拉丁裔吸烟者招募策略的有效性:卡塔尔世界杯8强波胆分析移动健康戒烟随机临床试验的二次分析% a Arana-Chicas,Evelyn % a Cartujano-Barrera,Francisco % a Rieth,Katherine K % a Richter,Kimber K % a Ellerbeck,Edward F % a Cox,Lisa Sanderson % a Graves,Kristi D % a Diaz,Francisco J % a Catley,Delwyn % a Cupertino,Ana Paula %+罗彻斯特大学医学与牙科学院外科学系，罗彻斯特克里滕登大道265号，纽约州罗彻斯特，14642，美国，1 585 287 4217，Evelyn_Arana@urmc.rochester.edu %K戒烟%K拉丁裔健康，拉丁裔招募%K健康差异%K参与者招募%D 2022 %7 27.6.2022 %9背景:拉丁裔在临床试验中的代表性仍然不成比例地不足，仅占研究参与者的2%-3%。为了解决健康差异，在戒烟试验中增加拉丁裔吸烟者的登记是至关重要的。针对这一人群的有效招聘策略的研究有限。目的:本研究的目的是比较在一项随机戒烟试验中，直接招募策略与大规模招募策略、高强度招募策略与低强度招募策略在招募和保留拉丁裔吸烟者方面的有效性。我们还研究了招募类型如何影响被招募参与者的特征。方法:从4个州(新泽西州、堪萨斯州、密苏里州和纽约州)招募拉丁裔吸烟者进入Decídetexto。参与者于2018年8月至2021年3月招募。大规模招聘策略包括通过传单、Facebook广告、报纸、电视、广播、教堂公告和我们的Decídetexto网站向拉丁裔社区投放英语和西班牙语广告。 Direct, high-effort strategies included referrals from clinics or community-based organizations with whom we partnered, in-person community outreach, and patient registry calls. Direct, low-effort strategies included texting or emailing pre-existing lists of patients who smoked. A team of trained bilingual (English and Spanish) recruiters from 9 different Spanish-speaking countries of origin conducted recruitment, assessed eligibility, and enrolled participants into the trial. Results: Of 1112 individuals who were screened, 895 (80.5%) met eligibility criteria, and 457 (457/895, 51.1%) enrolled in the trial. Within the pool of screened individuals, those recruited by low-effort recruitment strategies (both mass and direct) were significantly more likely to be eligible (odds ratio [OR] 1.67, 95% CI 1.01-2.76 and OR 1.70, 95% CI 0.98-2.96, respectively) and enrolled in the trial (OR 2.60, 95% CI 1.81-3.73 and OR 3.02, 95% CI 2.03-4.51, respectively) compared with those enrolled by direct, high-effort strategies. Among participants enrolled, the retention rates at 3 months and 6 months among participants recruited via low-effort strategies (both mass and direct) were similar to participants recruited via direct, high-effort methods. Compared with enrolled participants recruited via direct (high- and low-effort) strategies, participants recruited via mass strategies were less likely to have health insurance (44.0% vs 71.2% and 71.7%, respectively; P<.001), lived fewer years in the United States (22.4 years vs 32.4 years and 30.3 years, respectively; P<.001), more likely to be 1st generation (92.7% vs 76.5% and 77.5%, respectively; P=.007), more likely to primarily speak Spanish (89.3% vs 65.8% and 66.3%, respectively), and more likely to be at high risk for alcohol abuse (5.8 mean score vs 3.8 mean score and 3.9 mean score, respectively; P<.001). Conclusions: Although most participants were recruited via direct, high-effort strategies, direct low-effort recruitment strategies yielded a screening pool more likely to be eligible for the trial. Mass recruitment strategies were associated with fewer acculturated enrollees with lower access to health services—groups who might benefit a great deal from the intervention. Trial Registration: ClinicalTrials.gov identifier: NCT03586596; https://clinicaltrials.gov/ct2/show/NCT03586596 International Registered Report Identifier (IRRID): RR2-DOI: 10.1016/j.cct.2020.106188 %M 35759320 %R 10.2196/34863 %U //www.mybigtv.com/2022/6/e34863 %U https://doi.org/10.2196/34863 %U http://www.ncbi.nlm.nih.gov/pubmed/35759320