期刊
GERONTOLOGIST
卷 51, 期 -, 页码 S46-S58出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/geront/gnr024
关键词
Minority aging; Urban/rural elders; Prospective study; In-home assessments; Observational study; Telephone follow-up
类别
资金
- NCRR NIH HHS [M01 RR-00032] Funding Source: Medline
- NIA NIH HHS [R01 AG015062, R01 AG16062, P30 AG031054, P30AG031054] Funding Source: Medline
Purpose: To identify racial/ethnic differences in retention of older adults at 3 levels of participation in a prospective observational study: telephone, in-home assessments, and home visits followed by blood draws. Design and Methods: A prospective study of 1,000 community-dwelling Medicare beneficiaries aged 65 years and older included a baseline in-home assessment and telephone follow-up calls at 6-month intervals; at 4 years, participants were asked to complete an additional in-home assessment and have blood drawn. Results: After 4 years, 21.7% died and 0.7% withdrew, leaving 776 participants eligible for follow-up (49% African American; 46% male; 51% rural). Retention for telephone follow-up was 94.5% (N = 733/776); 624/733 (85.1%) had home interviews, and 408/624 (65.4%) had a nurse come to the home for the blood draw. African American race was an independent predictor of participation in in-home assessments, but African American race and rural residence were independent predictors of not participating in a blood draw. Implications: Recruitment efforts designed to demonstrate respect for all research participants, home visits, and telephone follow-up interviews facilitate high retention rates for both African American and White older adults; however, additional efforts are required to enhance participation of African American and rural participants in research requiring blood draws.
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