Recruitment of diverse community health center patients in a pragmatic weight gain prevention trial
Abstract Introduction: Pragmatic trials are needed to establish evidence-based obesity treatment in primary care settings, particularly in community health centers (CHCs) that serve populations at heightened risk of obesity. Recruiting a representative trial sample is a critical first step to info...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | Journal of Clinical and Translational Science |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2059866122004757/type/journal_article |
| _version_ | 1811156482521038848 |
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| author | Hailey N. Miller Miriam B. Berger Sandy Askew Melissa C. Kay Miriam Chisholm Gaurav Sirdeshmukh Christina M. Hopkins Ashley Brewer Abigail DeVries Marni Holder Gary G. Bennett |
| author_facet | Hailey N. Miller Miriam B. Berger Sandy Askew Melissa C. Kay Miriam Chisholm Gaurav Sirdeshmukh Christina M. Hopkins Ashley Brewer Abigail DeVries Marni Holder Gary G. Bennett |
| author_sort | Hailey N. Miller |
| collection | DOAJ |
| description |
Abstract
Introduction:
Pragmatic trials are needed to establish evidence-based obesity treatment in primary care settings, particularly in community health centers (CHCs) that serve populations at heightened risk of obesity. Recruiting a representative trial sample is a critical first step to informing care for diverse communities. We described recruitment strategies utilized in a pragmatic obesity trial and assessed the sociodemographic characteristics and odds of enrollment by recruitment strategy.
Methods:
We analyzed data from Balance, a pragmatic trial implemented within a network of CHCs. We recruited participants via health center-based and electronic health record (EHR)-informed mail recruitment. We analyzed associations between sociodemographic characteristics and the return rate of patient authorization forms (required for participation) from EHR-informed mail recruitment. We also compared sociodemographic characteristics and randomization odds by recruitment strategy after returning authorization forms.
Results:
Of the individuals recruited through EHR-informed mail recruitment, females were more likely than males to return authorization forms; however, there were no differences in rates of return by preferred language (English/Spanish) or age. Females; underrepresented racial and ethnic groups; Spanish speakers; younger adults; and those with lower education levels were recruited more successfully in the health center. In contrast, their counterparts were more responsive to mail recruitment. Once authorization forms were returned, the odds of being randomized did not significantly differ by recruitment method.
Conclusion:
Health center-based recruitment was essential to meeting recruitment targets in a pragmatic weight gain prevention trial, specifically for Hispanic and Spanish-speaking communities. Future pragmatic trials should consider leveraging in-person recruitment for underrepresented groups in research.
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| first_indexed | 2024-04-10T04:52:27Z |
| format | Article |
| id | doaj.art-3b4f4038b2694651917fd6bc9d56a4b7 |
| institution | Directory Open Access Journal |
| issn | 2059-8661 |
| language | English |
| last_indexed | 2024-04-10T04:52:27Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Clinical and Translational Science |
| spelling | doaj.art-3b4f4038b2694651917fd6bc9d56a4b72023-03-09T12:31:13ZengCambridge University PressJournal of Clinical and Translational Science2059-86612023-01-01710.1017/cts.2022.475Recruitment of diverse community health center patients in a pragmatic weight gain prevention trialHailey N. Miller0https://orcid.org/0000-0001-6045-6542Miriam B. Berger1Sandy Askew2Melissa C. Kay3https://orcid.org/0000-0002-9695-3126Miriam Chisholm4Gaurav Sirdeshmukh5Christina M. Hopkins6Ashley Brewer7Abigail DeVries8Marni Holder9Gary G. Bennett10School of Nursing, Duke University, Durham, NC, USA Duke Digital Health Science Center, Duke University, Durham, NC, USADuke Digital Health Science Center, Duke University, Durham, NC, USADuke Digital Health Science Center, Duke University, Durham, NC, USADuke Digital Health Science Center, Duke University, Durham, NC, USA Department of Pediatrics, Duke University, Durham, NC, USADuke Digital Health Science Center, Duke University, Durham, NC, USADuke Digital Health Science Center, Duke University, Durham, NC, USA Duke Trinity College of Arts & Sciences, Durham, NC, USADuke Digital Health Science Center, Duke University, Durham, NC, USA Department of Psychology and Neuroscience, Duke University, Durham, NC, USAPiedmont Health Services, Inc., Chapel Hill, NC, USACityblock Health, Charlotte, NC, USADepartment of Family Medicine, UNC-Chapel Hill School of Medicine, Chapel Hill, NC, USADuke Digital Health Science Center, Duke University, Durham, NC, USA Department of Psychology and Neuroscience, Duke University, Durham, NC, USA Abstract Introduction: Pragmatic trials are needed to establish evidence-based obesity treatment in primary care settings, particularly in community health centers (CHCs) that serve populations at heightened risk of obesity. Recruiting a representative trial sample is a critical first step to informing care for diverse communities. We described recruitment strategies utilized in a pragmatic obesity trial and assessed the sociodemographic characteristics and odds of enrollment by recruitment strategy. Methods: We analyzed data from Balance, a pragmatic trial implemented within a network of CHCs. We recruited participants via health center-based and electronic health record (EHR)-informed mail recruitment. We analyzed associations between sociodemographic characteristics and the return rate of patient authorization forms (required for participation) from EHR-informed mail recruitment. We also compared sociodemographic characteristics and randomization odds by recruitment strategy after returning authorization forms. Results: Of the individuals recruited through EHR-informed mail recruitment, females were more likely than males to return authorization forms; however, there were no differences in rates of return by preferred language (English/Spanish) or age. Females; underrepresented racial and ethnic groups; Spanish speakers; younger adults; and those with lower education levels were recruited more successfully in the health center. In contrast, their counterparts were more responsive to mail recruitment. Once authorization forms were returned, the odds of being randomized did not significantly differ by recruitment method. Conclusion: Health center-based recruitment was essential to meeting recruitment targets in a pragmatic weight gain prevention trial, specifically for Hispanic and Spanish-speaking communities. Future pragmatic trials should consider leveraging in-person recruitment for underrepresented groups in research. https://www.cambridge.org/core/product/identifier/S2059866122004757/type/journal_articlePragmatic trialrecruitmentobesitycommunity health centerdiversity |
| spellingShingle | Hailey N. Miller Miriam B. Berger Sandy Askew Melissa C. Kay Miriam Chisholm Gaurav Sirdeshmukh Christina M. Hopkins Ashley Brewer Abigail DeVries Marni Holder Gary G. Bennett Recruitment of diverse community health center patients in a pragmatic weight gain prevention trial Journal of Clinical and Translational Science Pragmatic trial recruitment obesity community health center diversity |
| title | Recruitment of diverse community health center patients in a pragmatic weight gain prevention trial |
| title_full | Recruitment of diverse community health center patients in a pragmatic weight gain prevention trial |
| title_fullStr | Recruitment of diverse community health center patients in a pragmatic weight gain prevention trial |
| title_full_unstemmed | Recruitment of diverse community health center patients in a pragmatic weight gain prevention trial |
| title_short | Recruitment of diverse community health center patients in a pragmatic weight gain prevention trial |
| title_sort | recruitment of diverse community health center patients in a pragmatic weight gain prevention trial |
| topic | Pragmatic trial recruitment obesity community health center diversity |
| url | https://www.cambridge.org/core/product/identifier/S2059866122004757/type/journal_article |
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