Recruitment challenges and enrollment observations from a community based intervention (Mothers In Motion) for low-income overweight and obese women

Background: Mothers In Motion (MIM), a randomized controlled trial, aimed to help young, low-income overweight and obese mothers prevent weight gain by promoting stress management, healthy eating, and physical activity. This paper describes MIM recruitment challenges and reports demographic characte...

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Main Authors: Mei-Wei Chang, Susan Nitzke, Roger Brown, M. Jean Brancheau Egan, Christopher M. Bendekgey, Diana Buist
Format: Article
Language:English
Published: Elsevier 2017-03-01
Series:Contemporary Clinical Trials Communications
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451865416300527
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author Mei-Wei Chang
Susan Nitzke
Roger Brown
M. Jean Brancheau Egan
Christopher M. Bendekgey
Diana Buist
author_facet Mei-Wei Chang
Susan Nitzke
Roger Brown
M. Jean Brancheau Egan
Christopher M. Bendekgey
Diana Buist
author_sort Mei-Wei Chang
collection DOAJ
description Background: Mothers In Motion (MIM), a randomized controlled trial, aimed to help young, low-income overweight and obese mothers prevent weight gain by promoting stress management, healthy eating, and physical activity. This paper describes MIM recruitment challenges and reports demographic characteristics affecting enrollment. Methods: Participants who were African American or Non-Hispanic White were recruited from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Michigan. We faced numerous recruitment challenges and learned that several strategies facilitated recruitment. Logistic regression analyses were performed to examine demographic characteristics that affect enrollment. Results: Women who had a higher body mass index (BMI, OR 1.06, 95% CI 1.02–1.10); were at late postpartum, (OR 1.24, 95% CI 1.10–1.40), were breastfeeding (OR 5.0, 95% CI 2.34–10.65); or were at early postpartum and breastfeeding (OR 0.42, 95% CI 0.22–0.81) were more likely to enroll than their counterparts. Compared to African American women, Non-Hispanic White women were more likely to enroll (OR 1.77, 95% CI 1.29–2.42). Also, women who were non-smokers (OR 0.54, 95% CI 0.40–0.73) or had a higher education were more likely to enroll (OR 1.21, 95% CI 1.04–1.42) than those who smoked or had a lower education. Conclusion: Future lifestyle behavioral intervention studies for similar target audiences may consider tailoring their recruitment messages based on relevant participant demographic characteristics identified as potential determinants of enrollment in this study. Trial registration: Clinical Trials NCT01839708.
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spelling doaj.art-9bd3a6d8e9bf4a45b5bfadb4f1e759e52022-12-22T01:08:44ZengElsevierContemporary Clinical Trials Communications2451-86542017-03-015C263310.1016/j.conctc.2016.11.004Recruitment challenges and enrollment observations from a community based intervention (Mothers In Motion) for low-income overweight and obese womenMei-Wei Chang0Susan Nitzke1Roger Brown2M. Jean Brancheau Egan3Christopher M. Bendekgey4Diana Buist5The Ohio State University, College of Nursing, 342 Newton Hall, 1585 Neil Avenue, Columbus, OH 43210, USAUniversity of Wisconsin-Madison, Department of Nutritional Sciences, 1415 Linden Drive, Madison, WI 53706, USAUniversity of Wisconsin-Madison, School of Nursing, 600 Highland Avenue, Madison, WI 53792, USAWIC Michigan Department of Health and Human Services, 320 South Walnut Street, Lansing, MI 48334, USAKent County Health Department, WIC Program, 700 Fuller NE, Grand Rapids, MI 49503, USACalhoun County Public Health Department, WIC Program, 190 E. Michigan Avenue, Battle Creek, MI 49014, USABackground: Mothers In Motion (MIM), a randomized controlled trial, aimed to help young, low-income overweight and obese mothers prevent weight gain by promoting stress management, healthy eating, and physical activity. This paper describes MIM recruitment challenges and reports demographic characteristics affecting enrollment. Methods: Participants who were African American or Non-Hispanic White were recruited from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Michigan. We faced numerous recruitment challenges and learned that several strategies facilitated recruitment. Logistic regression analyses were performed to examine demographic characteristics that affect enrollment. Results: Women who had a higher body mass index (BMI, OR 1.06, 95% CI 1.02–1.10); were at late postpartum, (OR 1.24, 95% CI 1.10–1.40), were breastfeeding (OR 5.0, 95% CI 2.34–10.65); or were at early postpartum and breastfeeding (OR 0.42, 95% CI 0.22–0.81) were more likely to enroll than their counterparts. Compared to African American women, Non-Hispanic White women were more likely to enroll (OR 1.77, 95% CI 1.29–2.42). Also, women who were non-smokers (OR 0.54, 95% CI 0.40–0.73) or had a higher education were more likely to enroll (OR 1.21, 95% CI 1.04–1.42) than those who smoked or had a lower education. Conclusion: Future lifestyle behavioral intervention studies for similar target audiences may consider tailoring their recruitment messages based on relevant participant demographic characteristics identified as potential determinants of enrollment in this study. Trial registration: Clinical Trials NCT01839708.http://www.sciencedirect.com/science/article/pii/S2451865416300527ObesityLifestyle behaviorLow-income womenEnrollmentRecruitment
spellingShingle Mei-Wei Chang
Susan Nitzke
Roger Brown
M. Jean Brancheau Egan
Christopher M. Bendekgey
Diana Buist
Recruitment challenges and enrollment observations from a community based intervention (Mothers In Motion) for low-income overweight and obese women
Contemporary Clinical Trials Communications
Obesity
Lifestyle behavior
Low-income women
Enrollment
Recruitment
title Recruitment challenges and enrollment observations from a community based intervention (Mothers In Motion) for low-income overweight and obese women
title_full Recruitment challenges and enrollment observations from a community based intervention (Mothers In Motion) for low-income overweight and obese women
title_fullStr Recruitment challenges and enrollment observations from a community based intervention (Mothers In Motion) for low-income overweight and obese women
title_full_unstemmed Recruitment challenges and enrollment observations from a community based intervention (Mothers In Motion) for low-income overweight and obese women
title_short Recruitment challenges and enrollment observations from a community based intervention (Mothers In Motion) for low-income overweight and obese women
title_sort recruitment challenges and enrollment observations from a community based intervention mothers in motion for low income overweight and obese women
topic Obesity
Lifestyle behavior
Low-income women
Enrollment
Recruitment
url http://www.sciencedirect.com/science/article/pii/S2451865416300527
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