School of Nursing, Columbia University, New York, NY, USA.
Department of Biomedical Informatics, Columbia University, New York, NY, USA.
AIDS Behav. 2024 Sep;28(9):2836-2849. doi: 10.1007/s10461-024-04355-6. Epub 2024 May 4.
Effective recruitment strategies are pivotal for informatics-based intervention trials success, particularly for people living with HIV (PLWH), where engagement can be challenging. Although informatics interventions are recognized for improving health outcomes, the effectiveness of their recruitment strategies remains unclear. We investigated the application of a social marketing framework in navigating the nuances of recruitment for informatics-based intervention trials for PLWH by examining participant experiences and perceptions. We used qualitative descriptive methodology to conduct semi-structured interviews with 90 research participants from four informatics-based intervention trials. Directed inductive and deductive content analyses were guided by Howcutt et al.'s social marketing framework on applying the decision-making process to research recruitment. The majority were male (86.7%), living in the Northeast United States (56%), and identified as Black (32%) or White (32%). Most participants (60%) completed the interview remotely. Sixteen subthemes emerged from five themes: motivation, perception, attitude formation, integration, and learning. Findings from our interview data suggest that concepts from Howcutt et al.'s framework informed participants' decisions to participate in an informatics-based intervention trial. We found that the participants' perceptions of trust in the research process were integral to the participants across the four trials. However, the recruitment approach and communication medium preferences varied between older and younger age groups. Social marketing framework can provide insight into improving the research recruitment process. Future work should delve into the complex interplay between the type of informatics-based interventions, trust in the research process, and communication preferences, and how these factors collectively influence participants' willingness to engage.
有效的招募策略对于基于信息学的干预试验的成功至关重要,特别是对于艾滋病毒感染者(PLWH),他们的参与可能具有挑战性。尽管信息学干预措施已被证明可以改善健康结果,但它们的招募策略的有效性仍不清楚。我们通过检查参与者的经验和看法,研究了社会营销框架在导航基于信息学的干预试验招募细微差别中的应用,这些试验针对的是艾滋病毒感染者。我们使用定性描述性方法对来自四项基于信息学的干预试验的 90 名研究参与者进行了半结构式访谈。受 Howcutt 等人的社会营销框架指导,我们应用决策过程来指导研究招募,对定向归纳和演绎内容分析进行了指导。大多数参与者(86.7%)为男性,居住在美国东北部(56%),并自我认同为黑人(32%)或白人(32%)。大多数参与者(60%)通过远程完成了访谈。五个主题下出现了十六个子主题:动机、感知、态度形成、整合和学习。我们的访谈数据表明,Howcutt 等人框架中的概念为参与者参与基于信息学的干预试验的决策提供了信息。我们发现,参与者对研究过程的信任度是所有四项试验参与者的关键。然而,招募方法和沟通媒介偏好因年龄组而异。社会营销框架可以为改进研究招募过程提供见解。未来的工作应该深入研究基于信息学的干预类型、对研究过程的信任以及沟通偏好之间的复杂相互作用,以及这些因素如何共同影响参与者的参与意愿。
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