Challenges to recruitment and retention of African Americans in the gene-environment trial of response to dietary interventions (GET READI) for heart health
- PMID: 21865154
- PMCID: PMC3168336
- DOI: 10.1093/her/cyr061
Challenges to recruitment and retention of African Americans in the gene-environment trial of response to dietary interventions (GET READI) for heart health
Abstract
In this paper, challenges to recruiting African Americans specifically for a dietary feeding trial are examined, learning experiences gained and suggestions to overcome these challenges in future trials are discussed. A total of 333 individuals were randomized in the trial and 234 (167 sibling pairs and 67 parents/siblings) completed the dietary intervention and required DNA blood sampling for genetic analysis. The trial used multiple strategies for recruitment. Hand distributed letters and flyers through mass distribution at various churches resulted in the largest number (n = 153, 46%) of African Americans in the trial. Word of mouth accounted for the second largest number (n = 120, 36%) and included prior study participants. These two recruitment sources represented 82% (n = 273) of the total number of individuals randomized in GET READI. The remaining 18% (n = 60) consisted of a combination of sources including printed message on check stubs, newspaper articles, radio and TV appearances, screening events and presentations. Though challenging, the recruitment efforts for GET READI produced a significant number of African American participants despite the inability to complete the trial as planned because of low recruitment yields. Nevertheless, the recruitment process produced substantial numbers that successfully completed all study requirements.
Figures
Similar articles
-
Overall and minority-focused recruitment strategies in the PREMIER multicenter trial of lifestyle interventions for blood pressure control.Contemp Clin Trials. 2010 Jan;31(1):49-54. doi: 10.1016/j.cct.2009.10.002. Epub 2009 Oct 28. Contemp Clin Trials. 2010. PMID: 19879377 Free PMC article.
-
Recruitment of African-American pre-adolescent girls into an obesity prevention trial: the GEMS pilot studies.Ethn Dis. 2003 Winter;13(1 Suppl 1):S78-87. Ethn Dis. 2003. PMID: 12713213
-
Enhancing recruitment of healthy African American volunteers in a city with a small African American community: results from a dietary supplement crossover trial.Ethn Dis. 2007 Summer;17(3):555-9. Ethn Dis. 2007. PMID: 17985513
-
Recruitment and retention of rural African Americans in diabetes research: lessons learned.Diabetes Educ. 2005 Mar-Apr;31(2):251-9. doi: 10.1177/0145721705275517. Diabetes Educ. 2005. PMID: 15797854 Review.
-
Recruitment and retention in obesity prevention and treatment trials targeting minority or low-income children: a review of the clinical trials registration database.Trials. 2015 Dec 10;16:564. doi: 10.1186/s13063-015-1089-z. Trials. 2015. PMID: 26651822 Free PMC article. Review.
Cited by
-
Examining study participants' decision-making and ethics-related experiences in a dietary community randomized controlled trial in Malawi.BMC Med Ethics. 2021 Dec 3;22(1):160. doi: 10.1186/s12910-021-00729-w. BMC Med Ethics. 2021. PMID: 34861869 Free PMC article. Clinical Trial.
-
Effective recruitment strategies for African-American men and women: the Nutritious Eating with Soul study.Health Educ Res. 2021 Apr 12;36(2):206-211. doi: 10.1093/her/cyab003. Health Educ Res. 2021. PMID: 33582788 Free PMC article.
-
Interventions for increasing fruit and vegetable consumption in children aged five years and under.Cochrane Database Syst Rev. 2020 May 25;5(5):CD008552. doi: 10.1002/14651858.CD008552.pub7. Cochrane Database Syst Rev. 2020. Update in: Cochrane Database Syst Rev. 2024 Sep 23;9:CD008552. doi: 10.1002/14651858.CD008552.pub8. PMID: 32449203 Free PMC article. Updated.
-
Interventions for increasing fruit and vegetable consumption in children aged five years and under.Cochrane Database Syst Rev. 2019 Nov 7;2019(11):CD008552. doi: 10.1002/14651858.CD008552.pub6. Cochrane Database Syst Rev. 2019. Update in: Cochrane Database Syst Rev. 2020 May 25;5:CD008552. doi: 10.1002/14651858.CD008552.pub7. PMID: 31697869 Free PMC article. Updated.
-
Recruitment strategies for predominantly low-income, multi-racial/ethnic children and parents to 3-year community-based intervention trials: Childhood Obesity Prevention and Treatment Research (COPTR) Consortium.Trials. 2019 May 28;20(1):296. doi: 10.1186/s13063-019-3418-0. Trials. 2019. PMID: 31138278 Free PMC article.
References
-
- Kennedy BM, Conlin PR, Ernst D, et al. Successfully recruiting a multicultural population: the DASH-sodium experience. Ethn Dis. 2004;15:123–9. - PubMed
-
- Cosgrove N, Borhani NO, Bailey G, et al. Mass mailing and staff experience in a total recruitment program for a clinical trial: the SHEP experience. Control Clin Trials. 1999;20:133–48. - PubMed
-
- Valanis B, Blank J, Glass A. Mailing strategies and costs of recruiting heavy smokers in CARET, a large chemoprevention trial. Control Clin Trials. 1998;19:25–38. - PubMed
-
- Ramasubbu K, Gurn H, Litaker D. Gender bias in clinical trials: do double standards still apply? J Womens Health Gender Based Med. 2001;10:757–64. - PubMed
-
- Lovato LC, Hill K, Hertert S, et al. Recruitment for controlled clinical trials: literature summary and annotated bibliography. Control Clin Trials. 1997;18:328–52. - PubMed
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Medical