A successful approach to minimizing attrition in racial/ethnic minority, low-income populations
| Autor: | Alberto Portillo, Candy Walker, Glenn Flores, Marco Fierro, Monica Henry, Hua Lin, Kenneth Massey |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Low income
Gerontology Article law.invention Kids' HELP Kids' Health insurance by Educating Lots of Parents 03 medical and health sciences 0302 clinical medicine Financial incentives Randomized controlled trial law Minority groups RCT randomized controlled trial Medicine Attrition 030212 general & internal medicine African Americans Pharmacology lcsh:R5-920 030505 public health business.industry Research subject recruitment General Medicine CHIP Children's Health Insurance Program medicine.disease Confidence interval Racial ethnic Clinical trial Randomized controlled trials Patient dropouts Hispanic Americans lcsh:Medicine (General) 0305 other medical science business Staff training |
| Zdroj: | Contemporary Clinical Trials Communications, Vol 5, Iss C, Pp 168-174 (2017) Contemporary Clinical Trials Communications |
| ISSN: | 2451-8654 |
| DOI: | 10.1016/j.conctc.2017.01.009 |
| Popis: | Background Recruiting and retaining minority participants in clinical trials continue to be major challenges. Although multiple studies document lower minority trial enrollment, much less is known about effective minority retention strategies. Our objectives were to evaluate an innovative approach to high RCT retention of minority children, and identify child/caregiver characteristics predicting attrition. Methods The Kids' HELP trial examined the effects of Parent Mentors on insuring uninsured minority children. We tested a retention strategic framework consisting of: 1) optimizing cultural/linguistic competency; 2) staff training on participant relationships and trust; 3) comprehensive participant contact information; 4) an electronic tracking database; 5) reminders for upcoming outcomes-assessment appointments; 6) frequent, sustained contact attempts for non-respondents; 7) financial incentives; 8) individualized rapid-cycle quality-improvement approaches to non-respondents; 9) reinforcing study importance; and 10) home assessment visits. We compared attrition in Kids' HELP vs. two previous RCTs in similar populations, and conducted bivariate and multivariable analyses of factors associated with Kids' HELP attrition. Results Attrition in Kids' HELP was lower than in two similar RCTs, at 10.9% vs. 37% and 40% (P |
| Databáze: | OpenAIRE |
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