Recruitment of veterans from primary care into a physical activity randomized controlled trial: the experience of the VA-STRIDE study

Trials

Mary A Sevick⁷  Deborah T Klinvex¹  Andrea M Kriska⁵  Joseph T Ciccolo⁶  Bess H Marcus³  Kelly H Burkitt²  Roslyn A Stone⁸  Shasha Gao²  Ann R Steenkiste²  Maria K Mor⁸  Marie A Berger²  Linda J Hough²  Marquis S Hawkins⁴ 

[1] University of Pittsburgh Clinical and Translational Science Institute, Pittsburgh, PA 15260, USA;VA Pittsburgh Healthcare System, Center for Health Equity Research and Promotion, Pittsburgh, PA 15206, USA;Department of Family and Preventive Medicine, University of California San Diego, La Jolla, CA 92093, USA;Division of Biostatistics & Epidemiology, University of Massachusetts, Amherst School of Public Health and Health Sciences, Amherst, MA 01003, USA;Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA 15260, USA;Department of Biobehavioral Sciences, Columbia University Teachers College, New York, NY 10027, USA;Department of Population Health, New York University School of Medicine, New York, NY 10016, USA;Department of Biostatistics, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA 15260, USA

关键词: Randomized controlled trial;    Overweight;    Physical activity;    Primary care;    Veterans;   

Others  :  807693
DOI  :  10.1186/1745-6215-15-11

 received in 2013-05-15, accepted in 2013-12-09,  发布年份 2014

【 摘 要 】

Background

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.

Methods

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.

Results

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.

Conclusions

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.

Trial registration

Clinical trials.gov identifier: NCT00731094.

【 授权许可】

   
2014 Hawkins et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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