An Innovative Multiphased Strategy to Recruit Underserved Adults into a Randomized Trial of a Community-Based Diabetes Risk Reduction Program

Santoyo‐Olsson, Jasmine; Cabrera, Julissa; Freyre, Rachel; Grossman, Melanie; Alvarez, Natalie; Mathur, Deepika; Guerrero, M. Lourdes; Delgadillo, A.; Kanaya, Alka M.; Stewart, Anita L.

doi:10.1093/geront/gnr026

Cited by 23 publications

(21 citation statements)

References 23 publications

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“…Recruitment began with community-based, educational outreach to identify individuals at risk for diabetes. 27 Individuals completed a brief self-administered diabetes risk appraisal assessing age, race/ethnicity, history of high blood pressure, abnormal cholesterol level, gestational diabetes, family history of diabetes, regular exercise, and body mass index (BMI; defined as weight in kilograms divided by height in meters squared). The diabetes risk appraisal, adapted from existing diabetes risk tools for use in community settings, used only self-reported variables and a simplified scoring system.…”

Section: Methodsmentioning

confidence: 99%

TheLive Well, Be WellStudy: A Community-Based, Translational Lifestyle Program to Lower Diabetes Risk Factors in Ethnic Minority and Lower–Socioeconomic Status Adults

et al. 2012

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Objectives We evaluated a community-based, translational lifestyle program to reduce diabetes risk in lower–socioeconomic status (SES) and ethnic minority adults. Methods Through an academic–public health department partnership, community-dwelling adults at risk for diabetes were randomly assigned to individualized lifestyle counseling delivered primarily via telephone by health department counselors or a wait-list control group. Primary outcomes (6 and 12 months) were fasting glucose level, triglycerides, high- and low-density lipoprotein cholesterol, weight, waist circumference, and systolic blood pressure. Secondary outcomes included diet, physical activity, and health-related quality of life. Results Of the 230 participants, study retention was 92%. The 6-month group differences for weight and triglycerides were significant. The intervention group lost 2 pounds more than did the control group (P = .03) and had decreased triglyceride levels (difference in change, 23 mg/dL; P = .02). At 6 months, the intervention group consumed 7.7 fewer grams per day of fat (P = .05) and more fruits and vegetables (P = .02) than did control participants. Conclusions Despite challenges designing effective translational interventions for lower-SES and minority communities, this program modestly improved some diabetes risk factors. Thus, individualized, telephone-based models may be a promising alternative to group-based interventions.

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Section: Methodsmentioning

confidence: 99%

TheLive Well, Be WellStudy: A Community-Based, Translational Lifestyle Program to Lower Diabetes Risk Factors in Ethnic Minority and Lower–Socioeconomic Status Adults

et al. 2012

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“…Similar educational interventions have been used successfully to recruit participants to clinical trials for diseases such as lung cancer 21 and diabetes. 22 …”

Section: Discussionmentioning

confidence: 99%

Assessing an Intervention to Improve Clinical Trial Perceptions Among Predominately African-American Communities in South Carolina

Ford¹,

Wahlquist²,

Blake³

et al. 2012

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Background African Americans (AA) are not well-represented in cancer clinical trials despite having significantly higher cancer mortality rates than their European-American (EA) counterparts. Objectives The purpose of this study was to evaluate a program to improve perceptions of cancer clinical trials among AA. Methods The program was conducted in a convenience sample of 195 participants (75.4% AA) who lived in counties with high racial disparities in cancer mortality rates and who were recruited by community partners. The 30-minute program, part of a larger 3.5-hour cancer education program, was developed by the National Institutes of Health (NIH)/ National Cancer Institute (NCI). It was modified to include additional pictures of AA, AA-specific cancer mortality data, and information about the Tuskegee Syphilis Study and the resulting improved participant protection measures. Measures The seven-item Attitudes to Randomized Trial Questionnaire (ARTQ) was used to evaluate changes in trial perceptions from pre- to posttest. Additional survey items assessed general demographic characteristics. Results Slightly more than half of the participants had at least a college diploma (54.4%), 45.1% were married/living as married, 53.3% were female, and 45.6% had an annual household income of less than $40,000. For each ARTQ item, most participants who had less favorable perceptions of trials at pretest changed to more positive perceptions at posttest (p < .001). Conclusions Providing cancer clinical trial information led to more positive perceptions of cancer clinical trials. In future studies, the program could be used to help potential trial participants make informed decisions about participation; trial enrollment rates could then be evaluated.

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“…Similar educational interventions have been used successfully to recruit participants to clinical trials for diseases such as lung cancer 21 and diabetes. 22 It is important to note that all of the participants in the cancer clinical trials education program received materials that they could use to conduct their own cancer clinical trials education training programs. The rationale for disseminating these materials was to assist participants in sharing cancer clinical trials information with others in their own communities.…”

Section: Discussionmentioning

confidence: 99%

Assessing an Intervention to Improve Clinical Trial Perceptions Among Predominately African-American Communities in South Carolina

Ford¹,

Wahlquist²,

Blake³

et al. 2012

cpr

View full text Add to dashboard Cite

show abstract

An Innovative Multiphased Strategy to Recruit Underserved Adults into a Randomized Trial of a Community-Based Diabetes Risk Reduction Program

Cited by 23 publications

References 23 publications

TheLive Well, Be WellStudy: A Community-Based, Translational Lifestyle Program to Lower Diabetes Risk Factors in Ethnic Minority and Lower–Socioeconomic Status Adults

TheLive Well, Be WellStudy: A Community-Based, Translational Lifestyle Program to Lower Diabetes Risk Factors in Ethnic Minority and Lower–Socioeconomic Status Adults

Assessing an Intervention to Improve Clinical Trial Perceptions Among Predominately African-American Communities in South Carolina

Assessing an Intervention to Improve Clinical Trial Perceptions Among Predominately African-American Communities in South Carolina

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