Evidence map›Paper›PMID 28378019›Full record

ArticleContemporary clinical trials communications2017

A successful approach to minimizing attrition in racial/ethnic minority, low-income populations.

Glenn Flores, Alberto Portillo, Hua Lin, Candy Walker, Marco Fierro, Monica Henry, Kenneth Massey

Registry-linked trialAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01264718 (A Randomized Trial of Effects of Parent Mentors on Insuring Minority Children), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–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.

NCT01264718 nacompletednot on this map

A Randomized Trial of Effects of Parent Mentors on Insuring Minority Children

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2010 to 2016Enrolled329ConditionsUninsured Children Eligible for Medicaid or CHIPArmsParent Mentors
3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

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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

7 authors.

Glenn FloresMedica Research Institute, Minneapolis, MN, United States; Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, United States; and Department of Health Sciences Research, Mayo Clinic, Rochester, MN, United States; address: Medica Research Institute, MR-CW105, P.O. Box 9310, Minneapolis, MN 55440, United States.
Alberto PortilloDepartment of Department of Anesthesiology & Pain Management, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, NA2.110, Dallas, TX, 75390, United States.
Hua LinDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, United States.
Candy WalkerTexas Scottish Rite Hospital for Children, 2222 Welborn St, Dallas, TX 75219, United States.
Marco FierroDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, United States.
Monica HenryUniversity of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, United States.
Kenneth MasseyUniversity of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, United States.

Funding

A Randomized Trial of Effects of Parent Mentors on Insuring Minority ChildrenR01HD066219 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI LEE, MICHAEL CORBIN · 2010 to 2014
$2.8M
NICHD NIH HHS R01 HD066219
6 · The paper itself

Abstract

backgroundRecruiting and retaining minority participants in clinical trials continue to be major challenges. Although multiple studies document lower minority trial enrollment, much less is known about effective minority retention strategies. Our objectives were to evaluate an innovative approach to high RCT retention of minority children, and identify child/caregiver characteristics predicting attrition.

methodsThe Kids' HELP trial examined the effects of Parent Mentors on insuring uninsured minority children. We tested a retention strategic framework consisting of: 1) optimizing cultural/linguistic competency; 2) staff training on participant relationships and trust; 3) comprehensive participant contact information; 4) an electronic tracking database; 5) reminders for upcoming outcomes-assessment appointments; 6) frequent, sustained contact attempts for non-respondents; 7) financial incentives; 8) individualized rapid-cycle quality-improvement approaches to non-respondents; 9) reinforcing study importance; and 10) home assessment visits. We compared attrition in Kids' HELP vs. two previous RCTs in similar populations, and conducted bivariate and multivariable analyses of factors associated with Kids' HELP attrition.

resultsAttrition in Kids' HELP was lower than in two similar RCTs, at 10.9% vs. 37% and 40% (

conclusionsA retention strategic framework was successful in minimizing attrition in minority, low-income children. Participants missing first assessment appointments were at highest risk of subsequent attrition. These findings suggest that deploying this framework may help RCT retention of low-income minority children, particularly those at the highest risk of subsequent attrition.

Indexed as

African AmericansHispanic Americansminority groupsPatient dropoutsrandomized controlled trialsresearch subject recruitment

Identifiers

PMID28378019
PMCPMC5376068

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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.