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. 2019 Nov 19;5:751–770. doi: 10.1016/j.trci.2019.09.018

Table 2.

Synthesis of reported recruitment approaches, activities, outcomes, and strategies

Approach Specific activities Evaluation Reported outcomes Duration of activities Modes of delivery and related strategies
Unsolicited communications/advertisements Brochures, flyers, and/or information sheets Percent yield of total registry participants
  • Flyers and posters achieved recruitment of 6.4% participants (N = 2311) [35]

  • Three years and three months

  • Use mailing lists of local, familiar community organizations [36]

  • Allow organizations to tailor letters to their audience [36]

  • Contact people via mail more than once [36]

  • Split/stagger mailing into rounds [36]

  • Use registered voter lists [43]

Percent yield of total ADRC enrollees
  • Of 125 enrollees, 8 were referred via flyers in [32]

  • One year

Postal mailing Number of interested participants; number eligible; number of non-white participants; cost
  • Of 2860 total mailings, 158 individuals expressed interest.

  • Of those 158, 135 were eligible yield (N = 2860).

  • Of the 135, 37 were non-white dyads, or 57% of total trial dyads between (N = 237).

  • Total cost was $5901 or $63/dyads [34]

  • Two years

Response rate; percent yield of enrollees
  • Over 25,000 letters sent by 7 organizations, response rate 11%.

  • Agencies with highest response rate were aging advocacy and adult day programs, whereas non–aging-specific orgs has lowest response.

  • Yielded 17%, or 715 of total study [36]

  • One year and three months

Newspaper advertisements Number of interested participants; number eligible; number of non-white participants; cost
  • Twenty-three advertisements placed in 8 newspapers. Of 73 people interested, 62 were eligible

  • Of the 62, 19 were non-white.

  • Total cost was $13,899, or $224/dyad [34]

  • Two years

Percent yield of total registry participants
  • Radio/newspaper/newsletter articles 9.6% over 3 years and 3 months (N = 2311) [35]

  • Three years and three months

Number of exposures, interested participants, enrollees, staff hours, total cost
  • Across 2 advertisements in local newspapers, 38,000 exposures (did not specify how they measured this), 66 interested participants, 29 enrollments. Process-wise, 41 staff hours and $0 cost [33]

  • One year

Percent yield of total ADRC enrollees
  • 2 of 125 enrollees [32]

  • One year

Website Percent yield of total ADRC enrollees
  • 12 of 125 enrollees [32]

  • One year

Community-oriented events and outreach Combination efforts Number of interested participants; number eligible, number of non-white participants; cost
  • Nine talks at aging organizations; presence at seven health fairs/conferences; brochures at libraries/academic institutions yielded 53 interested participants; of which 40 were eligible. Of the 40, 12 were non-white. Total cost was $14,000, or $350/dyad [34]

  • Two years

  • Harness local leaders (e.g., clergy) and/or trusted organizations (e.g., churches, senior centers, health fairs, family reunions, hospitals, or clinics) [33,37]

  • Distribute flyers and information at local organizations (senior centers, beauty salons) [41]

  • Use of an African-American Advisory Board [37]

  • Center community organization goals [37]

  • Make modifications to programming based on attendee feedback [37]

  • Incentive attendance/participation via free food, door prizes, free memory screening [20,33]

  • Work-force requirements: bilingual staff, bicultural staff, evening/weekend hours [32,35]

Percent yield of enrollees
  • Combination of 5 newspaper articles/public radio segments, nine 8-week newspaper advertisements, and in-person participation in 13 community events/health fairs for a 21% enrollment yield or 63 or 303 enrollees [36]

  • One year and three months

Percentage of African Americans participating in specific research activities
  • 95% African-American participants contribute blood for genotyping, 52% undergo MRIs, 43% PIB PET studies, and 39% lumbar puncture [37]

  • Three years and nine months

Lectures, talks, educational programs on dementia, AD, and/or cognitive aging (a subset involved religiously affiliated organizations) Percent yield of total registry participants
  • 22.5% of registry participants (N = 2311) [35]

Attendance
  • Across 81 events, 3240 attendees from [37]

  • Three years and nine months

Percent yield of total registry participants
  • 14.7% of registry participants (N = 2311) [35]

  • Three years and three months

Number of exposures, interested participants, enrollees; staff hours, total cost
  • Across 4 churches and 6 senior centers, 249 exposures, 65 interested participants, 54 enrollees.

  • Process-wise, 36 staff hours and $600 total cost [33]

  • One year

Percent yield of total ADRC enrollees
  • 2 of 125 enrollees [32]

  • One year

Community/public health fairs Percent yield of total registry participants
  • Health fair 14.17% (N = 2311) [35]

  • Three years and three months

Attendance
  • Across 44 events, there were 3300 attendees from [37]

  • Three years and nine months

Attendance, mailing list sign-ups, subsequent enrollments
  • 250 attendees; of these, 187 (75%) were added to the mailing list and 69 (28%) enrolled [20]

  • Four months

Percent yield of total ADRC enrollees
  • 11 of 125 ADRC enrollees [32]

  • One year

Community liaison engagement model Percent yield of enrollees
  • 15 organizations involved; yielded 151 enrollees.

  • Of referrals, 49% were eligible and 22% were minorities [36]

  • One year and three months

Volunteer organizations Percent yield of total registry participants
  • Community service group 1.2% (N = 2311) [35]

  • Three years and three months

Word-of-mouth Percent yield of total registry participants
  • Word-of-mouth 4.5% (N = 2311) [35]

  • Three years and three months

Percentage of study enrollees
  • 10.2% enrollees (N = 98) [33]

  • One year

Percent yield of total ADRC enrollees
  • Other participants referred 22 of 125 enrollees; and staff acquaintances referred another 7 [32]

  • One year

Other Attendance
  • African-American participants meeting criteria: 1 event, 120 attendees [37]

  • Three years and nine months

Recruitment in academic or clinic settings ADRC-related activities Percent yield of total registry participants
  • Annual ADRC conference 3.2% (N = 2311) [35]

  • Research visit for other ADRC studies 6.8% (N = 2311) [35]

  • ADRC website 7.6% (N = 2311) [35]

  • Three years and three months

  • Harness annual visits and/or regularly scheduled study visits

  • Employ bilingual and bicultural staff [32]

  • Tap into “regularly scheduled regional and local conferences” [36]

Engagement of clinical providers around ADRD education and recruitment Percent yield of total registry participants
  • Medical center 4.6%; health agencies 1.8% (N = 2311) [35]

  • Three years and three months

Attendance at educational events
  • 36 educational events; 421 attendees [37]

  • Three years and nine months

Attendance at educational events; attitudes around recruitment; subsequent enrollment
  • 33 attendees; increased willingness to refer patients; no enrollments [20]

  • Four months

Percent yield of total ADRC enrollees
  • Outreach clinics yielded 22 of 125 enrollees [32]

  • One year

Percent yield of total ADRC enrollees
  • Campus clinic yielded 23 of 125 enrollees [32]

  • One year

“Other sources” Recruitment sources and activities not specified Percent yield of total registry participants
  • Other sources 2.7%, not specified (N = 2311) [35]

  • Three years and three months

  • Not relevant

Percent yield of total ADRC enrollees
  • Other sources yielded 12 of 125 enrollees [32]

  • One year

Abbreviations: MRI, magnetic resonance imaging; PIB PET, Pittsburgh compound B positron emission tomography; ADRC, Alzheimer's Disease Research Center.