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Study Recruitment, Retention, and Adherence Among Chinese American Immigrants During the COVID-19 Pandemic.
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- Author(s): Shuyuan Huang1; Soohyun Nam2; Ash, Garrett I.3,4; Bei Wu5; Melkus, Gail D'Eramo6; Jeon, Sangchoon7; McMahon, Erin8; Dickson, Victoria Vaughan9; Whittemore, Robin10
- Source:
Nursing Research. Jul/Aug2024, Vol. 73 Issue 4, p328-336. 9p.- Subject Terms:
*IMMIGRANTS; *PATIENT compliance; *PATIENT selection; *WORLD Wide Web; *SOCIAL media; *HEALTH services accessibility; *PAMPHLETS; *RESEARCH funding; *GESTATIONAL diabetes; *HUMAN research subjects; *SCIENTIFIC observation; *ACCELEROMETERS; *STATISTICAL sampling; *CULTURE; *CHINESE Americans; *DESCRIPTIVE statistics; *RESEARCH protocols; *LINGUISTICS; *PHYSICAL activity; *PATIENT participation; *COVID-19 pandemic; *INFORMATION-seeking behavior - Source:
- Additional Information
- Subject Terms:
- Abstract: 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. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Nursing Research is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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