背景:美国华裔移民在健康研究中的代表性不足,部分原因是招聘方面的挑战。
目的:本研究旨在描述招募和保留策略,并报告在COVID-19大流行期间对曾患有妊娠糖尿病的华裔美国移民进行的为期7天的观察性体力活动研究中的依从性。
方法:18-45岁外国出生的中国女性,妊娠糖尿病指数为0.5-5年,我们招募了未怀孕且目前没有糖尿病诊断的患者.他们连续7天佩戴加速度计,并完成了在线调查。使用了多种招聘策略:(a)文化和语言上量身定制的传单,(b)社交媒体平台(例如,微信[一个受欢迎的中文平台]和Facebook),(c)近同行招募和滚雪球抽样,和(d)一个研究网站。保留策略包括灵活的日程安排和住宿,快速通信,和激励措施。坚持策略包括纸质日记和/或自动每日文本提醒,以及设备佩戴的每日日志,在线调查的每日电子邮件提醒,密切监测,及时解决问题。
结果:参与者来自17个州;108人从2020年8月到2021年8月注册。有2479次访问研究网页,194个筛选条目,关于这项研究的149项调查。他们的平均年龄是34.3岁,美国逗留的平均时间为9.2年。尽管社区外联,参与者主要是从社交媒体招募的(例如,微信)。大多数是通过近同行招募和滚雪球抽样招募的。保留率为96.3%;约99%有有效的活动记录数据,81.7%的人佩戴该装置7天。大多数设备已成功返回,大多数人按时完成了在线调查。
结论:我们证明了在COVID-19大流行期间招募和保留不同地域的既往妊娠糖尿病华裔移民样本的可行性。通过社交媒体招募中国移民(例如,微信)是一种可行的方法。尽管如此,需要更具包容性的招聘战略,以确保不同社会经济移民群体的广泛代表性。
BACKGROUND: Chinese American immigrants have been underrepresented in health research partly due to challenges in recruitment.
OBJECTIVE: This
study aims to describe recruitment and retention strategies and report adherence in a 7-day observational physical activity
study of Chinese American immigrants with prior gestational diabetes during the COVID-19 pandemic.
METHODS: Foreign-born Chinese women aged 18-45 years, with a gestational diabetes index pregnancy of 0.5-5 years, who were not pregnant and had no current diabetes diagnosis were recruited. They wore an accelerometer for 7 consecutive days and completed an online survey. Multiple recruitment strategies were used: (a) culturally and linguistically tailored flyers, (b) social media platforms (e.g., WeChat [a popular Chinese platform] and Facebook), (c) near-peer recruitment and snowball sampling, and (d) a
study website. Retention strategies included flexible scheduling and accommodation, rapid communications, and incentives. Adherence strategies included a paper diary and/or automated daily text reminders with a daily log for device wearing, daily email reminders for the online survey, close monitoring, and timely problem-solving.
RESULTS: Participants were recruited from 17 states; 108 were enrolled from August 2020 to August 2021. There were 2,479 visits to the
study webpage, 194 screening entries, and 149 inquiries about the
study. Their mean age was 34.3 years, and the mean length of U.S. stay was 9.2 years. Despite community outreach, participants were mainly recruited from social media (e.g., WeChat). The majority were recruited via near-peer recruitment and snowball sampling. The retention rate was 96.3%; about 99% had valid actigraphy data, and 81.7% wore the device for 7 days. The majority of devices were successfully returned, and the majority completed the online survey on time.
CONCLUSIONS: We demonstrated the feasibility of recruiting and retaining a geographically diverse sample of Chinese American immigrants with prior gestational diabetes during the COVID-19 pandemic. Recruiting Chinese immigrants via social media (e.g., WeChat) is a viable approach. Nonetheless, more inclusive recruitment strategies are needed to ensure broad representation from diverse socioeconomic groups of immigrants.