Recruiting Older Adults With Functional Difficulties Into a Community-Based Research Study: Approaches and Costs

Manka Nkimbeng, Laken Roberts, Roland J. Thorpe, Laura N. Gitlin, Alice Delaney, Elizabeth K. Tanner, Sarah L. Szanton

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

The CAPABLE (Community Aging in Place, Advancing Better Living for Elders) trial in Baltimore City tested whether an interdisciplinary team of occupational therapists, nurses, and handymen reduces disability and health expenditures in community-dwelling older adults with functional difficulties. This study describes methods and associated costs of recruiting 300 low-income, cognitively intact, older adults with functional difficulties into this study. Sources of participant enrollment included direct mailings (35%), government program referrals (19%), community-based organizations (16%), ambassador referrals (15%), and media (4%). Fifty six (30%) of 187 older adults referred through government organizations were enrolled, while 49 (7.6%) of 648 referred from community-based organizations were enrolled. Total recruitment costs were US$81,453.12. Costs per participant for mailings, media, ambassadors, and community-based organizations were respectively US$745.10, US$256.82, US$22.28, and US$1.00. Direct mailings yielded the most participants but was the most costly method per participant. Ambassadors were least expensive and may offer a low-cost addition to community outreach for recruitment of older adults into research.

Original languageEnglish (US)
Pages (from-to)644-650
Number of pages7
JournalJournal of Applied Gerontology
Volume39
Issue number6
DOIs
StatePublished - Jun 1 2020
Externally publishedYes

Bibliographical note

Funding Information:
The authors are grateful to the CAPABLE (Community Aging in Place, Advancing Better Living for Elders) participants for willingly giving their time to participate in the study and the CAPABLE staff who recruited these participants. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The CAPABLE (Community Aging in Place, Advancing Better Living for Elders) study was supported by the National Institute on Aging grant #R01-AG04040100 and the Robert Wood Johnson Foundation Nurse Faculty Scholars Program #69351.

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The CAPABLE (Community Aging in Place, Advancing Better Living for Elders) study was supported by the National Institute on Aging grant #R01-AG04040100 and the Robert Wood Johnson Foundation Nurse Faculty Scholars Program #69351.

Funding Information:
The CAPABLE study was a randomized control trial in Baltimore City testing whether an interdisciplinary team of occupational therapists, nurses, and handymen improved quality of life and reduced disability and health care expenditures in community-dwelling older adults with functional difficulties. The study was funded through the National Institutes of Health (#R01-AG040100) and received ethical approval from the Johns Hopkins University Medical Institutions Institutional Review Board. Participants were eligible for recruitment if they (a) were ≥65 years old, (b) were cognitively intact based on Mini-Mental State Examination, (c) had difficulty with ≥1 activities of daily living (ADL) or ≥2 instrumental activities of daily living (IADLs), (d) had income ≤199% of federal poverty level, (e) were able to stand with or without assistance, and (f) agreed to study participation and randomization. Participants in the attention control group received the same number of home visits over the same time frame from a study team member who engaged them in sedentary, cognitively stimulating activities of choice. Both groups received up to 10 home visits over the course of 5 months.

Publisher Copyright:
© The Author(s) 2018.

Keywords

  • functional limitations
  • recruitment costs
  • recruitment of older adults

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