The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, NH, USA.
The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, NH, USA.
J Am Med Dir Assoc. 2024 Jun;25(6):104978. doi: 10.1016/j.jamda.2024.02.016. Epub 2024 Apr 6.
To describe and compare the recruitment methods employed in a randomized controlled trial targeting long-term care workers, and resulting participant baseline characteristics.
We used a multifaceted recruitment process to enroll long-term care workers in our 3-arm randomized controlled trial comparing 2 interventions to enhanced usual practice, for improving COVID-19 vaccine confidence and other outcomes.
Adult long-term care workers living in the United States employed within the last 2 years were invited to join the study. Participants also had to meet specific screening criteria related to their degree of worry about the vaccine and/or their vaccination status.
We used a participatory approach to engage our long-term care stakeholders in codesigning and executing a combination of recruitment methods, including targeted e-recruitment, paid e-recruitment, and in-person recruitment. Participants were screened, consented, and enrolled online. We implemented a participant verification process to ensure the integrity of our study data, and used a tailored participant management platform to manage enrollment.
We enrolled 1930 long-term care workers between May 2022 and January 2023. We met our enrollment target, despite each recruitment method having limitations. Total variable costs of approximately $102,700 were incurred and differed on a per-enrolled participant basis across methods: $25.73 for targeted e-recruitment, $57.12 for paid e-recruitment, and $64.92 for in-person methods. Our sample differed from the national population in age, gender, race/ethnicity, education, and role in long-term care. Differences were also observed between online and in-person recruitment methods.
Our results support the feasibility of enrolling a large number of long-term care workers in a randomized controlled trial to increase COVID-19 vaccine confidence. Findings build upon the evidence base for engaging this important population in research, a critical step to improving long-term care resident health and well-being. Results from our trial are anticipated in 2024.
描述并比较一项针对长期护理工作者的随机对照试验所采用的招募方法，并比较由此产生的参与者基线特征。
我们采用了多方面的招募流程，将美国的长期护理工作者纳入我们的三臂随机对照试验，比较两种干预措施与增强常规实践的效果，以提高 COVID-19 疫苗信心和其他结果。
在过去 2 年内受雇于美国长期护理机构的成年长期护理工作者被邀请参加这项研究。参与者还必须符合与他们对疫苗的担忧程度和/或疫苗接种状况相关的特定筛选标准。
我们采用了一种参与式的方法，让我们的长期护理利益相关者共同设计和执行一系列招募方法，包括有针对性的电子招募、付费电子招募和现场招募。参与者通过在线进行筛选、同意和注册。我们实施了参与者验证程序，以确保我们研究数据的完整性，并使用定制的参与者管理平台来管理注册。
我们于 2022 年 5 月至 2023 年 1 月期间共招募了 1930 名长期护理工作者。尽管每种招募方法都存在局限性，但我们达到了招募目标。总可变成本约为 102700 美元，按每个参与者注册的方式在不同方法之间有所不同：有针对性的电子招募为 25.73 美元，付费电子招募为 57.12 美元，现场方法为 64.92 美元。我们的样本在年龄、性别、种族/民族、教育程度和在长期护理中的角色方面与全国人口不同。在线和现场招募方法之间也存在差异。
我们的研究结果支持在随机对照试验中招募大量长期护理工作者以提高 COVID-19 疫苗信心的可行性。研究结果为招募这一重要人群参与研究提供了依据，这是改善长期护理居民健康和福祉的关键步骤。我们的试验结果预计在 2024 年公布。
