Evidence map›Paper›PMID 27068662›Full record

ArticleJournal of racial and ethnic health disparities2016

Successful Strategies for Practice-Based Recruitment of Racial and Ethnic Minority Pregnant Women in a Randomized Controlled Trial: the IDEAS for a Healthy Baby Study.

Sarah L Goff, Yara Youssef, Penelope S Pekow, Katharine O White, Haley Guhn-Knight, Tara Lagu, Kathleen M Mazor, Peter K Lindenauer

Registry-linked trialAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01784575 (IDEAS for a Healthy Baby), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01784575 nacompletednot on this map

IDEAS for a Healthy Baby: Reducing Disparities in Consumer Use of Publicly Reported Quality Data

TypeinterventionalSponsorBaystate Medical CenterRan2013 to 2015Enrolled746ConditionsPregnancyArmsPatient Navigator Intervention
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Feasibility Study ofNutrients · 2023
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  5. Review
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  8. Electronic Monitoring Of Mom's Schedule (eMOMSPreventive medicine reports · 2023
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  12. Review
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sarah L GoffDepartment of Medicine, Tufts University/Baystate Medical Center, 759 Chestnut St, Springfield, MA, 01199, USA. sarah.goffmd@baystatehealth.org.
Yara YoussefSchool of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA.
Penelope S PekowCenter for Quality of Care Research, Baystate Medical Center, 759 Chestnut St, Springfield, MA, 01199, USA.
Katharine O WhiteDepartment of Obstetrics and Gynecology, Boston University Medical Center, 72 East Concord St., Boston, MA, 02118, USA.
Haley Guhn-KnightDepartment of Medicine, Tufts University/Baystate Medical Center, 759 Chestnut St, Springfield, MA, 01199, USA.
Tara LaguDepartment of Medicine, Tufts University/Baystate Medical Center, 759 Chestnut St, Springfield, MA, 01199, USA.
Kathleen M MazorMeyers Primary Care Institute, 630 Plantation St., Worcester, MA, USA.
Peter K LindenauerDepartment of Medicine, Tufts University/Baystate Medical Center, 759 Chestnut St, Springfield, MA, 01199, USA.

Funding

IDEAS for a Healthy Baby: Reducing Disparities in Consumer Use of Quality DataR21HS021864 · AHRQ · BAYSTATE MEDICAL CENTER, INC. · PI GOFF, SARAH L · 2012 to 2014
$922k
Evaluating the impact of patient-centric home health quality reportsR21HS021879 · AHRQ · HEALTHCENTRIC ADVISORS · PI BAIER, ROSA · 2012 to 2014
$836k
Defining Optimal Clinical Strategies for Critically Ill Heart Failure PatientsK01HL114745 · NHLBI · BAYSTATE MEDICAL CENTER, INC. · PI LAGU, TARA C · 2013 to 2017
$721k
AHRQ HHS R21 HS021864AHRQ HHS R21 HS021879NHLBI NIH HHS K01 HL114745
6 · The paper itself

Abstract

backgroundRacial/ethnic minority patients are often underrepresented in clinical trials. Efforts to address barriers to participation may improve representation, thus enhancing our understanding of how research findings apply to more diverse populations.

methodsThe IDEAS (Information, Description, Education, Assistance, and Support) for a Healthy Baby study was a randomized controlled trial (RCT) of an intervention to reduce barriers to using publicly reported quality data for low-income, racial/ethnic minority women. We used strategies grounded in a health equity framework to address barriers to recruitment and retention in three domains: preparation, process, and patient-centeredness. "Preparation" included teaching study staff about health inequities, role-playing skills to develop rapport and trust, and partnering with clinic staff. "Processes" included use of electronic registration systems to pre-screen potential candidates and determine when eligible participants were in clinic and an electronic database to track patients through the study. Use of a flexible protocol, stipends, and consideration of literacy levels promoted "patient-centeredness."

resultsWe anticipated needing to recruit 800 women over 18 months to achieve a completion goal of 650. Using the recruitment and retention strategies outlined above, we recruited 746 women in 15 months, achieving higher recruitment (87.1 %) and retention rates (97.3 %) than we had anticipated. DISCUSSION: These successful recruitment and retention strategies used for a large RCT promoted inclusivity and accessibility. Researchers seeking to recruit racial and ethnic minority pregnant women in similar settings may find the preparation, process, and patient-centered strategies used in this study applicable for their own studies.

trial registrationClinicalTrials.gov NCT01784575 , 1R21HS021864-01.

Indexed as

Minority GroupsPatient SelectionPregnant PeopleRandomized Controlled Trials as TopicEthnicityFemaleHumansInfantPovertyPregnancyRacial GroupsResearch DesignLow socioeconomic statusPregnant womenRacial and ethnic minorityRandomized controlled trialRecruitmentRetention

Identifiers

PMID27068662
PMCPMC5064805

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.