Type 1 Diabetes eHealth Psychoeducation: Youth Recruitment, Participation, and Satisfaction

Autor: Whittemore, Robin, Jaser, Sarah S, Faulkner, Melissa S, Murphy, Kathryn, Delamater, Alan, Grey, Margaret
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Journal of Medical Internet Research, Vol 15, Iss 1, p e15 (2013)
Druh dokumentu: article
ISSN: 1438-8871
DOI: 10.2196/jmir.2170
Popis: BackgroundThe Internet and other eHealth technologies offer a platform for improving the dissemination and accessibility of psychoeducational programs for youth with chronic illness. However, little is known about the recruitment process and yield of diverse samples in Internet research with youth who have a chronic illness. ObjectiveThe purpose of this study was to compare the demographic and clinical characteristics of youth with Type 1 diabetes on recruitment, participation, and satisfaction with 2 eHealth psychoeducational programs. MethodsYouth with Type 1 diabetes from 4 sites in the United States were invited to participate (N=510) with 320 eligible youth consenting (mean age=12.3, SD 1.1; 55.3% female; 65.2% white; and mean A1C=8.3, SD 1.5). Data for this secondary analysis included demographic information (age, race/ethnicity, and income), depressive symptoms, and recruitment rates, including those who refused at point of contact (22.0%), passive refusers who consented but did not participate (15.3%), and those who enrolled (62.7%). Participation (80% lessons completed) and a satisfaction survey (ie, how helpful, enjoyable) were also analyzed. Chi-square or analysis of variance (ANOVA) analyses were used. ResultsThere were significant differences in recruitment rates by income and race/ethnicity such that black, Hispanic, or mixed race/ethnicity and low-income youth were more likely to refuse passively compared to white and higher-income youth who were more likely to enroll (P
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