Recruitment and Retention of Older Minorities in Mental Health Services Research

Areán, Patricia A.; Alvidrez, Jennifer; Nery, Rowena; Estes, Carroll L.; Linkins, Karen W.

doi:10.1093/geront/43.1.36

Cited by 137 publications

(154 citation statements)

References 19 publications

(15 reference statements)

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“…Although heterogeneity of studies and populations renders definitive comparisons difficult, the poor showing of community outreach merits further exploration as this is a commonly proposed intervention. 3,7,9,10,22,72 It is important to note that community outreach likely has the advantage of being the recruitment strategy that may alleviate distrust. 3,6 Our finding that outreach rarely was the most effective independent strategy may stem from the individual studies/populations in our review.…”

Section: Resultsmentioning

confidence: 99%

Recruiting Vulnerable Populations into Research: A Systematic Review of Recruitment Interventions

2007

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BACKGROUND: Members of vulnerable populations are underrepresented in research studies.OBJECTIVE: To evaluate and synthesize the evidence regarding interventions to enhance enrollment of vulnerable populations into health research studies.DATA SOURCES: Studies were identified by searching MEDLINE, the Web of Science database, personal sources, hand searching of related journals, and article references. Studies that contained data on recruitment interventions for vulnerable populations (minority, underserved, poor, rural, urban, or inner city) and for which the parent study (study for which recruitment was taking place) was an intervention study were included. A total of 2,648 study titles were screened and 48 articles met inclusion criteria, representing 56 parent studies. Two investigators extracted data from each study.RESULTS: African Americans were the most frequently targeted population (82% of the studies), while 46% targeted Hispanics/Latinos. Many studies assessed 2 or more interventions, including social marketing (82% of studies), community outreach (80%), health system recruitment (52%), and referrals (28%). The methodologic rigor varied substantially. Only 40 studies (71%) incorporated a control group and 21% used statistical analysis to compare interventions. Social marketing, health system, and referral recruitment were each found to be the most successful intervention about 35-45% of the studies in which they were attempted, while community outreach was the most successful intervention in only 2 of 16 studies (13%) in which it was employed. People contacted as a result of social marketing were no less likely to enroll than people contacted through other mechanisms. CONCLUSIONS:Further work with greater methodologic rigor is needed to identify evidence-based strategies for increasing minority enrollment in research studies; community outreach, as an isolated strategy, may be less successful than other strategies.

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Section: Resultsmentioning

confidence: 99%

Recruiting Vulnerable Populations into Research: A Systematic Review of Recruitment Interventions

2007

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“…The few studies addressing retention issues highlighted the importance of having the same interviewers or field staff over time; having staff from the targeted community; providing social support; and having accessible locations for intervention implementation and/or data collection, regular telephone reminders, and timely incentive payments (7,9,40,49,83,89,120). DilworthAnderson and colleagues (32) point out the importance of the interviewers' knowledge of family dynamics and providing a toll-free phone number to participants to increase accessibility of project staff.…”

Section: Retentionmentioning

confidence: 99%

Effective Recruitment and Retention of Minority Research Participants

Yancey

Ortega

Kumanyika

2006

Annu. Rev. Public Health

975

1,102

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describing methods of increasing minority enrollment and retention in research studies, more than three times the average annual output of scholarly work in this area during the prior 15-year period. Ten themes emerged from the 75 studies that were primarily descriptive. The remaining 20 studies, which directly analyzed the efficacy or effectiveness of recruitment/retention strategies, were examined in detail and provided useful insights related to four of the ten factors: sampling approach/identification of targeted participants, community involvement/nature and timing of contact with prospective participants, incentives and logistical issues, and cultural adaptations. We then characterized the current state of this literature, discussing implications for future research needs and directions.

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“…Some studies have found success in matching recruiters with the race/ethnicity of participants 90 or utilizing a community member as a recruiter 91 Others have found recruiter experience and/or training recruiters to be more important than ethnic matching. 91 A potential participant's ethnic identity is likely an important mediating factor in whether race/ ethnicity-matched recruitment will be effective. 92 Cultural targeting is also relevant to intervention implementation, discussed below.…”

Section: Recruitmentmentioning

confidence: 99%