Recruitment and cost analysis of screening midlife African-American women for a lifestyle physical activity intervention trial
Jo Ellen Wilbur, PhD, APN, FAAN; Arlene Miller, PhD, RN, FAAN
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- Rush University, Chicago, Illinois, USA
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Session presented on: Thursday, July 25, 2013:
Purpose: A challenge for implementing physical activity interventions in underserved communities is successful recruitment of participants. The need for a medical release often excludes women most in need because they don't have a provider or cannot afford the additional cost. The purpose of this presentation is to present: 1) outcomes of the recruitment strategies and 2) cost-analyses of providing an advanced practice nurse (APN) screening health assessment for the Women's Lifestyle Physical Activity Program for African American women. An ecological framework guided recruitment.
Methods: This randomized clinical trial is delivered in health settings in six predominantly African American Chicago communities. A group-visit approach and two telephone strategies (person calls and automated calls) are being tested to increase motivation and improve adherence to physical activity. Indirect recruitment strategies, that prompt volunteers to contact the staff without having direct contact, involved social-networking with trusted community leaders and among participants. Direct recruitment strategies, that brought the recruiters in direct contact with volunteers, involved presentations at community gatherings. APNs recorded time to complete screening health assessments.
Results: Of the 609 women who contacted the program with interest, 49% were eligible, 27% were lost to attrition, and 23% were ineligible. Indirect recruitment strategies were the most effective in generating inquiries. Twenty-four percent heard about the program through social networking among participants and 23% through social networking with trusted community leaders/members. The screening health assessment took an average of 47.6 minutes per subject, an estimated cost of $34.56 (SD $7.44). It was estimated that without the APN health assessment 143 of the eligible woman would not have been able to participate.
Conclusion: Recruitment success was attributed to an engaging recruitment staff who had multiple connections with trusted members in all of the targeted communities and advanced practice nurses who made the program accessible to low to moderate income women.
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
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Effectiveness of group-visits in a women's lifestyle physical activity program for African-American women Wilbur, Jo Ellen; Miller, Arlene Michaels; Buchholz, Susan; Braun, Lynne T.; Dancy, Barbara (2016-03-17)Session presented on Friday, July 24, 2015: Purpose: Theoretically-based group physical activity interventions have shown to be the most effective means of increasing physical activity in minority populations. Primary ...
Wilbur, Jo Ellen; Braun, Lynne T.; Buchholz, Susan; Miller, Arlene Michaels (2017-07-21)Purpose: Group interventions combining guidance, self-management, and ongoing support effectively increase physical activity in African-American women, but little is known about long-term maintenance. Maintenance of physical ...
The women’s lifestyle physical activity program: Social cognitive constructs and adherence to physical activity Garland, Meghan; Wilbur, Jo Ellen; Braun, Lynne T.; Halloway, Shannon; Semanik, Pamela; Fogg, LouisAfrican American women have the lowest levels of leisure-time physical activity (LTPA), contributing to disproportionate cardiovascular disease. Understanding the relationship between social cognitive constructs and LTPA ...
Dimensions of racial identity as predictors of physical activity in midlife African American women Hardy, Elaine ClaristaPhysical inactivity leads to serious health consequences, particularly for midlife African American (AA) women. Midlife African American (AA) women are less physically active and have higher obesity-related morbidity and ...
Daniel, Manju N.; Abendroth, Maryann; Erlen, Judith A. (2016-07-13)Session presented on Saturday, July 23, 2016: Background: Lifestyle physical activity (i.e. planned/unplanned leisure, occupational or household activities) is vital to reduce the risk of chronic illness such as cardiovascular ...