A Comparison of a Centralized Versus De-Centralized Recruitment Schema in Two Community-Based Participatory Research Studies for Cancer Prevention

Details

• Alternative Title:
  J Community Health
• Personal Author:
  Adams, Swann Arp ; Heiney, Sue P. ; Brandt, Heather M. ; Wirth, Michael D. ; Khan, Samira ; Johnson, Hiluv ; Davis, Lisa ; Wineglass, Cassandra M. ; Warren-Jones, Tatiana Y. ; Felder, Tisha M. ; Drayton, Ruby F. ; Davis, Briana ; Farr, Deeonna E. ; Hébert, James R.
• Description:
  Use of community-based participatory research (CBPR) approaches is increasing with the goal of making more meaningful and impactful advances in eliminating cancer-related health disparities. While many reports have espoused its advantages, few investigations have focused on comparing CBPR-oriented recruitment and retention. Consequently, the purpose of this analysis was to report and compare two different CBPR approaches in two cancer prevention studies. We utilized frequencies and Chi-squared tests to compare and contrast subject recruitment and retention for two studies that incorporated a randomized, controlled intervention design of a dietary and physical activity intervention among African Americans (AA). One study utilized a de-centralized approach to recruitment in which primary responsibility for recruitment was assigned to the general AA community of various church partners whereas the other incorporated a centralized approach to recruitment in which a single lay community individual was hired as research personnel to lead recruitment and intervention delivery. Both studies performed equally well for both recruitment and retention (75 and 88 % recruitment rates and 71 and 66 % retention rates) far exceeding those rates traditionally cited for cancer clinical trials (~5 %). The de-centralized approach to retention appeared to result in statistically greater retention for the control participants compared to the centralized approach (77 vs. 51 %, p < 0.01). Consequently, both CBPR approaches appeared to greatly enhance recruitment and retention rates of AA populations. We further note lessons learned and challenges to consider for future research opportunities.
• Subjects:
  Adult Black Or African American Community-Based Participatory Research Diet Exercise Female Health Education Humans Male Middle Aged Neoplasms Patient Selection Randomized Controlled Trials As Topic Research Design

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• Keywords:
  African American Behavioral Intervention Cancer Prevention Community Based Participatory Research Recruitment Retention
• Source:
  J Community Health. 40(2):251-259
• Pubmed ID:
  25086566
• Pubmed Central ID:
  PMC4315761
• Document Type:
  Journal Article
• Funding:
  U48 DP001936/DP/NCCDPHP CDC HHSUnited States/ ; R24 MD002769/MD/NIMHD NIH HHSUnited States/ ; K05 CA136975/CA/NCI NIH HHSUnited States/ ; 3U48DP001936-01/DP/NCCDPHP CDC HHSUnited States/ ; U54CA153461/CA/NCI NIH HHSUnited States/ ; 3U54CA153461-04S2/CA/NCI NIH HHSUnited States/ ; U54 CA153461/CA/NCI NIH HHSUnited States/
• Volume:
  40
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:fb57cb0556649ac0b9169f890c91c0cdc2eab244f5954993059a4ea15d6fbad4
• Download URL:
  https://stacks.cdc.gov/view/cdc/30518/cdc_30518_DS1.pdf
• File Type:
  [PDF - 1.01 MB ]