Recruitment and Cost Analysis of Screening Midlife African-American Women for a Lifestyle Physical Activity Intervention Trial

2.50
Hdl Handle:
http://hdl.handle.net/10755/304215
Category:
Full-text
Type:
Presentation
Title:
Recruitment and Cost Analysis of Screening Midlife African-American Women for a Lifestyle Physical Activity Intervention Trial
Author(s):
Wilbur, JoEllen; Miller, Arlene Michaels
Lead Author STTI Affiliation:
Alpha Lambda
Author Details:
JoEllen Wilbur, PhD, APN, FAAN, joellen_wilbur@rush.edu; Arlene Miller, PhD, RN, FAAN;
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose: A challenge for implementing physical activity interventions in underserved communities is successful recruitment of participants. The need for a medical release often excludes women most in need because they don't have a provider or cannot afford the additional cost. The purpose of this presentation is to present: 1) outcomes of the recruitment strategies and 2) cost-analyses of providing an advanced practice nurse (APN) screening health assessment 'for the Women's Lifestyle Physical Activity Program for African American women. An ecological framework guided recruitment.''

Methods: This randomized clinical trial is delivered in health settings in six predominantly African American Chicago communities. A group-visit approach and two telephone strategies (person calls and automated calls) are being tested to increase motivation and improve adherence to physical activity. Indirect recruitment strategies, that prompt volunteers to contact the staff without having direct contact, involved social-networking with trusted community leaders and among participants. Direct recruitment strategies, that brought the recruiters in direct contact with volunteers, involved presentations at community gatherings. APNs recorded time to complete screening health assessments.

Results: Of the 609 women who contacted the program with interest, 49% were eligible, 27% were lost to attrition, and 23% were ineligible. Indirect recruitment strategies were the most effective in generating inquiries. Twenty-four percent heard about the program through social networking among participants and 23% through social networking with trusted community leaders/members. 'The screening health assessment took an average of 47.6 minutes per subject, an estimated cost of $34.56 (SD $7.44). It was estimated that without the APN health assessment 143 of the eligible woman would not have been able to participate.

Conclusion: Recruitment success was attributed to an engaging recruitment staff who had multiple connections with trusted members in all of the targeted communities and advanced practice nurses who made the program accessible to low to moderate income women.

Keywords:
health disparities; recruitment; physical activity
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleRecruitment and Cost Analysis of Screening Midlife African-American Women for a Lifestyle Physical Activity Intervention Trialen
dc.contributor.authorWilbur, JoEllenen
dc.contributor.authorMiller, Arlene Michaelsen
dc.contributor.departmentAlpha Lambdaen
dc.author.detailsJoEllen Wilbur, PhD, APN, FAAN, joellen_wilbur@rush.edu; Arlene Miller, PhD, RN, FAAN;en
dc.identifier.urihttp://hdl.handle.net/10755/304215-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b> A challenge for implementing physical activity interventions in underserved communities is successful recruitment of participants. The need for a medical release often excludes women most in need because they don't have a provider or cannot afford the additional cost. The purpose of this presentation is to present: 1) outcomes of the recruitment strategies and 2) cost-analyses of providing an advanced practice nurse (APN) screening health assessment 'for the Women's Lifestyle Physical Activity Program for African American women. An ecological framework guided recruitment.'' <p><b>Methods: </b> This randomized clinical trial is delivered in health settings in six predominantly African American Chicago communities. A group-visit approach and two telephone strategies (person calls and automated calls) are being tested to increase motivation and improve adherence to physical activity. Indirect recruitment strategies, that prompt volunteers to contact the staff without having direct contact, involved social-networking with trusted community leaders and among participants. Direct recruitment strategies, that brought the recruiters in direct contact with volunteers, involved presentations at community gatherings. APNs recorded time to complete screening health assessments. <p><b>Results: </b>Of the 609 women who contacted the program with interest, 49% were eligible, 27% were lost to attrition, and 23% were ineligible. Indirect recruitment strategies were the most effective in generating inquiries. Twenty-four percent heard about the program through social networking among participants and 23% through social networking with trusted community leaders/members. 'The screening health assessment took an average of 47.6 minutes per subject, an estimated cost of $34.56 (SD $7.44). It was estimated that without the APN health assessment 143 of the eligible woman would not have been able to participate. <p><b>Conclusion: </b>Recruitment success was attributed to an engaging recruitment staff who had multiple connections with trusted members in all of the targeted communities and advanced practice nurses who made the program accessible to low to moderate income women.en
dc.subjecthealth disparitiesen
dc.subjectrecruitmenten
dc.subjectphysical activityen
dc.date.available2013-10-22T20:31:20Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:31:20Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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