Optimizing Recruitment and Retention in Substance Use Disorder Research in Emergency Departments.

Introduction: Clinical trial recruitment and retention of individuals who use substances are challenging in any setting and can be particularly difficult in emergency department (ED) settings. This article discusses strategies for optimizing recruitment and retention in substance use research conduc...

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Publicado en:Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Vol. 24; no. 2; pp. 228 - 236
Autores principales: Worth, Lindsay M., Macias-Konstantopoulos, Wendy, Moy, Lauren, Perl, Harold I., Crandall, Cameron, Chavez, Roberta, Forcehimes, Alyssa, Mandler, Raul, Bogenschutz, Michael P.
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Mar2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2023
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      pub: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
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        10.5811/westjem.2022.11.57179
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          Worth, Lindsay M.
          Macias-Konstantopoulos, Wendy
          Moy, Lauren
          Perl, Harold I.
          Crandall, Cameron
          Chavez, Roberta
          Forcehimes, Alyssa
          Mandler, Raul
          Bogenschutz, Michael P.
        affil: University of New Mexico, Department of Psychiatric Research, Albuquerque, New Mexico
      sug:
        subj:
          Research Subject Recruitment Evaluation
          Research Subject Retention Evaluation
          Substance Use Disorders
          Research, Medical
          Emergency Service Utilization
          Human
          Male
          Female
          Randomized Controlled Trials
          Random Assignment
          Health Screening Methods
          Prospective Studies
          Diffusion of Innovation
          Adaptation, Psychological
          Male
          Female
      ab: Introduction: Clinical trial recruitment and retention of individuals who use substances are challenging in any setting and can be particularly difficult in emergency department (ED) settings. This article discusses strategies for optimizing recruitment and retention in substance use research conducted in EDs. Methods: Screening, Motivational Assessment, Referral, and Treatment in Emergency Departments (SMART-ED) was a National Drug Abuse Treatment Clinical Trials Network (CTN) protocol designed to assess the impact of a brief intervention with individuals screening positive for moderate to severe problems related to use of non-alcohol, non-nicotine drugs. We implemented a multisite, randomized clinical trial at six academic EDs in the United States and leveraged a variety of methods to successfully recruit and retain study participants throughout the 12-month study course. Recruitment and retention success is attributed to appropriate site selection, leveraging technology, and gathering adequate contact information from participants at their initial study visit. Results: The SMART-ED recruited 1,285 adult ED patients and attained follow-up rates of 88%, 86%, and 81% at the 3-, 6-, and 12-month follow-up periods, respectively. Participant retention protocols and practices were key tools in this longitudinal study that required continuous monitoring, innovation, and adaptation to ensure strategies remained culturally sensitive and context appropriate through the duration of the study. Conclusion: Tailored strategies that consider the demographic characteristics and region of recruitment and retention are necessary for ED-based longitudinal studies involving patients with substance use disorders.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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