Recruitment of American Indians in epidemiologic research: the Strong Heart Study.

IF 1.9 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Martha L. Stoddart, Betty Jarvis, Beverly Blake, R. Fabsitz, B. Howard, Elisa Lee, T. Welty
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引用次数: 58

Abstract

This paper describes the methods used to recruit American Indian (AI) populations for the Strong Heart Study (SHS), a community-based study of cardiovascular disease (CVD) and its risk factors in AI men and women. Recruitment strategies included personal contact by recruiters and drivers/recruiters in remote areas, SHS staff participation in community activities, and mass media. A total of 4,549 participants aged 45-74 years were recruited from 13 American Indian tribes and communities. Overall participation rates were 72&percnt, 55&percnt, and 62&percnt, respectively, for the three study centers (Arizona, the Dakotas, and Oklahoma). Participant feedback and educational material related to risk factor reduction and promoting a healthy lifestyle were emphasized. Participants were likely to be female, young, and nonsmokers. Barriers to recruitment included lack of telephones in a large proportion of households, conflicting beliefs about health/health care/research, fears, taboos, and occasional rumors about study examination procedures. Participants were referred for follow-up of health problems detected by the study. The strong commitment of the participating communities helped to insure the success of the SHS, which can be considered a model for recruitment in future American Indian population-based studies. Success was facilitated by the use of a variety of recruitment techniques.
美国印第安人在流行病学研究中的招募:强心脏研究。
本文描述了招募美国印第安人(AI)人群参加强心脏研究(SHS)的方法,这是一项以社区为基础的关于心血管疾病(CVD)及其危险因素的研究。招聘策略包括由招聘人员和偏远地区的司机/招聘人员亲自接触、社区活动和大众传媒。共有4,549名年龄在45-74岁之间的参与者从13个美国印第安部落和社区招募。三个研究中心(亚利桑那州、达科他州和俄克拉何马州)的总体参与率分别为72%、55%和62%。与会者的反馈和与减少风险因素和促进健康生活方式有关的教育材料得到了强调。参与者可能是女性,年轻,不吸烟。招募的障碍包括大部分家庭没有电话、对健康/保健/研究的相互矛盾的信念、恐惧、禁忌以及关于学习考试程序的偶尔谣言。参与者被转介接受研究中发现的健康问题的随访。参与社区的坚定承诺有助于确保SHS的成功,这可以被认为是未来以美国印第安人为基础的研究招募的典范。由于采用了各种征聘技术,因此取得了成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
30.80%
发文量
0
期刊介绍: American Indian and Alaska Native Mental Health Research: The Journal of the National Center is a professionally refereed scientific journal. It contains empirical research, program evaluations, case studies, unpublished dissertations, and other articles in the behavioral, social, and health sciences which clearly relate to the mental health status of American Indians and Alaska Natives. All topical areas relating to this field are addressed, such as psychology, psychiatry, nursing, sociology, anthropology, social work, and specific areas of education, medicine, history, and law. Through a standardized format (American Psychological Association guidelines) new data regarding this special population is easier to retrieve, compare, and evaluate.
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