Study Recruitment, Retention, and Adherence Among Chinese American Immigrants During the COVID-19 Pandemic.

Background: Chinese American immigrants have been underrepresented in health research partly due to challenges in recruitment. Objectives: This study aims to describe recruitment and retention strategies and report adherence in a 7-day observational physical activity study of Chinese American immigr...

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Publicado en:Nursing Research Vol. 73; no. 4; pp. 328 - 337
Autores principales: Shuyuan Huang, Soohyun Nam, Ash, Garrett I., Bei Wu, Melkus, Gail D'Eramo, Jeon, Sangchoon, McMahon, Erin, Dickson, Victoria Vaughan, Whittemore, Robin
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jul/Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2024
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        atl: Study Recruitment, Retention, and Adherence Among Chinese American Immigrants During the COVID-19 Pandemic.
      aug:
        au:
          Shuyuan Huang
          Soohyun Nam
          Ash, Garrett I.
          Bei Wu
          Melkus, Gail D'Eramo
          Jeon, Sangchoon
          McMahon, Erin
          Dickson, Victoria Vaughan
          Whittemore, Robin
        affil: Assistant Professor/Faculty Fellow, New York University Rory Meyers College of Nursing, New York
      sug:
        subj:
          Chinese Americans
          Immigrants United States
          Diabetes Mellitus, Gestational
          Physical Activity
          Research Protocols
          Patient Compliance Evaluation
          Research Subject Recruitment Evaluation
          Research Subject Retention Evaluation
          COVID-19 Pandemic United States
          Human
          China
          United States
          Female
          Funding Source
          Nonexperimental Studies
          Adult
          Accelerometers
          Snowball Sample
          Information Seeking Behavior
          World Wide Web
          Social Media
          Health Services Accessibility
          Research Subject Recruitment Methods
          Research Subject Retention Methods
          Culture
          Linguistics
          Pamphlets
          Descriptive Statistics
          Adult: 19-44 years
          Female
      ab: Background: Chinese American immigrants have been underrepresented in health research partly due to challenges in recruitment. Objectives: This study aims to describe recruitment and retention strategies and report adherence in a 7-day observational physical activity study of Chinese American immigrants with prior gestational diabetes during the COVID-19 pandemic. Methods: Foreign-born Chinese women aged 18--45 years, with a gestational diabetes index pregnancy of 0.5--5 years, who were not pregnant and had no current diabetes diagnosis were recruited. They wore an accelerometer for 7 consecutive days and completed an online survey. Multiple recruitment strategies were used: (a) culturally and linguistically tailored flyers, (b) social media platforms (e.g., WeChat [a popular Chinese platform] and Facebook), (c) near-peer recruitment and snowball sampling, and (d) a study website. Retention strategies included flexible scheduling and accommodation, rapid communications, and incentives. Adherence strategies included a paper diary and/or automated daily text reminders with a daily log for device wearing, daily email reminders for the online survey, close monitoring, and timely problem-solving. Results: Participants were recruited from 17 states; 108 were enrolled from August 2020 to August 2021. There were 2,479 visits to the study webpage, 194 screening entries, and 149 inquiries about the study. Their mean age was 34.3 years, and the mean length of U.S. stay was 9.2 years. Despite community outreach, participants weremainly recruited fromsocialmedia (e.g., WeChat). The majority were recruited via near-peer recruitment and snowball sampling. The retention rate was 96.3%; about 99% had valid actigraphy data, and 81.7% wore the device for 7 days. The majority of devices were successfully returned, and the majority completed the online survey on time. Discussion: We demonstrated the feasibility of recruiting and retaining a geographically diverse sample of Chinese American immigrants with prior gestational diabetes during the COVID-19 pandemic. Recruiting Chinese immigrants via social media (e.g., WeChat) is a viable approach. Nonetheless, more inclusive recruitment strategies are needed to ensure broad representation from diverse socioeconomic groups of immigrants.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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