Predictors of refusal during a multi-step recruitment process for a randomized controlled trial of arthritis education.

Patient Education and Counseling
Danielle C BlanchJeffrey N Katz

Abstract

Randomized controlled trials in patient education often have difficulty enrolling vulnerable populations-specifically, older, poorer, and less educated individuals. We undertook a randomized controlled trial (RCT) of an educational intervention for arthritis management, which included strategies to remove literacy-related barriers to participation. This paper reports on the multi-stage recruitment process and assesses whether refusal to participate was related to education, age, gender, working status, or insurance status. The recruitment protocol was designed to eliminate literacy-related barriers to participation. Patients were never asked to read or fill out forms. Interactions were oral, using everyday terms and short, clear sentences. Patients who declined during a screening call were considered Stage 1 Refusers. Patients who initially expressed interest but neither completed a baseline questionnaire nor provided consent were considered Stage 2 Refusers. Patients who consented were considered Enrollees. Age, gender, and insurance status were compared between Stage 1 Refusers and Enrollees. A second analysis compared these variables, plus educational attainment and working status, between Stage 2 Refusers, and Enrollees. Of...Continue Reading

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Citations

Jan 25, 2014·BMC Medical Research Methodology·Lisa Newington, Alison Metcalfe
Aug 8, 2012·Archives of Physical Medicine and Rehabilitation·Susan D HornDaniel Deutscher
Nov 30, 2016·Journal of Gerontological Nursing·Patricia BruckenthalLisa Snelling
Jan 11, 2013·Anesthesia and Analgesia·Naraida BalajondaCorrine I Voils
Oct 20, 2010·The Journal of Nursing Education·Karen PenningtonMaura Kroh
Nov 18, 2020·Expert Review of Pharmacoeconomics & Outcomes Research·Veronica FranchinaOriana Nanni

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