Abstract
Barriers to engaging African Americans as research participants may be accentuated among older single African-American women partly because of financial, social, physical, and cognitive factors. This article shows our multifaceted strategies and experiences in the recruitment of single African-American women aged 65 and older in a cancer prevention and control study. The study was conducted in 10 public housing complexes in Nashville, Tennessee. Out of 367 eligible women, 325 participated in the study, resulting in a rate of 89%. The result suggests that a strategy, which targets the cultural, perceptive, and cognitive characteristics of the population, was effective for increasing the enrollment of study subjects in this population. Because the single constitute 75% of African-American women aged 65 and older; and the incidence and mortality of cancer are especially high in elderly African Americans, our experiences are encouraging for cancer prevention and control research in the population.
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Selected References
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- Ashing-Giwa K. The recruitment of breast cancer survivors into cancer control studies: a focus on African-American women. J Natl Med Assoc. 1999 May;91(5):255–260. [PMC free article] [PubMed] [Google Scholar]
- Blumenthal D. S., Sung J., Coates R., Williams J., Liff J. Recruitment and retention of subjects for a longitudinal cancer prevention study in an inner-city black community. Health Serv Res. 1995 Apr;30(1 Pt 2):197–205. [PMC free article] [PubMed] [Google Scholar]
- Dignan M., Sharp P., Blinson K., Michielutte R., Konen J., Bell R., Lane C. Development of a cervical cancer education program for native American women in North Carolina. J Cancer Educ. 1995 Winter;9(4):235–242. [PubMed] [Google Scholar]
- Erwin D. O., Spatz T. S., Turturro C. L. Development of an African-American role model intervention to increase breast self-examination and mammography. J Cancer Educ. 1992 Winter;7(4):311–319. doi: 10.1080/08858199209528188. [DOI] [PubMed] [Google Scholar]
- Fitzgibbon M. L., Prewitt T. E., Blackman L. R., Simon P., Luke A., Keys L. C., Avellone M. E., Singh V. Quantitative assessment of recruitment efforts for prevention trials in two diverse black populations. Prev Med. 1998 Nov-Dec;27(6):838–845. doi: 10.1006/pmed.1998.0367. [DOI] [PubMed] [Google Scholar]
- Gilbart E., Kreiger N. Improvement in cumulative response rates following implementation of a financial incentive. Am J Epidemiol. 1998 Jul 1;148(1):97–99. doi: 10.1093/oxfordjournals.aje.a009565. [DOI] [PubMed] [Google Scholar]
- Gorelick P. B., Harris Y., Burnett B., Bonecutter F. J. The recruitment triangle: reasons why African Americans enroll, refuse to enroll, or voluntarily withdraw from a clinical trial. An interim report from the African-American Antiplatelet Stroke Prevention Study (AAASPS). J Natl Med Assoc. 1998 Mar;90(3):141–145. [PMC free article] [PubMed] [Google Scholar]
- Gorelick P. B., Richardson D., Hudson E., Perry C., Robinson D., Brown N., Harris Y. Establishing a community network for recruitment of African Americans into a clinical trial. The African-American antiplatelet stroke Prevention Study (AAASPS) experience. J Natl Med Assoc. 1996 Nov;88(11):701–704. [PMC free article] [PubMed] [Google Scholar]
- Harris Y., Gorelick P. B., Samuels P., Bempong I. Why African Americans may not be participating in clinical trials. J Natl Med Assoc. 1996 Oct;88(10):630–634. [PMC free article] [PubMed] [Google Scholar]
- Marrett L. D., Kreiger N., Dodds L., Hilditch S. The effect on response rates of offering a small incentive with a mailed questionnaire. Ann Epidemiol. 1992 Sep;2(5):745–753. doi: 10.1016/1047-2797(92)90019-m. [DOI] [PubMed] [Google Scholar]
- Millon-Underwood S., Sanders E., Davis M. Determinants of participation in state-of-the-art cancer prevention, early detection/screening, and treatment trials among African-Americans. Cancer Nurs. 1993 Feb;16(1):25–33. [PubMed] [Google Scholar]
- Moorman P. G., Newman B., Millikan R. C., Tse C. K., Sandler D. P. Participation rates in a case-control study: the impact of age, race, and race of interviewer. Ann Epidemiol. 1999 Apr;9(3):188–195. doi: 10.1016/s1047-2797(98)00057-x. [DOI] [PubMed] [Google Scholar]
- Morris M. C., Colditz G. A., Evans D. A. Response to a mail nutritional survey in an older bi-racial community population. Ann Epidemiol. 1998 Jul;8(5):342–346. doi: 10.1016/s1047-2797(97)00236-6. [DOI] [PubMed] [Google Scholar]
- Mouton C. P., Harris S., Rovi S., Solorzano P., Johnson M. S. Barriers to black women's participation in cancer clinical trials. J Natl Med Assoc. 1997 Nov;89(11):721–727. [PMC free article] [PubMed] [Google Scholar]
- Paskett E. D., DeGraffinreid C., Tatum C. M., Margitić S. E. The recruitment of African-Americans to cancer prevention and control studies. Prev Med. 1996 Sep-Oct;25(5):547–553. doi: 10.1006/pmed.1996.0088. [DOI] [PubMed] [Google Scholar]
- Sung J. F., Coates R. J., Williams J. E., Liff J. M., Greenberg R. S., McGrady G. A., Avery B. Y., Blumenthal D. S. Cancer screening intervention among black women in inner-city Atlanta--design of a study. Public Health Rep. 1992 Jul-Aug;107(4):381–388. [PMC free article] [PubMed] [Google Scholar]
