Recruitment of veterans from primary care into a physical activity randomized controlled trial: the experience of the VA-STRIDE study
Identifieur interne : 000B10 ( Ncbi/Merge ); précédent : 000B09; suivant : 000B11Recruitment of veterans from primary care into a physical activity randomized controlled trial: the experience of the VA-STRIDE study
Auteurs : Marquis S. Hawkins [États-Unis] ; Linda J. Hough [États-Unis] ; Marie A. Berger [États-Unis] ; Maria K. Mor [États-Unis] ; Ann R. Steenkiste [États-Unis] ; Shasha Gao [États-Unis] ; Roslyn A. Stone [États-Unis] ; Kelly H. Burkitt [États-Unis] ; Bess H. Marcus [États-Unis] ; Joseph T. Ciccolo [États-Unis] ; Andrea M. Kriska [États-Unis] ; Deborah T. Klinvex [États-Unis] ; Mary A. Sevick [États-Unis]Source :
- Trials [ 1745-6215 ] ; 2014.
Abstract
Much of the existing literature on physical activity (PA) interventions involves physically inactive individuals recruited from community settings rather than clinical practice settings. Recruitment of patients into interventions in clinical practice settings is difficult due to limited time available in the clinic, identification of appropriate personnel to efficiently conduct the process, and time-consuming methods of recruitment. The purpose of this report is to describe the approach used to identify and recruit veterans from the Veterans Affairs (VA) Pittsburgh Healthcare System Primary Care Clinic into a randomized controlled PA study.
A sampling frame of veterans was developed using the VA electronic medical record. During regularly scheduled clinic appointments, primary care providers (PCPs) screened identified patients for safety to engage in moderate-intensity PA and willingness to discuss the study with research staff members. Research staff determined eligibility with a subsequent telephone screening call and scheduled a research study appointment, at which time signed informed consent and baseline measurements were obtained.
Of the 3,482 veterans in the sampling frame who were scheduled for a primary care appointment during the study period, 1,990 (57.2%) were seen in the clinic and screened by the PCP; moderate-intensity PA was deemed safe for 1,293 (37.1%), 871 (25.0%) agreed to be contacted for further screening, 334 (9.6%) were eligible for the study, and 232 (6.7%) enrolled.
Using a semiautomated screening approach that combined an electronically-derived sampling frame with paper and pencil prescreening by PCPs and research staff, VA-STRIDE was able to recruit 1 in 15 veterans in the sampling frame. Using this approach, a high proportion of potentially eligible veterans were screened by their PCPs.
Clinical trials.gov identifier:
Url:
DOI: 10.1186/1745-6215-15-11
PubMed: 24398076
PubMed Central: 3923270
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Much of the existing literature on physical activity (PA) interventions involves physically inactive individuals recruited from community settings rather than clinical practice settings. Recruitment of patients into interventions in clinical practice settings is difficult due to limited time available in the clinic, identification of appropriate personnel to efficiently conduct the process, and time-consuming methods of recruitment. The purpose of this report is to describe the approach used to identify and recruit veterans from the Veterans Affairs (VA) Pittsburgh Healthcare System Primary Care Clinic into a randomized controlled PA study.</p>
</sec>
<sec><title>Methods</title>
<p>A sampling frame of veterans was developed using the VA electronic medical record. During regularly scheduled clinic appointments, primary care providers (PCPs) screened identified patients for safety to engage in moderate-intensity PA and willingness to discuss the study with research staff members. Research staff determined eligibility with a subsequent telephone screening call and scheduled a research study appointment, at which time signed informed consent and baseline measurements were obtained.</p>
</sec>
<sec><title>Results</title>
<p>Of the 3,482 veterans in the sampling frame who were scheduled for a primary care appointment during the study period, 1,990 (57.2%) were seen in the clinic and screened by the PCP; moderate-intensity PA was deemed safe for 1,293 (37.1%), 871 (25.0%) agreed to be contacted for further screening, 334 (9.6%) were eligible for the study, and 232 (6.7%) enrolled.</p>
</sec>
<sec><title>Conclusions</title>
<p>Using a semiautomated screening approach that combined an electronically-derived sampling frame with paper and pencil prescreening by PCPs and research staff, VA-STRIDE was able to recruit 1 in 15 veterans in the sampling frame. Using this approach, a high proportion of potentially eligible veterans were screened by their PCPs.</p>
</sec>
<sec><title>Trial registration</title>
<p>Clinical trials.gov identifier: <ext-link ext-link-type="uri" xlink:href="http://www.clinicaltrials.gov/ct2/show/NCT00731094">NCT00731094</ext-link>
.</p>
</sec>
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<pmc article-type="research-article" xml:lang="en"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Trials</journal-id>
<journal-id journal-id-type="iso-abbrev">Trials</journal-id>
<journal-title-group><journal-title>Trials</journal-title>
</journal-title-group>
<issn pub-type="epub">1745-6215</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24398076</article-id>
<article-id pub-id-type="pmc">3923270</article-id>
<article-id pub-id-type="publisher-id">1745-6215-15-11</article-id>
<article-id pub-id-type="doi">10.1186/1745-6215-15-11</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Recruitment of veterans from primary care into a physical activity randomized controlled trial: the experience of the VA-STRIDE study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Hawkins</surname>
<given-names>Marquis S</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>mshawkins@schoolph.umass.edu</email>
</contrib>
<contrib contrib-type="author" id="A2"><name><surname>Hough</surname>
<given-names>Linda J</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>linda.hough@va.gov</email>
</contrib>
<contrib contrib-type="author" id="A3"><name><surname>Berger</surname>
<given-names>Marie A</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>marie.berger@va.gov</email>
</contrib>
<contrib contrib-type="author" id="A4"><name><surname>Mor</surname>
<given-names>Maria K</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<xref ref-type="aff" rid="I3">3</xref>
<email>maria.mor@va.gov</email>
</contrib>
<contrib contrib-type="author" id="A5"><name><surname>Steenkiste</surname>
<given-names>Ann R</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>ann.steenkiste@va.gov</email>
</contrib>
<contrib contrib-type="author" id="A6"><name><surname>Gao</surname>
<given-names>Shasha</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>shasha.gao@va.gov</email>
</contrib>
<contrib contrib-type="author" id="A7"><name><surname>Stone</surname>
<given-names>Roslyn A</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<xref ref-type="aff" rid="I3">3</xref>
<email>roslyn.stone@va.gov</email>
</contrib>
<contrib contrib-type="author" id="A8"><name><surname>Burkitt</surname>
<given-names>Kelly H</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>kelly.burkitt@va.gov</email>
</contrib>
<contrib contrib-type="author" id="A9"><name><surname>Marcus</surname>
<given-names>Bess H</given-names>
</name>
<xref ref-type="aff" rid="I4">4</xref>
<email>bmarcus@ucsd.edu</email>
</contrib>
<contrib contrib-type="author" id="A10"><name><surname>Ciccolo</surname>
<given-names>Joseph T</given-names>
</name>
<xref ref-type="aff" rid="I5">5</xref>
<email>jc4102@tc.columbia.edu</email>
</contrib>
<contrib contrib-type="author" id="A11"><name><surname>Kriska</surname>
<given-names>Andrea M</given-names>
</name>
<xref ref-type="aff" rid="I6">6</xref>
<email>kriskaa@edc.pitt.edu</email>
</contrib>
<contrib contrib-type="author" id="A12"><name><surname>Klinvex</surname>
<given-names>Deborah T</given-names>
</name>
<xref ref-type="aff" rid="I7">7</xref>
<email>klinvexdt@upmc.edu</email>
</contrib>
<contrib contrib-type="author" id="A13"><name><surname>Sevick</surname>
<given-names>Mary A</given-names>
</name>
<xref ref-type="aff" rid="I8">8</xref>
<email>mary.sevick@nyumc.org</email>
</contrib>
</contrib-group>
<aff id="I1"><label>1</label>
Division of Biostatistics & Epidemiology, University of Massachusetts, Amherst School of Public Health and Health Sciences, Amherst, MA 01003, USA</aff>
<aff id="I2"><label>2</label>
VA Pittsburgh Healthcare System, Center for Health Equity Research and Promotion, Pittsburgh, PA 15206, USA</aff>
<aff id="I3"><label>3</label>
Department of Biostatistics, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA 15260, USA</aff>
<aff id="I4"><label>4</label>
Department of Family and Preventive Medicine, University of California San Diego, La Jolla, CA 92093, USA</aff>
<aff id="I5"><label>5</label>
Department of Biobehavioral Sciences, Columbia University Teachers College, New York, NY 10027, USA</aff>
<aff id="I6"><label>6</label>
Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA 15260, USA</aff>
<aff id="I7"><label>7</label>
University of Pittsburgh Clinical and Translational Science Institute, Pittsburgh, PA 15260, USA</aff>
<aff id="I8"><label>8</label>
Department of Population Health, New York University School of Medicine, New York, NY 10016, USA</aff>
<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>7</day>
<month>1</month>
<year>2014</year>
</pub-date>
<volume>15</volume>
<fpage>11</fpage>
<lpage>11</lpage>
<history><date date-type="received"><day>15</day>
<month>5</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>9</day>
<month>12</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2014 Hawkins et al.; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>Hawkins et al.; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri xlink:href="http://www.trialsjournal.com/content/15/1/11"></self-uri>
<abstract><sec><title>Background</title>
<p>Much of the existing literature on physical activity (PA) interventions involves physically inactive individuals recruited from community settings rather than clinical practice settings. Recruitment of patients into interventions in clinical practice settings is difficult due to limited time available in the clinic, identification of appropriate personnel to efficiently conduct the process, and time-consuming methods of recruitment. The purpose of this report is to describe the approach used to identify and recruit veterans from the Veterans Affairs (VA) Pittsburgh Healthcare System Primary Care Clinic into a randomized controlled PA study.</p>
</sec>
<sec><title>Methods</title>
<p>A sampling frame of veterans was developed using the VA electronic medical record. During regularly scheduled clinic appointments, primary care providers (PCPs) screened identified patients for safety to engage in moderate-intensity PA and willingness to discuss the study with research staff members. Research staff determined eligibility with a subsequent telephone screening call and scheduled a research study appointment, at which time signed informed consent and baseline measurements were obtained.</p>
</sec>
<sec><title>Results</title>
<p>Of the 3,482 veterans in the sampling frame who were scheduled for a primary care appointment during the study period, 1,990 (57.2%) were seen in the clinic and screened by the PCP; moderate-intensity PA was deemed safe for 1,293 (37.1%), 871 (25.0%) agreed to be contacted for further screening, 334 (9.6%) were eligible for the study, and 232 (6.7%) enrolled.</p>
</sec>
<sec><title>Conclusions</title>
<p>Using a semiautomated screening approach that combined an electronically-derived sampling frame with paper and pencil prescreening by PCPs and research staff, VA-STRIDE was able to recruit 1 in 15 veterans in the sampling frame. Using this approach, a high proportion of potentially eligible veterans were screened by their PCPs.</p>
</sec>
<sec><title>Trial registration</title>
<p>Clinical trials.gov identifier: <ext-link ext-link-type="uri" xlink:href="http://www.clinicaltrials.gov/ct2/show/NCT00731094">NCT00731094</ext-link>
.</p>
</sec>
</abstract>
<kwd-group><kwd>Veterans</kwd>
<kwd>Primary care</kwd>
<kwd>Physical activity</kwd>
<kwd>Overweight</kwd>
<kwd>Randomized controlled trial</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Californie</li>
<li>Massachusetts</li>
<li>Pennsylvanie</li>
<li>État de New York</li>
</region>
<settlement><li>Amherst (Massachusetts)</li>
</settlement>
<orgName><li>Université du Massachusetts</li>
</orgName>
</list>
<tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Hawkins, Marquis S" sort="Hawkins, Marquis S" uniqKey="Hawkins M" first="Marquis S" last="Hawkins">Marquis S. Hawkins</name>
</region>
<name sortKey="Berger, Marie A" sort="Berger, Marie A" uniqKey="Berger M" first="Marie A" last="Berger">Marie A. Berger</name>
<name sortKey="Burkitt, Kelly H" sort="Burkitt, Kelly H" uniqKey="Burkitt K" first="Kelly H" last="Burkitt">Kelly H. Burkitt</name>
<name sortKey="Ciccolo, Joseph T" sort="Ciccolo, Joseph T" uniqKey="Ciccolo J" first="Joseph T" last="Ciccolo">Joseph T. Ciccolo</name>
<name sortKey="Gao, Shasha" sort="Gao, Shasha" uniqKey="Gao S" first="Shasha" last="Gao">Shasha Gao</name>
<name sortKey="Hough, Linda J" sort="Hough, Linda J" uniqKey="Hough L" first="Linda J" last="Hough">Linda J. Hough</name>
<name sortKey="Klinvex, Deborah T" sort="Klinvex, Deborah T" uniqKey="Klinvex D" first="Deborah T" last="Klinvex">Deborah T. Klinvex</name>
<name sortKey="Kriska, Andrea M" sort="Kriska, Andrea M" uniqKey="Kriska A" first="Andrea M" last="Kriska">Andrea M. Kriska</name>
<name sortKey="Marcus, Bess H" sort="Marcus, Bess H" uniqKey="Marcus B" first="Bess H" last="Marcus">Bess H. Marcus</name>
<name sortKey="Mor, Maria K" sort="Mor, Maria K" uniqKey="Mor M" first="Maria K" last="Mor">Maria K. Mor</name>
<name sortKey="Mor, Maria K" sort="Mor, Maria K" uniqKey="Mor M" first="Maria K" last="Mor">Maria K. Mor</name>
<name sortKey="Sevick, Mary A" sort="Sevick, Mary A" uniqKey="Sevick M" first="Mary A" last="Sevick">Mary A. Sevick</name>
<name sortKey="Steenkiste, Ann R" sort="Steenkiste, Ann R" uniqKey="Steenkiste A" first="Ann R" last="Steenkiste">Ann R. Steenkiste</name>
<name sortKey="Stone, Roslyn A" sort="Stone, Roslyn A" uniqKey="Stone R" first="Roslyn A" last="Stone">Roslyn A. Stone</name>
<name sortKey="Stone, Roslyn A" sort="Stone, Roslyn A" uniqKey="Stone R" first="Roslyn A" last="Stone">Roslyn A. Stone</name>
</country>
</tree>
</affiliations>
</record>
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