Fimbel Laurel, Pitts Mikayla, Schure Mark, McCormick Alma Knows His Gun, Held Suzanne
Montana State University, Department of Health and Human Development, Bozeman, Montana.
Messengers for Health, Crow Agency, Montana.
Public Health Rev (Minneap). 2022 Jun 17;5(1).
Recruitment, retention, and adherence within health intervention research have been understudied in Indigenous communities, where well-known health disparities exist. The purpose of this paper is to describe planned versus actual recruitment, retention, and adherence strategies and the evaluation of retention and adherence strategies for a community-based research study of a Chronic Illness (CI) self-management intervention within an Indigenous community. A Community-Based Participatory Research (CBPR) approach was used to develop and implement Báa nnilah, a culturally consonant educational intervention to improve CI self-management. Reasons for participant adherence and retention were tracked and recorded over time. A post-intervention survey assessed barriers and facilitators to intervention adherence. Overall, recruitment, retention, and adherence methods were successful in enrolling and maintaining participation. Using a CBPR approach and culturally consonant strategies may assist in meeting recruitment goals and improving sustained participation of community members, thus impacting health disparities among Indigenous communities.
在存在显著健康差距的原住民社区，健康干预研究中的招募、留存和依从性问题一直未得到充分研究。本文旨在描述一项原住民社区慢性病自我管理干预的社区研究中计划与实际的招募、留存和依从性策略，以及对留存和依从性策略的评估。采用基于社区的参与性研究（CBPR）方法来开发和实施Báa nnilah，这是一种符合文化特点的教育干预措施，以改善慢性病自我管理。随着时间的推移，对参与者依从和留存的原因进行跟踪和记录。干预后调查评估了干预依从性的障碍和促进因素。总体而言，招募、留存和依从性方法在招募和维持参与方面取得了成功。采用CBPR方法和符合文化特点的策略可能有助于实现招募目标，并提高社区成员的持续参与度，从而影响原住民社区的健康差距。
