Journal
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
Volume 53, Issue 1, Pages 370-377Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10803-021-05407-9
Keywords
Recruitment; Diversity; Best practice alert (BPA); Autism; Electronic health record (EHR)
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The success of a targeted best practice alert (BPA) in recruiting underrepresented families into an autism spectrum disorder research cohort was evaluated. The findings indicate that a targeted BPA can help researchers access more diverse groups and improve equitable representation, but also suggest potential selection bias among pediatricians in determining who should receive information about study opportunities.
We evaluated the success of a best practice alert (BPA) in recruiting underrepresented families into an autism spectrum disorder research cohort by comparing BPA-response outcomes (Interested, Declined, Enrolled, Dismissed) in pediatric primary care practices (TCPs) serving diverse communities with those of subspecialty clinics. Compared to subspecialty clinics, TCPs had higher proportions of Interested responses for patients with private insurance (60.9% vs. 46.2%), Dismissed responses for patients with public insurance (30.1% vs. 20.0%), and Interested responses for non-white patients (47.7% vs. 33.3%). A targeted BPA can help researchers access more diverse groups and improve equitable representation. However, select groups more often had their alert dismissed, suggesting possible selection bias among some pediatricians regarding who should receive information about study opportunities.
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