Recruitment and retention of homeless mentally ill participants in research.

Hough, Richard L.; Tarke, Henry; Renker, Virginia; Shields, Patricia; Glatstein, Jeff

doi:10.1037//0022-006x.64.5.881

Cited by 23 publications

(2 citation statements)

References 27 publications

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“…We believe that some of their negative biases toward the intervention could be based on their own experiences with the social aspect of the risk of homelessness. This might have led them to have poor self-esteem, distrust of the research staff and the SKY Schools facilitators, and concern with their own difficulties, as previously suggested by Hough et al [ 28 ].…”

Section: Implications and Future Directionsmentioning

confidence: 88%

“…Our poor recruitment rate likely reflects the nature of the underlying study population. It has been previously demonstrated that it is hard to recruit participants from this population as they are generally found to be distrustful of research studies, feel withdrawn, or are concerned with their own difficulties associated with being homeless or at risk of homelessness [ 28 ]. This study recruited participants from London, Ontario only, which as of July 14, 2021, was reported to have 1278 people who identified themselves as homeless [ 29 ], 20% of whom are expected to be youth [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

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A feasibility (pilot) mixed methods study of an innovative non-pharmacological breath-based yoga and social-emotional intervention program in an at-risk youth sample in London, Canada

Vasudev,

Ionson,

Sathiaselan

et al. 2024

Pilot Feasibility Stud

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Background Various service provision models for youth at risk of homelessness have been researched and implemented, including access to housing and physical and mental health resources. However, even with these interventions, we remain unaware of how best to manage symptoms of depression and anxiety and the rate of drug use in these populations primarily because of a lack of feasibility data. Methods This paper presents the results of a mixed-methods study in London, Canada, that examined the feasibility of implementing a biopsychosocial intervention, SKY Schools, in at-risk youth aged between 16 and 25 (n = 49). The study also recorded qualitative responses about the program’s usefulness from the perspective of the service users. The SKY Schools intervention consisted of social-emotional learning combined with Sudarshan Kriya Yoga, a standardized yoga-based breathing exercise routine. The intervention program was divided into two phases: an active learning phase and a reinforcement phase. The following feasibility outcome measures were collected: (1) the number of potential participants approached per month, (2) number (proportion) who were successfully screened, (3) the proportion of screened participants who enrolled, (4) the rate of retention in the study, (5) rate of adherence to study protocol, (6) proportion of planned ratings that were completed, (7) intervention cost per case, (8) completeness of final data for analysis, (9) length of time to collect all data, (10) quality of all collected data, (11) determining if partnering community organizations were willing to conduct the study as per study protocol, (12) determining if there were any capacity issues with partners providing intervention and investigators being able to perform the tasks that they were committed to doing, (13) determining if there were any problems of entering the data into a computer, (14) preliminary data about the safety of the intervention, and (15) preliminary estimate of treatment effects. Results All feasibility outcome measures were collectible. In the city of London, Canada it was feasible to conduct a pilot study in this population of youth at risk of homelessness. Foremost among the findings was a high retention rate (61.2%) and overall positive qualitative feedback with a number of potential suggestions to improve the delivery and quality of the intervention. However, we had a significantly low recruitment rate (0.27 participants per week) suggesting that multiple sites will be needed to achieve an adequate sample size for a subsequent definitive trial. Conclusions Future researchers may consider the findings of this feasibility study when designing a randomized control trial to further assess the efficacy and tolerability of SKY Schools. Trial registration Trial registration: Clinicaltrials.gov, identifier NCT02749240. Registered April 22, 2016, https://clinicaltrials.gov/ct2/show/NCT02749240.

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Section: Implications and Future Directionsmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

A feasibility (pilot) mixed methods study of an innovative non-pharmacological breath-based yoga and social-emotional intervention program in an at-risk youth sample in London, Canada

Vasudev,

Ionson,

Sathiaselan

et al. 2024

Pilot Feasibility Stud

View full text Add to dashboard Cite

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Research with Severely Mentally Ill Latinas: Successful Recruitment and Retention Strategies

Loue

Sajatovic

2007

J Immigrant Minority Health

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Individuals from minority groups in the United States have been found less likely than non-Hispanic whites to participate in research studies. The recruitment and retention of individuals from minority groups has also proved challenging. We describe the challenges that we encountered in recruiting and retaining a sample of severely mentally ill Mexican and Puerto Rican ethnicity for a study of the context of HIV risk. We recruited women in San Diego County, California and northeastern Ohio who were between the ages of 18 and 50 and who had diagnoses of schizophrenia, bipolar disorder, or major depression. We identified challenges to recruitment and retention at the macro, mediator, and micro levels. We were able to retain 81.1% of the Puerto Rican cohort and 26.7% of the Mexican cohort over a 5-year period. The vast majority of barriers to recruitment and retention within the Puerto Rican cohort occurred at the micro (individual) level. Macro level barriers occurred more frequently and impacted retention to a greater extent within the cohort of Mexican women. Our experience underscores the importance of outreach to the community and the interaction between staff and individual participants. Diverse strategies are required to address the impact of migration on follow-up, which may vary across groups.

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