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Recruitment of veterans from primary care into a physical activity randomized controlled trial: The experience of the VA-STRIDE study

Hawkins, MS and Hough, LJ and Berger, MA and Mor, MK and Steenkiste, AR and Gao, S and Stone, RA and Burkitt, KH and Marcus, BH and Ciccolo, JT and Kriska, AM and Klinvex, DT and Sevick, MA (2014) Recruitment of veterans from primary care into a physical activity randomized controlled trial: The experience of the VA-STRIDE study. Trials, 15 (1).

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Background: Much of the existing literature on physical activity (PA) interventions involves physically inactive individuals recruited from community settings rather than clinical practice settings. Recruitment of patients into interventions in clinical practice settings is difficult due to limited time available in the clinic, identification of appropriate personnel to efficiently conduct the process, and time-consuming methods of recruitment. The purpose of this report is to describe the approach used to identify and recruit veterans from the Veterans Affairs (VA) Pittsburgh Healthcare System Primary Care Clinic into a randomized controlled PA study. Methods: A sampling frame of veterans was developed using the VA electronic medical record. During regularly scheduled clinic appointments, primary care providers (PCPs) screened identified patients for safety to engage in moderate-intensity PA and willingness to discuss the study with research staff members. Research staff determined eligibility with a subsequent telephone screening call and scheduled a research study appointment, at which time signed informed consent and baseline measurements were obtained. Results: Of the 3,482 veterans in the sampling frame who were scheduled for a primary care appointment during the study period, 1,990 (57.2%) were seen in the clinic and screened by the PCP; moderate-intensity PA was deemed safe for 1,293 (37.1%), 871 (25.0%) agreed to be contacted for further screening, 334 (9.6%) were eligible for the study, and 232 (6.7%) enrolled.Conclusions: Using a semiautomated screening approach that combined an electronically-derived sampling frame with paper and pencil prescreening by PCPs and research staff, VA-STRIDE was able to recruit 1 in 15 veterans in the sampling frame. Using this approach, a high proportion of potentially eligible veterans were screened by their PCPs.Trial registration: Clinical identifier: NCT00731094. © 2014 Hawkins et al.; licensee BioMed Central Ltd.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Hawkins, MS
Hough, LJ
Berger, MA
Mor, MKmariamor@pitt.eduMARIAMOR
Steenkiste, AR
Gao, S
Stone, RAroslyn@pitt.eduROSLYN
Burkitt, KH
Marcus, BH
Ciccolo, JT
Kriska, AMKriskaA@edc.pitt.eduAKY
Klinvex, DT
Sevick, MA
Date: 7 January 2014
Date Type: Publication
Journal or Publication Title: Trials
Volume: 15
Number: 1
DOI or Unique Handle: 10.1186/1745-6215-15-11
Schools and Programs: Graduate School of Public Health > Biostatistics
Graduate School of Public Health > Epidemiology
Refereed: Yes
Date Deposited: 02 Dec 2016 20:21
Last Modified: 03 Feb 2019 02:55


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