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退休村社区研究——在新西兰奥克兰招募有代表性的居民队列的问题。

Research in the retirement village community-The problems of recruiting a representative cohort of residents in Auckland, New Zealand.

机构信息

Department of Geriatric Medicine, University of Auckland and Waitematā District Health Board, Auckland, New Zealand.

Waitematā District Health Board, Auckland, New Zealand.

出版信息

Australas J Ageing. 2021 Jun;40(2):177-183. doi: 10.1111/ajag.12898. Epub 2021 Feb 16.

DOI:10.1111/ajag.12898
PMID:33594804
Abstract

OBJECTIVES

Retirement villages are semi-closed communities, access usually being gained via village managers. This paper explores issues recruiting a representative resident cohort, as background to a study of residents, to acquire sociodemographic, health and disability data and trial an intervention designed to improve outcomes.

METHODS

We planned approaching all Auckland/Waitematā District villages and, via managers, contacting residents ('letter-drop'; 'door-knocks'). In 'small' villages (n ≤ 60 units), we planned contacting all residents, randomly selecting in 'larger' villages. We excluded those with doubtful or absent legal capacity.

RESULTS

We approached managers of 53 of 65 villages. Thirty-four permitted recruitment. Some prohibited 'letter-drops' and/or 'door-knocks'. Hence, we recruited volunteers (23 villages) via meetings, posters, newsletters and word-of-mouth, that is representative sampling obtained from 11/34 villages. We recruited 578 residents (median age = 82 years; 420 = female; 217:361 sampled:volunteers), finding differences in baseline parameters of sampled vs. volunteers.

CONCLUSION

Due to organisational/managers' policy, and national legislation restrictions, our sample does not represent our intended population well. Researchers should investigate alternative data sources, for example electoral rolls and censuses.

摘要

目的

退休村是半封闭社区,通常只能通过村长进入。本文探讨了招募具有代表性的居民群体的问题,为一项研究居民的背景、获取社会人口学、健康和残疾数据以及试验旨在改善结果的干预措施做准备。

方法

我们计划联系奥克兰/怀塔科拉地区的所有村庄,并通过村长联系居民(“信件投递”;“敲门”)。在“小”村庄(n≤60 个单位)中,我们计划随机联系所有居民,而在“大”村庄中则进行随机选择。我们排除了那些法律能力可疑或不存在的人。

结果

我们联系了 65 个村庄中的 53 个村长。34 个允许招募。有些则禁止“信件投递”和/或“敲门”。因此,我们通过会议、海报、通讯和口碑从 23 个村庄中招募了志愿者,即从 11 个村庄中获得了代表性抽样。我们招募了 578 名居民(中位数年龄为 82 岁;420 名为女性;361 名抽样:志愿者),发现抽样与志愿者之间的基线参数存在差异。

结论

由于组织/管理人员的政策以及国家立法限制,我们的样本不能很好地代表我们的目标人群。研究人员应调查其他数据来源,例如选民名单和人口普查。

相似文献

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引用本文的文献

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Health Soc Care Community. 2022 Nov;30(6):e5356-e5365. doi: 10.1111/hsc.13957. Epub 2022 Aug 1.
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An interRAI derived frailty index predicts acute hospitalizations in older adults residing in retirement villages: A prospective cohort study.基于 interRAI 的衰弱指数预测居住在退休村的老年人的急性住院:一项前瞻性队列研究。
PLoS One. 2022 Mar 2;17(3):e0264715. doi: 10.1371/journal.pone.0264715. eCollection 2022.