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一项针对非洲裔男女的社区结直肠癌筛查研究中的招募技术与策略

Recruitment Techniques and Strategies in a Community-Based Colorectal Cancer Screening Study of Men and Women of African Ancestry.

作者信息

Davis Stacy N, Govindaraju Swapamthi, Jackson Brittany, Williams Kimberly R, Christy Shannon M, Vadaparampil Susan T, Quinn Gwendolyn P, Shibata David, Roetzheim Richard, Meade Cathy D, Gwede Clement K

机构信息

Stacy N. Davis, PhD, MPH, is Instructor, School of Public Health, the Rutgers, the State University of New Jersey, New Brunswick. At the time this research was completed, she was a Postdoctoral Fellow at Health Outcomes and Behavior, Moffitt Cancer Center and Research Institute, Tampa, Florida. Swapamthi Govindaraju, BA, was Research Assistant, Moffitt Cancer Center and Research Institute, Tampa, Florida, when the research was conducted. Brittany Jackson, MPH, was Research Assistant, Moffitt Cancer Center and Research Institute, Tampa, Florida, when the research was conducted. Kimberly R. Williams, MPH, MS, is Research Assistant, Moffitt Cancer Center and Research Institute, Tampa, Florida. Shannon M. Christy, PhD, is Assistant Professor, University of Tennessee Health Science Center, Memphis. At the time this research was completed, she was a Postdoctoral Fellow at Health Outcomes and Behavior, Moffitt Cancer Center and Research Institute, Tampa, Florida. Susan T. Vadaparampil, PhD, is Senior Member, Moffitt Cancer Center and Research Institute, Tampa, Florida, and Professor, University of South Florida College of Medicine, Tampa, Florida. Gwendolyn P. Quinn, PhD, is Livia Wan Endowed Chair, New York University Medical Center, New York. At the time this research was completed, she was a Senior Member at Health Outcomes and Behavior, Moffitt Cancer Center and Research Institute, Tampa, Florida, and Professor University of South Florida College of Medicine, Tampa, Florida. David Shibata, MD, is Professor, University of Tennessee Health Science Center, Memphis. At the time this research was underway, he was a Senior Member at Moffitt Cancer Center and Research Institute, Tampa, Florida. Richard Roetzheim, MD, is Senior Member, Moffitt Cancer Center and Research Institute, Tampa, Florida, and Professor, University of South Florida College of Medicine, Tampa, Florida. Cathy D. Meade, PhD, RN, FAAN, is Senior Member, Moffitt Cancer Center and Research Institute, Tampa, Florida, and Professor, University of South Florida College of Medicine, Tampa, Florida. Clement K. Gwede, PhD, MPH, RN, FAAN, is Senior Member, Moffitt Cancer Center and Research Institute, Tampa, Florida, and Professor, University of South Florida College of Medicine, Tampa, Florida.

出版信息

Nurs Res. 2018 May/Jun;67(3):212-221. doi: 10.1097/NNR.0000000000000274.

DOI:10.1097/NNR.0000000000000274
PMID:29698327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5925754/
Abstract

BACKGROUND

Recruiting ethnically diverse Black participants to an innovative, community-based research study to reduce colorectal cancer screening disparities requires multipronged recruitment techniques.

OBJECTIVES

This article describes active, passive, and snowball recruitment techniques, and challenges and lessons learned in recruiting a diverse sample of Black participants.

METHODS

For each of the three recruitment techniques, data were collected on strategies, enrollment efficiency (participants enrolled/participants evaluated), and reasons for ineligibility.

RESULTS

Five hundred sixty individuals were evaluated, and 330 individuals were enrolled. Active recruitment yielded the highest number of enrolled participants, followed by passive and snowball. Snowball recruitment was the most efficient technique, with enrollment efficiency of 72.4%, followed by passive (58.1%) and active (55.7%) techniques. There were significant differences in gender, education, country of origin, health insurance, and having a regular physician by recruitment technique (p < .05).

DISCUSSION

Multipronged recruitment techniques should be employed to increase reach, diversity, and study participation rates among Blacks. Although each recruitment technique had a variable enrollment efficiency, the use of multipronged recruitment techniques can lead to successful enrollment of diverse Blacks into cancer prevention and control interventions.

摘要

背景

招募不同种族的黑人参与者参与一项创新的、基于社区的研究以减少结直肠癌筛查差异,需要采用多管齐下的招募技术。

目的

本文描述了主动、被动和滚雪球式招募技术,以及在招募不同黑人样本时遇到的挑战和经验教训。

方法

对于三种招募技术中的每一种,收集了关于策略、招募效率(招募的参与者/评估的参与者)和不符合资格的原因的数据。

结果

共评估了560人,招募了330人。主动招募的参与者人数最多,其次是被动招募和滚雪球式招募。滚雪球式招募是最有效的技术,招募效率为72.4%,其次是被动招募(58.1%)和主动招募(55.7%)。按招募技术划分,在性别、教育程度、原籍国、医疗保险和是否有固定医生方面存在显著差异(p < 0.05)。

讨论

应采用多管齐下的招募技术,以扩大黑人的覆盖面、多样性和研究参与率。虽然每种招募技术的招募效率各不相同,但使用多管齐下的招募技术可以成功地将不同的黑人招募到癌症预防和控制干预措施中。

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