4.3 Article

Using a Warm Hand-Off Approach to Enroll African American Caregivers in a Multi-Site Clinical Trial: The Handshake Protocol

Journal

JOURNAL OF APPLIED GERONTOLOGY
Volume 41, Issue 1, Pages 142-147

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0733464821992920

Keywords

African Americans; Alzheimer’ s disease; caregiving; methodology; recruitment

Categories

Funding

  1. National Institute on Aging (NIA), a division of the National Institutes of Health (NIH) [R01 AG054079]
  2. NIA [K23AG065452, 2P50 AG025688, P30 AG101061, P30 AG13854, P30 AG008017]

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The Handshake Protocol successfully increased the enrollment rate of minority participants through warm handoffs. Within the first month of implementation, the team achieved a 97% efficiency in meeting its goals, showcasing the success of this innovative approach.
Testing Tele-Savvy was a three-arm randomized controlled trial that recruited participants from four National Institute on Aging (NIA)-funded Alzheimer's Disease Centers with Emory University serving as the coordinating center. The enrollment process involved each center providing a list of eligible caregivers to the coordinating center to consent. Initially, the site proposed to recruit primarily African American caregivers generated a significant amount of referrals to the coordinating center, but a gap occurred in translating them into enrolled participants. To increase the enrollment rate, a Handshake Protocol was established, which included a warm handoff approach. During preset phone calls each week, the research site coordinator introduced potential participants to a culturally congruent co-investigator from the coordinating center who then completed the consent process. Within the first month of implementation, the team was 97% effective in meeting its goals. This protocol is an example of a successful, innovative approach to enrolling minority participants in multi-site clinical trials.

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