Ford Marvella E, Sterba Katherine R, Bearden James D, Gansauer Lucy, Moore Leslie A, Zapka Jane
Department of Public Health Sciences, Cancer Disparities, Medical University of South Carolina, Charleston, SC, USA.
Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Patient Educ Couns. 2017 Mar;100(3):526-533. doi: 10.1016/j.pec.2016.10.006. Epub 2016 Oct 12.
Colorectal cancer (CRC) survival rates are increasing. Effective strategies to recruit CRC survivors to surveillance studies are needed.
We analyzed the barriers encountered while recruiting CRC survivors to a study assessing their surveillance care experiences.
The study included three phases: (I) focus groups/key informant interviews; (II) cognitive interviews; and (III) a statewide population-based telephone survey.
In Phases I-II, clinic-based data and cancer center registries were used to identify CRC survivors who had received CRC resection within the past 18 months. In Phase III, survivors who had received CRC resection within the past two years were identified via a statewide, population-based cancer registry.
In Phase I, 16 survivors participated in focus groups at two National Cancer Center-affiliated sites (response rate=29.6%). Eighteen additional survivors participated in individual interviews (response rate=50%). In Phase II, 11 survivors participated in cognitive interviews (response rate=81.8%). In Phase III, 150 survivors participated in the statewide survey (response rate=62.2%).
Group-based/in-person recruitment efforts were unsuccessful due to scheduling barriers, lack of transportation, and remaining discomfort from previous resection surgery. Telephone-based data collection strategies produced higher response rates.
To enhance CRC surveillance research, future studies could incorporate CRC survivor-centered recruitment strategies.
结直肠癌（CRC）的生存率正在提高。需要有效的策略来招募CRC幸存者参与监测研究。
我们分析了在招募CRC幸存者参与一项评估其监测护理经历的研究过程中遇到的障碍。
该研究包括三个阶段：（I）焦点小组/关键信息人访谈；（II）认知访谈；以及（III）一项基于全州人口的电话调查。
在第一阶段至第二阶段，利用基于诊所的数据和癌症中心登记处来识别在过去18个月内接受过CRC切除术的CRC幸存者。在第三阶段，通过全州范围的基于人口的癌症登记处识别在过去两年内接受过CRC切除术的幸存者。
在第一阶段，16名幸存者参与了两个国家癌症中心附属机构的焦点小组（回复率=29.6%）。另外18名幸存者参与了个人访谈（回复率=50%）。在第二阶段，11名幸存者参与了认知访谈（回复率=81.8%）。在第三阶段，150名幸存者参与了全州范围的调查（回复率=62.2%）。
由于日程安排障碍、缺乏交通工具以及之前切除手术带来的持续不适，基于小组/面对面的招募工作未成功。基于电话的数据收集策略产生了更高的回复率。
为加强CRC监测研究，未来的研究可以纳入以CRC幸存者为中心的招募策略。
