Strategies and challenges associated with recruiting retirement village communities and residents into a group exercise intervention

Duckham, Rachel L, Tait, Jamie L, Nowson, Caryl A, Sanders, Karrie M, Taaffe, Dennis R, Hill, Keith D and Daly, Robin M 2018, Strategies and challenges associated with recruiting retirement village communities and residents into a group exercise intervention, BMC medical research methodology, vol. 18, pp. 1-10, doi: 10.1186/s12874-018-0633-4.

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Title Strategies and challenges associated with recruiting retirement village communities and residents into a group exercise intervention
Author(s) Duckham, Rachel LORCID iD for Duckham, Rachel L
Tait, Jamie LORCID iD for Tait, Jamie L
Nowson, Caryl AORCID iD for Nowson, Caryl A
Sanders, Karrie M
Taaffe, Dennis R
Hill, Keith D
Daly, Robin MORCID iD for Daly, Robin M
Journal name BMC medical research methodology
Volume number 18
Article ID 173
Start page 1
End page 10
Total pages 10
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2018-12-20
ISSN 1471-2288
Keyword(s) recruitment strategies
retirement communities
dual-task training
older adults
clustered randomised controlled trial
science & technology
life sciences & biomedicine
health care sciences & services
Summary BACKGROUND: Randomized controlled trials (RCTs) provide the highest level of scientific evidence, but successful participant recruitment is critical to ensure the external and internal validity of results. This study describes the strategies associated with recruiting older adults at increased falls risk residing in retirement villages into an 18-month cluster RCT designed to evaluate the effects of a dual-task exercise program on falls and physical and cognitive function. METHODS: Recruitment of adults aged ≥65 at increased falls risk residing within retirement villages (size 60-350 residents) was initially designed to occur over 12 months using two distinct cohorts (C). Recruitment occurred via a three-stage approach that included liaising with: 1) village operators, 2) independent village managers, and 3) residents. To recruit residents, a variety of different approaches were used, including distribution of information pack, on-site presentations, free muscle and functional testing, and posters displayed in common areas. RESULTS: Due to challenges with recruitment, three cohorts were established between February 2014 and April 2015 (14 months). Sixty retirement villages were initially invited, of which 32 declined or did not respond, leaving 28 villages that expressed interest. A total of 3947 individual letters of invitation were subsequently distributed to residents of these villages, from which 517 (13.1%) expressions of interest (EOI) were received. Across three cohorts with different recruitment strategies adopted there were only modest differences in the number of EOI received (10.5 to 15.3%), which suggests that no particular recruitment approach was most effective. Following the initial screening of these residents, 398 (77.0%) participants were deemed eligible to participate, but a final sample of 300 (58.0% of the 517 EOI) consented and was randomized; 7.6% of the 3947 residents invited. Principal reasons for not participating, despite being eligible, were poor health, lack of time and no GP approval. CONCLUSION: This study highlights that there are significant challenges associated with recruiting sufficient numbers of older adults from independent living retirement villages into an exercise intervention designed to improve health and well-being. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry: ACTRN12613001 161718 . Date registered 23rd October 2013.
Language eng
DOI 10.1186/s12874-018-0633-4
Field of Research 1117 Public Health And Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Author(s)
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