp Jennifer R, Krebill Hope
机构信息
Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS, 66160, USA.
出版信息
Psychooncology. 2015 Apr;24(4):487-90. doi: 10.1002/pon.3614. Epub 2014 Jun 21.
Abstract
Lifestyle interventions may be effective for enhancing quality of life and prognosis among breast cancer survivors, but expanding their reach to underserved rural communities presents some unique challenges. Recruitment for this lifestyle intervention trial among rural breast cancer survivors was carried out by developing local partnerships with rural oncology practices and hospitals who were members of regional community oncology organizations. Recruitment strategies included mailing a tailored study brochure accompanied by a cover letter from providers and an opt-in/opt-out postcard, media coverage, clinic-based oncologist referrals, and community outreach. Mailing the tailored study brochure with the opt-in postcard yielded the highest number of survivors who enrolled in the lifestyle intervention trial. Oncologist referrals yielded a small number of participants but had the highest enrollment rate, and thus appear to play an important role in motivating some patients.
摘要
生活方式干预可能对提高乳腺癌幸存者的生活质量和预后有效，但将其推广到服务不足的农村社区面临一些独特挑战。通过与作为区域社区肿瘤学组织成员的农村肿瘤学诊所和医院建立当地合作伙伴关系，在农村乳腺癌幸存者中开展了这项生活方式干预试验的招募工作。招募策略包括邮寄一份量身定制的研究手册，并附上提供者的求职信和选择加入/退出明信片、媒体报道、基于诊所的肿瘤学家转诊以及社区外展。随选择加入明信片邮寄量身定制的研究手册，产生了参与生活方式干预试验的幸存者数量最多。肿瘤学家转诊产生的参与者数量较少，但入学率最高，因此似乎在激励一些患者方面发挥着重要作用。
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