Abstract
Background
Children are a common target group in behavioral health research. Yet their recruitment into community setting studies poses challenges to researchers and little guidance exists on recruitment and retention methods.
Purpose
This study aims to present successful strategies for the recruitment and retention of children into behavioral health risk factor studies.
Method
Firstly, a literature search in various databases was undertaken for papers published 1990–2012, focusing on recruitment and retention methods used in community-based studies with children aged 3–18 years. Secondly, a Delphi study was conducted in 2012 with 27 international experts in the fields of child-related behavioral health risk factors to gather expertise and consensus on successful recruitment and retention strategies applicable in children.
Results
The literature review and Delphi study yielded a set of successful child recruitment and retention strategies, and examples for implementation. These are presented as strategies to Recruit, Engage and retAin Children in behavioral Health risk factor studies (REACH). Recognized strategies for successful recruitment and retention included building trustful relationships between researchers and study partners, parents, and children; having project champions; optimizing consent and follow-up procedures; offering incentives to study partners, children, and parents; minimizing participant burden; and designing feasible studies with cohesive research teams.
Conclusion
Using multiple REACH strategies is most promising for maximizing response rates and minimizing attrition of children in cross-sectional, longitudinal, and behavioral intervention studies in community settings such as schools, child care centers, and other youth-related organizations. Researchers can select the most suitable strategies based on their specific study design and requirements.
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References
Lamb J, Puskar KR, Tusaie-Mumford K. Adolescent research recruitment issues and strategies: application in a rural school setting. J Pediatr Nurs. 2001;16(1):43–52.
Shahabi A, Bernstein L, Azen SP, McClain AD, Belcher B, Hsu YW, et al. Recruitment and retention of African American and Latino preadolescent females into a longitudinal behavioral study. Ethn Dis. 2011;21(1):91–8.
Karlson CW, Rapoff MA. Attrition in randomized controlled trials for pediatric chronic conditions. J Pediatr Psychol. 2009;34(7):782–93.
Bruzzese J-M, Gallagher R, McCann-Doyle S, Reiss PT, Wijetunga NA. Effective methods to improve recruitment and retention in school-based substance use prevention studies. J Sch Health. 2009;79(9):400–7.
Story M, Sherwood NE, Obarzanek E, Beech BM, Baranowski JC, Thompson NS, et al. Recruitment of African-American pre-adolescent girls into an obesity prevention trial: the GEMS pilot studies. Ethn Dis. 2003;13(1 SUPPL 1):S78–87.
Backinger CL, Michaels CN, Jefferson AM, Fagan P, Hurd AL, Grana R. Factors associated with recruitment and retention of youth into smoking cessation intervention studies—a review of the literature. Health Educ Res. 2008;23(2):359–68.
Trapp G, Giles-Corti B, Martin K, Timperio A, Villanueva K. Conducting field research in a primary school setting: methodological considerations for maximising response rates, data quality and quantitiy. Health Educ J. 2011;11:1–7.
Binkley D, Copeland JR, Duvall RC, Franklin F, Harrington KF, Raczynski J. Recruitment issues in school-based research: lessons learned from the High 5 Alabama Project. J Sch Health. 1997;67(10):415–21.
Elder JP, Shuler L, Moe SG, Grieser M, Pratt C, Cameron S, et al. Recruiting a diverse group of middle school girls into the trial of activity for adolescent girls. J Sch Health. 2008;78(10):523–31.
Douyon M, Chavez M, Bunte D, Horsburgh CR, Strunin L. The GirlStars program: challenges to recruitment and retention in a physical activity and health education program for adolescent girls living in public housing. Prev Chronic Dis. 2010;7(2):A42.
Nelson MC, Neumark-Stzainer D, Hannan PJ, Sirard JR, Story M. Longitudinal and secular trends in physical activity and sedentary behavior during adolescence. Pediatr. 2006;118(6):e1627–34.
Anderson PM, Butcher KF. Childhood obesity: trends and potential causes. Future Child. 2006;16(1):19–45.
Huang TTK, Ball GDC, Franks PW. Metabolic syndrome in youth: current issues and challenges. Appl Physiol Nutr Metab. 2007;32(1):13–22.
Rocchini AP. Childhood obesity and a diabetes epidemic. N Engl J Med. 2002;346(11):854–5.
Vasquez-Ramos R, Leahy M, Hernandez NE. The Delphi method in rehabilitation counselling research. Rehabil Couns Bull. 2007;50(2):111–8.
Vandelanotte C, Dwyer T, Van Itallie A, Hanley C, Mummery WK. The development of an internet-based outpatient cardiac rehabilitation and intervention: a Delphi study. BMC Cardiovasc Disord. 2010;10(27):1–8.
Blom-Hoffman J, Leff SS, Franko DL, Weinstein E, Beakley K, Power TJ. Consent procedures and participation rats in school-based intervention and prevention research: using multi-component, partnership-based approach to recruit participants. School Ment Health. 2009;1(1):3–15.
Booker CL, Harding S, Benzeval M. A systematic review of the effect of retention methods in population-based cohort studies. BMC Public Health. 2011;19(11):249.
Goodman RM, Petosa R. Recruitment and retention of schools participating in school health research. J Sch Health. 1991;61(10):426–9.
Meaux JB, Bell PL. Balancing recruitment and protection: children as research subjects. Issues Compr Pediatr Nurs. 2001;24(4):241–51.
Lim CS, Follansbee-Junger KW, Crawford MS, Janicke DM. Treatment outcome research in rural pediatric populations: the challenge of recruitment. J Pediatr Psychol. 2011;36(6):696–707.
Rice M, Bunker KD, Kang D, Howell CC, Weaver M. Accessing and recruiting children for research in schools. West J Nurs Res. 2007;29(4):501–14.
Rice M, Broome ME. Incentives for children in research. Health Policy Syst. 2004;36(2):167–72.
Dwyer JJM, Allison KR, Lysy DC, Adlaf EM, Faulkner GEJ. An illustration of methodology to maximise mail survey response rates in a provincial school-based physical activity needs assessment. Can J Program Eval. 2010;24(2):157–68.
Walker SE, Smolkin ME, O’Leary MLL, Cluett SB, Norwood VF, DeBoer MD, et al. Predictors of retention and BMI loss or stabilization in obese youth enrolled in a weight loss intervention. Obes Res Clin Pract. 2011;5(1):e1–e10.
Jones L, Saksvig BI, Grieser M, Young DR. Recruiting adolescent girls into a follow-up study: benefits of using a social networking website. Contemp Clin Trials. 2011;33(2):268–72.
Duncan SC, Strycker LA, Duncan TE, Chaumeton NR. Telephone recruitment of a random stratified youth sample for a physical activity study. J Sport Exerc Psychol. 2002;24(4):347–58.
Nguyen B, McGregor KA, O'Connor J, Shrewsbury VA, Lee A, Steinbeck KS, et al. Recruitment challenges and recommendations for adolescent obesity trials. J Paediatr Child Health. 2012;48(1):38–43.
Jones FC, Broome ME. Focus groups with African American adolescents: enhancing recruitment and retention in intervention studies. J Pediatr Nurs. 2001;16(2):88–96.
Stanford PD, Monte DA, Briggs FM, Flynn PM, Tanney M, Ellenberg JH, et al. Recruitment and retention of adolescent participants in HIV research: findings from the REACH (Reaching for Excellence in Adolescent Care and Health) project. J Adolesc. 2003;32(3):192–203.
Lakes KD, Vaughan E, Jones M, Burke W, Baker D. Swanson JM: diverse perceptions of the informed consent process: implications for the recruitment and participation of diverse communities in the National Children's Study. Am J Community Psychol. 2011;49(1–2):215–32.
Zand DH, Thomson NR, Dugan M, Braun J, Holterman-Hommes P, Hunter P. The recruitment process: factors that predict African-American adolescents' initial engagement into an alcohol, tobacco, and other drug prevention study. J Ethn Subst Abuse. 2004;3(2):43–54.
Peters Jr RJ, Meshack A, Kelder SH, Springer A, Agurcia C. Beliefs and perceived norms concerning smoking cessation program recruitment among african american teen smokers: what appeals to youth and what turns them away. J Ethn Subst Abuse. 2011;10(3):246–55.
Drews KL, Harrell JS, Thompson D, Mazzuto SL, Ford EG, Carter M, et al. Recruitment and retention strategies and methods in the HEALTHY study. Int J Obes. 2009;33 Suppl 4:S21–8.
Strycker LA, Duncan SC, Duncan TE, He H, Desai N. Retention of African-American and White youth in a longitudinal substance use study. J Ethn Subst Abuse. 2006;5(3):119–31.
Logsdon MC, Gohmann S. Challenges and costs related to recruitment of female adolescents for clinical research. J Pediatr Nurs. 2008;23(5):331–6.
Ely B, Coleman C. Scientific inquiry. Recruitment and retention of children in longitudinal research. J Spec Pediatr Nurs. 2007;12(3):199–202.
Sexton K. Comparison of recruitment, retention, and compliance results for three children's exposure monitoring studies. J Expo Anal Environ Epidemiol. 2005;15(4):350–6.
Guzmán A, Richardson IM, Gesell S, Barkin SL. Recruitment and retention of Latino children in a lifestyle intervention. Am J Health Behav. 2009;33(5):581–6.
Seed M, Juarez M, Alnatour R. Improving recruitment and retention rates in preventive longitudinal research with adolescent mothers. J Child Adolesc Psychiatr Nurs. 2009;22(3):150–3.
Cline A, Schafer-Kalkhoff T, Strickland E, Hamann T. Recruitment strategies for the Princeton (Ohio) city school district epidemiological study. J Sch Health. 2005;75(5):189–91.
Villarruel AM, Jemmott LS, Jemmott JB, Eakin BL. Recruitment and retention of latino adolescents to a research study: lessons learned from a randomized clinical trial. J Spec Pediatr Nurs. 2006;11(4):244–50.
Seibold-Simpson S, Morrison-Beedy D. Avoiding early study attrition in adolescent girls: Impact of recruitment contextual factors. West J Nurs Res. 2010;32(6):761–78.
Pappas DM, Werch CE, Carlson JM. Recruitment and retention in an alcohol prevention program at two inner-city middle schools. J Sch Health. 1998;68(6):231–6.
Meyers K, Webb A, Frantz J, Randall M. What does it take to retain substance-abusing adolescents in research protocols? Delineation of effort required, strategies undertaken, costs incurred, and 6-month post-treatment differences by retention difficulty. Drug Alcohol Depend. 2003;69(1):73–85.
Gensheimer LK, Roosa MW, Ayers TS. Children's self-selection into prevention programs: evaluation of an innovative recruitment strategy for children of alcoholics. Am J Community Psychol. 1990;18(5):707–23.
Recruitment of participants in the childhood Asthma Management Program (CAMP): description of methods: Childhood Asthma Management Program Research Group. J Asthma. 1999;36(3):217–37.
Koo M, Skinner H. Challenges of internet recruitment: a case study with disappointing results. J Med Internet Res. 2005;7(1):e6.
Mohler-Kuo M, Jann B, Dey M, Zellweger U. A recruitment method to obtain community samples of children for survey research in Switzerland. Int J Public Health. 2011;56(3):353–6.
Green BC. Building sport programs to optimize athlete recruitment, retention, and transition: toward a normative theory of sport development. JSM. 2005;19(3):233–53.
Diviak KR, Wahl SK, O'Keefe JJ, Mermelstein RJ, Flay BR. Recruitment and retention of adolescents in a smoking trajectory study: who participates and lessons learned. Subst Use Misuse. 2006;41(2):175–82.
Kalkhuis-Beam S, Stevens SL, Baumritter A, Carlson EC, Pletcher JR, Rodriguez D, et al. Participant- and study-related characteristics predicting treatment completion and study retention in an adolescent smoking cessation trial. J Adolesc Health. 2011;49(4):371–8.
Acknowledgments
This research was supported through the Australian Research Council funded projects Independent Mobility and Active Travel in Children (iMATCH, Linkage Project LP100100344) and Children's Active Travel, Connectedness and Health (Discovery Project DP1094495). The former project includes financial support from the Merri Community Health Services Victoria, the Moreland City Council, Queensland Health, and Queensland Transport which is gratefully acknowledged. Stephanie Schoeppe's position was funded through an Australian Postgraduate Award (Industry) financed through the iMATCH project. Moreover, the authors thank the 27 international public health researchers who participated in the Delphi study, hence provided valuable input to the development of the REACH strategies.
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Schoeppe, S., Oliver, M., Badland, H.M. et al. Recruitment and Retention of Children in Behavioral Health Risk Factor Studies: REACH Strategies. Int.J. Behav. Med. 21, 794–803 (2014). https://doi.org/10.1007/s12529-013-9347-5
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DOI: https://doi.org/10.1007/s12529-013-9347-5