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在纵向研究中招募并留住服务机构和公共卫生服务提供者:对社区参与式实施研究的启示

Recruiting and retaining service agencies and public health providers in longitudinal studies: Implications for community-engaged implementation research.

作者信息

Pinto Rogério M, Witte Susan S, Wall Melanie M, Filippone Prema L

机构信息

School of Social Work, University of Michigan, Ann Arbor, MI, USA.

School of Social Work, Columbia University, New York, NY, USA.

出版信息

Method Innov. 2018 Jan-Apr;11(1). doi: 10.1177/2059799118770996. Epub 2018 Apr 30.

Abstract

This article addresses a lack of attention in the implementation science literature regarding how to overcome recruitment and retention challenges in longitudinal studies involving large samples of service agencies and health service providers ("providers"). Herein, we provide a case-illustration of procedures that improved recruitment and retention in a longitudinal, mixed-method study-Project Interprofessional Collaboration Implementation-funded by the US National Institute of Mental Health. Project Interprofessional Collaboration Implementation included counselors, program workers, educators, and supervisors. We present a research-engagement model to overcome barriers that included developing a low-burden study, social gatherings to engage stakeholders, protocols to recruit agencies and providers, comprehensive record-keeping, research procedures as incentives to participation, a plan to retain hard-to-reach participants, and strategies for modifying incentives over time. Using our model, we retained 36 agencies over the life of the project. Between baseline (N = 379) and 12-month follow-up (N = 285), we retained 75% of the sample and between the 12- (N = 285) and 24-month follow-ups (N = 256), we retained 90%. For qualitative interviews (between baseline and 12-month follow-up and between 12- and 24-month follow-ups), we retained 100% of the sample (N = 20). We provide a summary of frequency of contacts required to initiate data collection and time required for data collection. The model responded to environmental changes in policy and priorities that would not have been achievable without the expertise of community partners. To recruit and retain large samples longitudinally, researchers must strategically engage community partners. The strategies imbedded in our model can be performed with moderate levels of effort and human resources. Creating opportunities for research partners to participate in all phases of the research cycle is recommended, which can help build research capacity for future research.

摘要

本文探讨了实施科学文献中对如何克服在涉及大量服务机构和卫生服务提供者(“提供者”)样本的纵向研究中招募和保留参与者方面缺乏关注的问题。在此,我们提供一个案例说明,展示了在美国国立精神卫生研究所资助的一项纵向混合方法研究——跨专业协作实施项目中,用于改善招募和保留参与者的程序。跨专业协作实施项目包括咨询师、项目工作人员、教育工作者和主管。我们提出了一个研究参与模型,以克服包括开展低负担研究、举办社交聚会以吸引利益相关者、招募机构和提供者的方案、全面记录保存、将研究程序作为参与激励措施、保留难以接触到的参与者的计划以及随时间修改激励措施的策略在内的障碍。使用我们的模型,在项目实施期间我们保留了36个机构。在基线期(N = 379)和12个月随访期(N = 285)之间,我们保留了75%的样本,在12个月随访期(N = 285)和24个月随访期(N = 256)之间,我们保留了90%。对于定性访谈(在基线期和12个月随访期之间以及在12个月和24个月随访期之间),我们保留了100%的样本(N = 20)。我们提供了启动数据收集所需的联系频率和数据收集所需时间的总结。该模型应对了政策和优先事项方面的环境变化,而没有社区合作伙伴的专业知识这些是无法实现的。为了纵向招募和保留大量样本,研究人员必须策略性地与社区合作伙伴合作。我们模型中所包含的策略可以通过适度的努力和人力资源来实施。建议为研究合作伙伴创造参与研究周期所有阶段的机会,这有助于为未来研究建立研究能力。

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