Journal
PUBLIC HEALTH
Volume 125, Issue 4, Pages 201-209Publisher
W B SAUNDERS CO LTD
DOI: 10.1016/j.puhe.2011.01.013
Keywords
Ethnic minority groups; Recruitment; Trials; Preventive interventions
Categories
Funding
- MSc research fund
- National Prevention Research Initiative [G0501310]
- World Cancer Research Fund
- NHS Lothian
- NHS Greater Glasgow AMP
- AMP
- Clyde R&D, Chief Scientist Office, NHS Health Scotland and NHS National Services Scotland
- British Heart Foundation
- Cancer Research UK
- Department of Health
- Diabetes UK
- Economic and Social Research Council
- Medical Research Council
- Research and Development Office for the Northern Ireland Health and Social Services
- Chief Scientist Office
- Scottish Executive Health Department
- the Welsh Assembly Government
- MRC [G0501310] Funding Source: UKRI
- Medical Research Council [G0501310] Funding Source: researchfish
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Background: Recruitment of ethnic minority groups into trials is important. This was studied from the recruiters' perspective in the Prevention of Diabetes and Obesity in South Asians (PODOSA) trial. Methods: Semi-quantitative questionnaire survey of all 22 health professionals and 27 community workers involved in Edinburgh and Glasgow. Numbers and proportions were tabulated, while free-text responses were grouped into themes. Results: The response rate was 40/49 (82%). In the closed questions, family responsibilities, prior general practitioner screening and low interest were the main factors reported by recruiters as hindering referrals (each 28%), followed by fear of needle pricks and finding out their diabetes status (each 23%). The importance of the prevention of diabetes (60%), explaining the trial in a South Asian language (46%), verbal dialogue (43%) and the recruiter's personal relationship with the recruitee (40%) favoured referrals. Health professionals' perceived strength was their knowledge of diabetes (66%), and community workers' strength was explaining the trial in South Asian languages (65%). Strategies to improve recruitment included stronger partnership between researchers and community organizations. The open-ended response identified seven main themes: (1) shortage of recruiters' and recruitees' time; (2) poor understanding of the trial by recruitees; (3) lack of knowledge about the disease among recruitees; (4) lack of motivation and interest among recruitees; (5) delay in receiving appointments from the PODOSA team; (6) mistrust of research; and (7) narrow entry criteria. Conclusion: These insights into recruiters' perspectives should help trialists improve participation by ethnic minority populations. (C) 2011 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
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