نگهداری آمریکایی های آفریقایی کم درآمد
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نگهداری آمریکایی های آفریقایی کم درآمد

عنوان فارسی مقاله: آموخته هایی برای استخدام و نگهداری آمریکایی های آفریقایی کم درآمد
عنوان انگلیسی مقاله: Lessons learned for recruitment and retention of low-income African Americans
مجله/کنفرانس: ارتباطات آزمایشات بالینی معاصر - Contemporary Clinical Trials Communications
رشته های تحصیلی مرتبط: مدیریت، علوم اجتماعی
گرایش های تحصیلی مرتبط: مدیریت منابع انسانی، مدیریت استراتژیک، پژوهشگری اجتماعی، مدیریت استراتژیک منابع انسانی
کلمات کلیدی فارسی: کم درآمد، آمریکایی های آفریقایی، فشار خون بالا، استخدام، نگهداری، خودمدیریتی
کلمات کلیدی انگلیسی: Low-income، African Americans، Hypertension، Recruitment، Retention، Self-management
نوع نگارش مقاله: مقاله پژوهشی (Research Article)
نمایه: PubMed Central - Scopus - Master Journals List - DOAJ
شناسه دیجیتال (DOI): https://doi.org/10.1016/j.conctc.2020.100533
دانشگاه: College of Nursing, University of Wisconsin–Milwaukee, 1921 East Hartford Avenue, Milwaukee, WI, 53211, United States
ناشر: الزویر - Elsevier
نوع ارائه مقاله: ژورنال
نوع مقاله: ISI
سال انتشار مقاله: 2020
ایمپکت فاکتور: 1/005 در سال 2019
شاخص H_index: 6 در سال 2020
شاخص SJR: 0/453 در سال 2019
شناسه ISSN: 2451-8654
شاخص Quartile (چارک): Q3 در سال 2019
فرمت مقاله انگلیسی: PDF
تعداد صفحات مقاله انگلیسی: 6
وضعیت ترجمه: ترجمه نشده است
قیمت مقاله انگلیسی: رایگان
آیا این مقاله بیس است: خیر
آیا این مقاله مدل مفهومی دارد: ندارد
آیا این مقاله پرسشنامه دارد: ندارد
آیا این مقاله متغیر دارد: ندارد
کد محصول: E14381
رفرنس: دارای رفرنس در داخل متن و انتهای مقاله
فهرست انگلیسی مطالب

Abstract


1- Introduction


2- Method


3- Discussion


4- Conclusion


References

نمونه متن انگلیسی مقاله

Abstract


Recruitment and retention of low-income African Americans in clinical trials is challenging. This paper reports recruitment and retention strategies that yielded high rates for both in a clinical trial pilot to improve hypertension self-management among low-income African Americans. The study successfully recruited 96.7% (59 of 61 participants) within a seven month period. Retention rates for the 1, 3, and 6-month post-baseline assessment visits were 91.5%, 88.1%, and 83.1%, respectively. Recruitment and retention strategies include two grounded in previous literature: a culturally sensitive and diverse research team and use of incentives. Four additional strategies were developed for this study to meet the needs of the study site and participants, which included: study site collaboration; ongoing communications; responding to the clinical environment; and addressing participants’ health literacy levels. A discussion of key recruitment and retention strategies and suggestions for future studies focused on low-income African American participants ensues.


Introduction


Effective recruitment and retention strategies are essential to the overall success of clinical trials. Low recruitment and high attrition rates result in inequitable distribution of research risks and benefits and undermine the trial results [1]. Despite the well-established finding that health disparities in minority populations persist, minorities are underrepresented in health research. This creates barriers to meaningful research as it reduces analytic sample sizes, statistical power, generalizability, and consequently the validity of overall study outcomes. This negatively affects the validity of research and undermines the collection of evidence for eliminating health disparities [2–4]. Recruitment and retention of African American participants are major challenges in research. They are particularly daunting challenges for follow-up assessment monitoring behavior change [1,3,5]. Low levels of participation by minorities are often attributed to a lack of trust in researchers because of historical breeches of ethical research conduct [2,3]. Research exploring interventions designed to reduce the health disparities of hypertension and other chronic illnesses in low-income African Americans is needed [6]. Among all race/ethnicity subgroups in the US, African Americans have the highest hypertension prevalence (58.6% among men and 56.0% among women), which, when compared to the prevalence among whites (48.2% among men and 41.3% among women) [7], is a major disparity. There is a need to explore culturally appropriate strategies to improve recruitment and retention successes with African Americans. This would provide a stronger foundation for designing interventions that eradicate health disparities in hypertension for low-income African Americans [2,3,8]. Literature on promoting hypertension self-management in lowincome African Americans is scarce and lacks critical information on recruitment and retention strategies. In a thorough review of papers examining this, we found only a few intervention studies with hypertensive low-income African-Americans adults and all indicated recruitment and retention challenges [9–12]. We found one study specifically on hypertensive low-income African-Americans adults [13]. Although the study reported a high retention rate (100%) over 8 weeks, the strategies used were not described. Other studies reported recruitment and retention strategies designed to enhance participation of African Americans of all incomes in clinical trials on chronic diseases other than hypertension [8,14–16]. Strategies included benefits to participation, convenience of participation, safety assurances, and trust.

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