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    Lessons Learned and Strategies for Recruitment of Diverse, Low-income Patients into an Integrative Medical Group Visit Clinical Trial

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    Authors
    Gardiner, Paula
    Lestoquoy, Anna Sophia
    Negash, N. Lily
    Luo, Man
    Gergen-Barnett, Katherine
    Saper, Robert
    Penti, Brian
    White, Laura F.
    Liebschutz, Jane M.
    UMass Chan Affiliations
    Center for Integrated Primary Care
    Department of Family Medicine and Community Health
    Document Type
    Journal Article
    Publication Date
    2019-05-06
    Keywords
    Integrative medicine
    Recruitment
    Underserved patients
    Chronic pain
    Behavioral Medicine
    Health Psychology
    Integrative Medicine
    Mental and Social Health
    Primary Care
    Psychiatry and Psychology
    
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    https://doi.org/10.1016/j.explore.2019.01.003
    Abstract
    OBJECTIVE: Description of recruitment methods and lessons learned in a randomized controlled trial of underserved patients using an integrative medical group visits intervention. METHODS: Comparison of the demographic characteristics of participants screened and consented to the study as well as description of recruitment methods used. OUTCOME MEASURES: This paper examines the characteristics of patients who were eligible compared to those who were not, characteristics of patients at the different sites, and patient characteristics over time (by comparing various cohorts) based on our experiences recruiting underserved patients. RESULTS: We screened 338 patients, with 205 (60.6%) meeting eligibility criteria and 159 patients randomized and consented. 133 patients were found ineligible, with the most common reasons being low depression scores (n=20), manic symptoms (n=20), and psychotic symptoms (n=19), and alcohol use (n=15). We found demographic differences in patients recruited by different methods and at different sites- patients referred by provider letter were older than those referred by self-referral or provider referral (mean age/SD vs. mean age/SD, p=0.0001). For site-specific differences, patients at DH were older (53 SD=12.3) than those at the Boston Medical Center (49 SD=11.3) and CSHC (p=0.048) in pair-wise comparisons. Patients at DH were also more likely to be white (25%) as compared to BMC (18%) and DH (7%), while those at CSHC were more likely to be black (70%) (p=0.008).
    Source

    Explore (NY). 2019 May - Jun;15(3):215-221. doi: 10.1016/j.explore.2019.01.003. Epub 2019 Mar 7. Link to article on publisher's site

    DOI
    10.1016/j.explore.2019.01.003
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/26766
    PubMed ID
    31056423
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.explore.2019.01.003
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