Recruitment in Clinical Versus Community-Based Sites for a Pilot Youth Diabetes Prevention Program, East Harlem, New York, 2011–2012

Introduction Little is known about successful strategies for recruitment of youth for research. The objective of this study was to compare clinical sites with community sites in the recruitment of teenagers for a new youth diabetes prevention program in East Harlem, New York. Methods We ass...

Full description

Bibliographic Details
Main Authors: Nita Vangeepuram, MD, MPH, Kenya Townsend, Guedy Arniella, MS, LCSW
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2016-01-01
Series:Preventing Chronic Disease
Subjects:
Online Access:http://www.cdc.gov/pcd/issues/2016/15_0449.htm
_version_ 1797668580323491840
author Nita Vangeepuram, MD, MPH
Kenya Townsend
Guedy Arniella, MS, LCSW
author_facet Nita Vangeepuram, MD, MPH
Kenya Townsend
Guedy Arniella, MS, LCSW
author_sort Nita Vangeepuram, MD, MPH
collection DOAJ
description Introduction Little is known about successful strategies for recruitment of youth for research. The objective of this study was to compare clinical sites with community sites in the recruitment of teenagers for a new youth diabetes prevention program in East Harlem, New York. Methods We assessed diabetes risk for youth (aged 13–19 y) by measuring body mass index (BMI). We then screened overweight and obese youth for prediabetes using oral glucose tolerance testing, had them complete a health and lifestyle survey, and enrolled prediabetic youth into peer-led workshops. The recruitment strategies were 1) clinical referrals and 2) screenings at community sites. We compared the number of adolescents screened, the proportion eligible for testing, the proportion diagnosed with prediabetes, baseline characteristics, and the retention rates between those recruited in clinical and community sites. Results In 3 months, we completed BMI screening for 156 adolescents from community sites and 30 from clinical sites. Overall, 47% were at risk for diabetes on the basis of BMI, and 63% returned for diabetes testing; 35% had prediabetes, and 1 teenager had diabetes. Clinical sites yielded higher rates of diabetes risk on the basis of BMI and higher rates of return for screening and diagnosed prediabetes. Although demographics and BMI did not vary by recruitment site, we found differences in behaviors, self-efficacy, body image, and social support. There were no differences by recruitment site in workshop enrollment or completion or return for follow-up. Conclusion Both recruitment strategies were successful, and participants from both groups had high rates of undiagnosed prediabetes. Our approach allowed access to more adolescents and opportunities for education about diabetes in the community.
first_indexed 2024-03-11T20:31:26Z
format Article
id doaj.art-8c7c016e17cf42edb4cacfb5876e4eba
institution Directory Open Access Journal
issn 1545-1151
1545-1151
language English
last_indexed 2024-03-11T20:31:26Z
publishDate 2016-01-01
publisher Centers for Disease Control and Prevention
record_format Article
series Preventing Chronic Disease
spelling doaj.art-8c7c016e17cf42edb4cacfb5876e4eba2023-10-02T08:34:47ZengCenters for Disease Control and PreventionPreventing Chronic Disease1545-11511545-11512016-01-0113http://dx.doi.org/10.5888/pcd13.150449Recruitment in Clinical Versus Community-Based Sites for a Pilot Youth Diabetes Prevention Program, East Harlem, New York, 2011–2012Nita Vangeepuram, MD, MPHKenya TownsendGuedy Arniella, MS, LCSWIntroduction Little is known about successful strategies for recruitment of youth for research. The objective of this study was to compare clinical sites with community sites in the recruitment of teenagers for a new youth diabetes prevention program in East Harlem, New York. Methods We assessed diabetes risk for youth (aged 13–19 y) by measuring body mass index (BMI). We then screened overweight and obese youth for prediabetes using oral glucose tolerance testing, had them complete a health and lifestyle survey, and enrolled prediabetic youth into peer-led workshops. The recruitment strategies were 1) clinical referrals and 2) screenings at community sites. We compared the number of adolescents screened, the proportion eligible for testing, the proportion diagnosed with prediabetes, baseline characteristics, and the retention rates between those recruited in clinical and community sites. Results In 3 months, we completed BMI screening for 156 adolescents from community sites and 30 from clinical sites. Overall, 47% were at risk for diabetes on the basis of BMI, and 63% returned for diabetes testing; 35% had prediabetes, and 1 teenager had diabetes. Clinical sites yielded higher rates of diabetes risk on the basis of BMI and higher rates of return for screening and diagnosed prediabetes. Although demographics and BMI did not vary by recruitment site, we found differences in behaviors, self-efficacy, body image, and social support. There were no differences by recruitment site in workshop enrollment or completion or return for follow-up. Conclusion Both recruitment strategies were successful, and participants from both groups had high rates of undiagnosed prediabetes. Our approach allowed access to more adolescents and opportunities for education about diabetes in the community.http://www.cdc.gov/pcd/issues/2016/15_0449.htmdiabeteschildren's healthyouth diabetes preventiondiabetes prevention
spellingShingle Nita Vangeepuram, MD, MPH
Kenya Townsend
Guedy Arniella, MS, LCSW
Recruitment in Clinical Versus Community-Based Sites for a Pilot Youth Diabetes Prevention Program, East Harlem, New York, 2011–2012
Preventing Chronic Disease
diabetes
children's health
youth diabetes prevention
diabetes prevention
title Recruitment in Clinical Versus Community-Based Sites for a Pilot Youth Diabetes Prevention Program, East Harlem, New York, 2011–2012
title_full Recruitment in Clinical Versus Community-Based Sites for a Pilot Youth Diabetes Prevention Program, East Harlem, New York, 2011–2012
title_fullStr Recruitment in Clinical Versus Community-Based Sites for a Pilot Youth Diabetes Prevention Program, East Harlem, New York, 2011–2012
title_full_unstemmed Recruitment in Clinical Versus Community-Based Sites for a Pilot Youth Diabetes Prevention Program, East Harlem, New York, 2011–2012
title_short Recruitment in Clinical Versus Community-Based Sites for a Pilot Youth Diabetes Prevention Program, East Harlem, New York, 2011–2012
title_sort recruitment in clinical versus community based sites for a pilot youth diabetes prevention program east harlem new york 2011 2012
topic diabetes
children's health
youth diabetes prevention
diabetes prevention
url http://www.cdc.gov/pcd/issues/2016/15_0449.htm
work_keys_str_mv AT nitavangeepurammdmph recruitmentinclinicalversuscommunitybasedsitesforapilotyouthdiabetespreventionprogrameastharlemnewyork20112012
AT kenyatownsend recruitmentinclinicalversuscommunitybasedsitesforapilotyouthdiabetespreventionprogrameastharlemnewyork20112012
AT guedyarniellamslcsw recruitmentinclinicalversuscommunitybasedsitesforapilotyouthdiabetespreventionprogrameastharlemnewyork20112012