Lee Rebecca E, Reese-Smith Jacqueline Y, Mama Scherezade K, Medina Ashley V, Wolfe Kristin L, Estabrooks Paul A
Center for Health Promotion and Disease Prevention, College of Nursing and Health Innovation, Arizona State University, 550 N 3rd St, Phoenix, AZ, 85004, USA.
Department of Psychology, Jackson State University, 1400 J.R. Lynch Street, LIB Rm 232, Jackson, MS, 39217, USA.
Transl Behav Med. 2017 Mar;7(1):106-114. doi: 10.1007/s13142-016-0385-9.
Reach is a key factor in translating research to practical application. This study examined reach and representativeness of a multi-city, randomized controlled community health trial in African American (AA) and Hispanic or Latina (HL) women. Participants completed measures of demographics, body mass index (BMI), percent body fat, resting heart rate, and blood pressure followed by a run-in procedure and a randomization meeting. AA were more likely to be screened out initially; HL were more likely to drop out. Participation did not differ by city or recruitment method. Women who completed the post-intervention assessment were more likely to be AA, older, and have higher socioeconomic status (p values < .05). This study showed moderate levels of reach but overrepresented higher educated, wealthier, and older women at the completion of the study. Representativeness can change over the course of the study and impact the practicality of translating research to practice.
推广是将研究转化为实际应用的关键因素。本研究调查了一项针对非裔美国(AA)和西班牙裔或拉丁裔(HL)女性的多城市随机对照社区健康试验的推广范围和代表性。参与者完成了人口统计学、体重指数(BMI)、体脂百分比、静息心率和血压的测量,随后进行了导入程序和随机分组会议。非裔美国女性最初更有可能被筛选掉;西班牙裔或拉丁裔女性更有可能退出。参与情况在不同城市或招募方法之间没有差异。完成干预后评估的女性更有可能是非裔美国女性、年龄较大且社会经济地位较高(p值<0.05)。本研究显示推广程度处于中等水平,但在研究结束时,受过高等教育、更富有和年龄较大的女性占比过高。代表性可能会在研究过程中发生变化,并影响将研究转化为实践的实用性。