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Titolo:
Primary prevention studies and the healthy elderly: Evaluating barriers torecruitment
Autore:
Boles, M; Getchell, WS; Feldman, G; McBride, R; Hart, RG;
Indirizzi:
Kaiser Permanente, NW Div, PC Phys & Surg, NW Permanente, Portland, OR 97227 USA Kaiser Permanente Portland OR USA 97227 ermanente, Portland, OR 97227 USA Axio Res Corp, Seattle, WA USA Axio Res Corp Seattle WA USAAxio Res Corp, Seattle, WA USA Univ Texas, Hlth Sci Ctr, San Antonio, TX USA Univ Texas San Antonio TX USA v Texas, Hlth Sci Ctr, San Antonio, TX USA
Titolo Testata:
JOURNAL OF COMMUNITY HEALTH
fascicolo: 4, volume: 25, anno: 2000,
pagine: 279 - 292
SICI:
0094-5145(200008)25:4<279:PPSATH>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
CLINICAL-TRIAL; STRATEGIES;
Keywords:
elderly; aspirin; recruitment; primary prevention;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
10
Recensione:
Indirizzi per estratti:
Citazione:
M. Boles et al., "Primary prevention studies and the healthy elderly: Evaluating barriers torecruitment", J COMM HEAL, 25(4), 2000, pp. 279-292

Abstract

Although primary prevention studies are important tools in helping the healthy elderly stay healthy, recruiting from a community based cohort of healthy elderly individuals for a primary prevention study involves numerous barriers. To better identify and understand these barriers, we conducted and evaluated a comprehensive recruitment strategy for a primary prevention study testing aspirin in an HMO population. In the recruitment phase, we identified healthy individuals (65 years of age or older) who were members of a large, group-model HMO in Oregon and Washington, and used computerized medical database screening, statistical sampling, health plan mailings, e-mail communication with primary care providers, and the experience of a well-established research clinic in an effort to enroll health elderly in this primary prevention trial. Among a random sample of 47,453 eligible patients over the age of 65, 44% responded to recruitment efforts, but only 3% were enrolled-an overall yield of slightly less than 2%. To evaluate these results,we then conducted focus groups with 225 randomly selected "eligible refusers. " We determined that healthy elders were hesitant to give up their choice to use aspirin, unwilling to travel to the research center, and reluctantto risk their tenuous hold on good health to participate in a study of primary prevention. Awareness of these attitudes is an indispensable step reward designing effective recruitment strategies for primary prevention studies involving the healthy elderly.

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Documento generato il 05/12/20 alle ore 19:16:36