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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Challenges faced in recruiting patients from primary care practices into a physical activity intervention trial. Activity Counseling Trial Research Group.
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Challenges faced in recruiting patients from primary care practices into a physical activity intervention trial. Activity Counseling Trial Research Group.

机译：从初级保健实践招募患者参加体育锻炼干预试验时面临的挑战。活动咨询试验研究小组。

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BACKGROUND: Special challenges are encountered when clinical trial recruitment targets a physician practice-based population, as opposed to recruiting from the community. Since most published information about recruitment has focused on the latter group, summation of successful primary-care-based recruitment strategies could prove useful for future trials recruiting from this population. METHODS: The Activity Counseling Trial (ACT) is a multicenter, randomized clinical trial that evaluated approaches to primary care-based interventions to increase physical activity in sedentary adults 35-75 years of age. Fifty-four clinicians from eight practices recruited 874 participants from three U.S. sites. Recruitment challenges that related, in great part, to the primary care setting included: (1) focusing on patients from ACT physician practices who had regularly scheduled or intend-to-schedule appointments within the next year; (2) placing trial staff in the clinical offices for recruitment purposes; and (3) placing trial interventionists in the physicians' offices. Other challenges were related to recruitment of minorities and men. RESULTS: Patient mailing yielded 43.4% of all randomized participants, followed by office-based questionnaires (32.5%) and direct telephone contact (21.6%). Based on a retrospective cost-effective analysis (indirect costs excluded), the self-administered office-based questionnaire was the least costly strategy for one site (
机译：背景：与从社区招募相比，当临床试验招募以基于医生实践的人群为目标时，会遇到特殊的挑战。由于大多数有关招聘的公开信息都集中在后者，因此，成功的基于初级保健的招聘策略的总结可能对将来从该人群中招聘的试验很有用。方法：活动咨询试验（ACT）是一项多中心随机临床试验，评估了以基层医疗为基础的干预措施以增加35-75岁的久坐成人的身体活动。来自八家诊所的五十四名临床医生从美国三个地点招募了874名参与者。招聘方面的挑战在很大程度上与基层医疗机构有关，包括：（1）重点关注来自ACT医师执业的患者，这些患者在明年内有定期安排或打算安排约会。 （2）将临床试验人员安排在临床办公室进行招聘; （3）将审判干预员安置在医师办公室。其他挑战与招募少数民族和男子有关。结果：在所有随机参加者中，患者邮寄占43.4％，其次是办公室问卷（32.5％）和直接电话联系（21.6％）。根据回顾性成本效益分析（不包括间接成本），基于办公室的自助式调查表是一个站点成本最低的策略（

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