Exploring recruitment, willingness to participate, and retention of low-SES women in stress and depression prevention

BMC Public Health

Research Article

Clemens MH Hosman¹  Judith EB van der Waerden²  Cees Hoefnagels³  Maria WJ Jansen⁴ 

[1] Department of Health Promotion, Maastricht University, Maastricht, The Netherlands;Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands;CAPHRI School for Public Health and Primary Care, Maastricht University, Maasrticht, The Netherlands;Department of Health Promotion, Maastricht University, Maastricht, The Netherlands;CAPHRI School for Public Health and Primary Care, Maastricht University, Maasrticht, The Netherlands;Department of Health Promotion, Maastricht University, Maastricht, The Netherlands;Trimbos Institute, Netherlands institute for mental health and addiction, Utrecht, The Netherlands;CAPHRI School for Public Health and Primary Care, Maastricht University, Maasrticht, The Netherlands;Public Health Services South Limburg, Geleen, The Netherlands;CAPHRI School for Public Health and Primary Care, Maastricht University, Maasrticht, The Netherlands;

关键词: Depressive Symptom;    Disadvantaged Neighborhood;    Perceive Stress Scale;    Disadvantaged Community;    Depression Prevention;   

DOI  :  10.1186/1471-2458-10-588

 received in 2010-05-18, accepted in 2010-10-05,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundRecruitment, willingness to participate, and retention in interventions are indispensable for successful prevention. This study investigated the effectiveness of different strategies for recruiting and retaining low-SES women in depression prevention, and explored which sociodemographic characteristics and risk status factors within this specific target group are associated with successful recruitment and retention.MethodsThe process of recruitment, willingness to participate, and retention was structurally mapped and explored. Differences between women who dropped out and those who adhered to the subsequent stages of the recruitment and retention process were investigated. The potential of several referral strategies was also studied, with specific attention paid to the use of GP databases.ResultsAs part of the recruitment process, 12.1% of the target population completed a telephone screening. The most successful referral strategy was the use of patient databases from GPs working in disadvantaged neighborhoods. Older age and more severe complaints were particularly associated with greater willingness to participate and with retention.ConclusionsLow-SES women can be recruited and retained in public health interventions through tailored strategies. The integration of mental health screening within primary care might help to embed preventive interventions in low-SES communities.

【 授权许可】

CC BY   
© van der Waerden et al; licensee BioMed Central Ltd. 2010