Summary:
In adults aged 18–77 with prediabetes or diabetes not using insulin and low physical activity, a recruitment strategy combining electronic health records (EHR) identification with phone follow-up significantly enhanced enrollment rates into a physical activity trial compared to passive electronic or mailed invitations alone, though it was associated with reduced participation among men, Hispanic individuals, and Spanish speakers.
| PICO | Description |
|---|---|
| Population | Adults aged 18–77 years with prediabetes or diabetes not using insulin and reporting low physical activity levels. |
| Intervention | Recruitment using EHR-based eligibility screening followed by telephone follow-up (up to five contact attempts). |
| Comparison | Individuals receiving only mail or email notification without subsequent telephone outreach. |
| Outcome | Of 11,152 notified patients, 4033 were reached by phone and 721 consented; 451 were ultimately randomized. Contacts and enrollments favored females and those with prediabetes, while males, Hispanics, and Spanish speakers were significantly less likely to participate (all p < 0.001); neighborhood deprivation index did not affect randomization rates. |
Source: Deborah Rohm Young, et al. “Sociodemographic Characteristics of Patients Throughout the Recruitment Process Into a Randomized, Controlled Behavioral Trial.” Read article here.
