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Recruitment and Retention for CVD Risk Reduction Carol Percy, RN, MS Shiprock DPPOS Program...
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Transcript of Recruitment and Retention for CVD Risk Reduction Carol Percy, RN, MS Shiprock DPPOS Program...
![Page 1: Recruitment and Retention for CVD Risk Reduction Carol Percy, RN, MS Shiprock DPPOS Program Coordinator Mary Hoskin, RD, MS Phoenix DPPOS Program Coordinator.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d565503460f94a34c00/html5/thumbnails/1.jpg)
Recruitment and Retention
for CVD Risk Reduction Carol Percy, RN, MS
Shiprock DPPOS Program CoordinatorMary Hoskin, RD, MS
Phoenix DPPOS Program CoordinatorMarch 17, 2005
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Diabetes Prevention Program ClinicsDiabetes Prevention Program Clinics
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Southwest American Indian Center
• Gila River Indian Community• Navajo Nation- Shiprock, New
Mexico• Phoenix Urban Indian Community• Salt River Pima- Maricopa Indian
Community• Zuni Pueblo Indian Community
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Recruitment into the DPP
• Recruitment phase 6/96-2/99• 171 American Indians recruited• Recruitment Coordinator at each site• Team approach to support Recruitment
Coordinator• Multi-layered recruitment approach• Recruitment oversight program
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Eligibility Talking PointsDiabetes Prevention
Program• At least 25 years old.• Non-diabetic with Impaired
Glucose Tolerance.• No serious illness or reason not to
take any of the treatments.• Willingness to participate in a six
year program.
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Eligibility Talking PointsCVD Risk Reduction
• Age > 18 years• Type 2 Diabetes• Case management• Length of time to participate• Weight management• Stop smoking• Others?
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Timeline to Join DPP
• Step 1- Initial contact(s)• Step 2- Oral Glucose Tolerance
Test Screening visit• Step 3- Three week run-in period
(three visits)• Step 4- Join the Study
(Randomization)
![Page 8: Recruitment and Retention for CVD Risk Reduction Carol Percy, RN, MS Shiprock DPPOS Program Coordinator Mary Hoskin, RD, MS Phoenix DPPOS Program Coordinator.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d565503460f94a34c00/html5/thumbnails/8.jpg)
Shiprock Recruitment
Step 1 Step 1 ScreeningScreening
Step 2 Step 2 OGTTOGTT
Step 3 Step 3 start run-instart run-in
Step 4 Step 4 Join StudyJoin Study
Number of participant contacts/Number of participant contacts/% of previous step% of previous step
3,5863,586
1,117 (31%)1,117 (31%)
128 (31%)128 (31%)
9494 Step 3 Step 3 End run-inEnd run-in
# with IGT
409 (37%)
80 (63%)20% from IGT
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Phoenix Urban Recruitment
Step 1 Step 1 ScreeningScreening
Step 2 Step 2 OGTTOGTT
Step 3 Step 3 start run-instart run-in
Step 4 Step 4 Join StudyJoin Study
Number of participant contacts/Number of participant contacts/% of previous step% of previous step
1,0001,000
200 (20%)200 (20%)
Step 3 Step 3 End run-inEnd run-in
# with IGT
47 (24%)
14 (30%)
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Timeline to Join CVD Risk Reduction
• Recruit 50 participants yearly• Over-recruit to account for attrition• Number of months to recruit first
group• If group activities, plan recruitment
for groups
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Layered Recruitment Approach
• One on one contact• Brochure• Flyers and posters• Radio PSA’s and print ads• Newspaper article on program• Mailed/delivered program brochures off
registry• Presentations to health providers
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Strategies for Reservation Recruitment
• One-on-One Contact and visibility• Use community events and
locations• Local worksites• Leadership support • Community flyers• Community newspapers• Door to door
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Urban Indian Recruitment
• Targeted work place presentations• Pow-Wows• Phoenix Indian Medical Center/ Events• Brochures placed in work places• Community gatherings of American
Indians• Local Native American Newspaper
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Incentives
• 1st level- talk to us• 2nd level- if interested make an
appointment• 3rd level- complete step screening visit• Establish honest and trusting relationship• Motivation for joining-DM prevention• Lifestyle Balance motivator is weight loss
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Community Screening
• Talking points to attract people• Blood glucose/cholesterol
screening• Blood pressure screening• Person walks away with something
written with location, phone
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Phone Contact/Written Contact
• Establish phone number for program– Live voice best-Connect with person on day they call
• Written materials include– Program location, walk-ins expected– Place to write appointment date/time– Appointment instructions ex: fasting
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Keys to Success
• Flexible Clinic Schedule • Telephone reminders• Postcard reminders• Follow-up a missed appointment• One-on-One support/ building
relationship
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Retention
• Plan early and integrate• Long commitment to DPP for 3-5
years• Begins at first contact• Recruitment is the key to retention
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Retention and Participation
• 99.6% of the study cohort alive at study end
• 93% completed study
• 93% of annual visits completed
• Average follow-up 2.8 years (range 1.8 - 4.6)
• 86% joined DPPOS
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Retention-Create Belonging
• Group Events• Contracts• Incentives• Connection with staff• Mailings- newsletters, health
information, birthday cards
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Group Events
• Gathering around a community event
• Group walks or hikes• Community attractions• Learning a new skill• Include the family
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Getting Started Your Recruitment Action
Plan• Define your program objective• Define your recruitment goals/target
groups• Assess your community resources• Prepare recruitment plan and timeline• Produce written materials, PSA’s, mailings• Define talking points• Begin community contacts and
presentations
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Recruitment Coordinator • Enthusiastic about program• Able to work independently/ team leader• Lead by example• Outgoing• Bi-lingual• Member of your community• Realistic amount of time to recruit if other
job responsibilities• Visible to participants throughout the
program
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Recruitment Oversight
• Centrally track recruitment progress
• Centrally produce written materials• Yearly gathering of Recruitment
Coordinators• Phone check-ins with programs