Factors Associated with Recruitment and Retention in Randomized Controlled Trials of Behavioral Interventions for Patients with Pediatric Type 1 Diabetes

The purpose of this study is to describe recruitment and retention experiences from three behavioral randomized controlled trials conducted among youth with type 1 diabetes. Eligibility, recruitment, and retention data were examined. Study-specific differential study participation and loss-to-follow...

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Bibliographic Details
Published in:Journal of clinical psychology in medical settings 2016-06, Vol.23 (2), p.112-125
Main Authors: Herbert, Linda J., Gillespie, Catherine, Monaghan, Maureen, Holmes, Clarissa, Streisand, Randi
Format: Article
Language:English
Subjects:
Adolescent
Behavior modification
Caregivers
Child
Children & youth
Chronic illnesses
Clinical trials
Communication
Consent
Data collection
Design
Diabetes
Diabetes Mellitus, Type 1
Families & family life
Family Medicine
General Practice
Health Psychology
Humans
Intervention
Medicine
Medicine & Public Health
Parents & parenting
Participation
Patient Selection
Pediatrics
Questionnaires
Randomized Controlled Trials as Topic
Researchers
Retention
Teamwork
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Summary:The purpose of this study is to describe recruitment and retention experiences from three behavioral randomized controlled trials conducted among youth with type 1 diabetes. Eligibility, recruitment, and retention data were examined. Study-specific differential study participation and loss-to-follow-up analyses assessed the relations of patient characteristics with treatment completion and 6-month retention. Multivariable logistic regression identified factors independently associated with 6-month retention among all participants. Approximately 70–92 % of randomized participants completed treatment and 58–90 % were retained for follow-up. Older patients and non-Caucasian patients were less likely to enroll. Treatment completion and 6-month retention were less likely among youth who were older, had worse baseline glycemic control, lower household income, and/or unmarried parents. Some subgroups of patients are less likely to participate in research and are more susceptible to loss-to-follow-up. More work is needed to understand the facilitators and barriers to research participation.
ISSN:1068-9583
1573-3572
DOI:10.1007/s10880-015-9448-1