Recruitment and Retention for an Acupuncture Trial in an Underrepresented 65 and Older Population With Chronic Low Back Pain.

Background: The consequences of health disparities in underrepresented populations persist with increased disease burden and reduced access to care. Even with inclusion mandates, underserved populations are poorly represented across trials. This article describes recruitment and retention efforts of...

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Publicado en:Global Advances in Integrative Medicine & Health pp. 1 - 9
Autores principales: Teets, Ray Y., Nielsen, Arya, Mah, Donna, Beyrouty, Matthew, Handel, Marsha J., Justice, Morgan, Jyung, Hyowoun, Eng, Carolyn M., DeBar, Lynn L.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 5/9/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 5/9/2025
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Recruitment and Retention for an Acupuncture Trial in an Underrepresented 65 and Older Population With Chronic Low Back Pain.
      aug:
        au:
          Teets, Ray Y.
          Nielsen, Arya
          Mah, Donna
          Beyrouty, Matthew
          Handel, Marsha J.
          Justice, Morgan
          Jyung, Hyowoun
          Eng, Carolyn M.
          DeBar, Lynn L.
        affil: 52023 Institute for Family Health, New York, NY, USA
      sug:
        subj:
          Chronic Pain Therapy
          Low Back Pain Therapy
          Acupuncture Methods
          Research Subject Recruitment
          Research Subject Retention
          Minority Groups Psychosocial Factors
          Human
          Male
          Female
          Aged
          Treatment Outcomes
          Electronic Health Records
          Communication
          Interprofessional Relations
          Socioeconomic Factors
          Educational Status
          Income
          Ethnic Groups
          Race Factors
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Aged: 65+ years
          Male
          Female
      ab: Background: The consequences of health disparities in underrepresented populations persist with increased disease burden and reduced access to care. Even with inclusion mandates, underserved populations are poorly represented across trials. This article describes recruitment and retention efforts of an underrepresented population in a large NIH-funded trial. Methods: The BackInAction (BIA) study is a pragmatic, multi-site, three-arm, parallel-groups randomized controlled trial testing the effectiveness of acupuncture needling for reducing back pain-related disability among 800 older adults (≥65 years) with chronic low back pain. The Institute for Family Health (IFH), an FQHC in New York City, one of four BIA sites, provides primary care to largely underrepresented patients. The IFH recruitment goal was 123 participants. PCPs were oriented to trial referral, clinical research coordinators worked as navigators, and electronic health records (EHR) mechanisms were adapted to allow seamless communication between trial acupuncturists and the research team. Results: IFH met its goal of 123 trial participants with sociodemographic (22.8% ≥ 75 yrs of age, 72.4% female, 59.4% reported having at least some college education, 62.6% reported an annual household income of less than $25 000) and ethnic/racial diversity (39.0% Hispanic, 35.6% Black, 22.0% White non-Hispanic, 26.8% Spanish-speaking). IFH study withdrawal rate was 12.2% with 18.7% missingness in follow-up data rates at the trial's 6-month primary endpoint. Conclusion: The IFH site team successfully recruited and retained diverse participants through trusted connections with the study population, building on experience with acupuncture research, engaging PCPs, study team members, primary care clinical sites and EHR communication options.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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