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Recruitment in an indicated prevention program for externalizing behavior - parental participation decisions

机译：在指定的预防计划中招募外部行为-父母参与决策

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Background Parents are the ones who decide whether or not to participate in parent focused prevention trials. Their decisions may be affected by internal factors (e.g., personality, attitudes, sociodemographic characteristics) or external barriers. Some of these barriers are study-related and others are intervention-related. Internal as well as external barriers are especially important at the screening stage, which aims to identify children and families at risk and for whom the indicated prevention programs are designed. Few studies have reported their screening procedure in detail or analyzed differences between participants and dropouts or predictors of dropout. Rates of participation in prevention programs are also of interest and are an important contributor to the efficacy of a prevention procedure. Methods In this study, we analyzed the process of parent recruitment within an efficacy study of the indicated Prevention Program for Externalizing Problem behavior (PEP). We determined the retention rate at each step of the study, and examined differences between participants and dropouts/decliners. Predictors of dropout at each step were identified using logistic regression. Results Retention rates at the different steps during the course of the trial from screening to participation in the training ranged from 63.8% (pre-test) to 81.1% (participation in more than 50% of the training sessions). Parents who dropped out of the study were characterized by having a child with lower symptom intensity by parent rating but higher ratings by teachers in most cases. Low socioeconomic status and related variables were also identified as predictors of dropout in the screening (first step) and for training intensity (last step). Conclusions Special attention should be paid to families at increased risk for non-participation when implementing the prevention program in routine care settings. Trial Registration ISRCTN12686222
机译：背景父母是决定是否参加以父母为中心的预防试验的人。他们的决定可能会受到内部因素（例如个性，态度，社会人口统计学特征）或外部障碍的影响。其中一些障碍与研究有关，而其他障碍与干预有关。内部和外部障碍在筛查阶段尤为重要，筛查阶段旨在确定有危险的儿童和家庭，并为其设计了明确的预防方案。很少有研究详细报告其筛查程序或分析参与者与辍学者或辍学预测因素之间的差异。参与预防计划的比率也很重要，并且是预防程序有效性的重要因素。方法在这项研究中，我们在指定的预防问题行为预防计划（PEP）的功效研究中分析了父母招募的过程。我们确定了研究的每个步骤的保留率，并检查了参与者与辍学者/拒绝者之间的差异。使用逻辑回归确定每个步骤的辍学预测因素。结果从筛选到参与培训，试验过程中不同步骤的保留率从63.8％（预测试）到81.1％（超过50％的培训课程）。退出研究的父母的特征是，在大多数情况下，孩子的父母父母症状强度较低，而教师的症状强度较高。低社会经济地位和相关变量也被确定为筛查（第一步）和培训强度（最后一步）辍学的预测因素。结论在常规护理环境中实施预防计划时，应特别注意那些无参与风险增加的家庭。试用注册ISRCTN12686222

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