slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Hae-Ra Han, PhD, RN Johns Hopkins University School of Nursing PowerPoint Presentation
Download Presentation
Hae-Ra Han, PhD, RN Johns Hopkins University School of Nursing

Loading in 2 Seconds...

play fullscreen
1 / 18

Hae-Ra Han, PhD, RN Johns Hopkins University School of Nursing - PowerPoint PPT Presentation


  • 62 Views
  • Uploaded on

Community-Based Participatory Research as a Tool to Maximize Recruitment of Linguistic Minorities in Health Promotion Research. Office of Recruitment and Retention Monthly Seminar Series 12-17-09. Hae-Ra Han, PhD, RN Johns Hopkins University School of Nursing.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Hae-Ra Han, PhD, RN Johns Hopkins University School of Nursing' - tad-delacruz


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Community-Based Participatory Research as a Tool to Maximize Recruitment of Linguistic Minorities in Health Promotion Research

Office of Recruitment and Retention Monthly Seminar Series 12-17-09

Hae-Ra Han, PhD, RN

Johns Hopkins University

School of Nursing

slide2

Consequences of invisibility ….

  • Not acknowledged
  • Not addressed
  • Not engaged
  • Not impacted

Source: Underwood S. Annual Conference “Creating Research Careers: The Beginning,” National Coalition of Ethnic Minority Nurse Associations (NCEMNA) Washington D.C., March 10-13, 2005.

The Office of Recruitment and Retention Lunch Lecture Series

December 17 2009

14th Int'l Conference-Keimyung Univ

population by race hispanic origin 2000 projected 2050
Population by Race & Hispanic Origin: 2000 & Projected 2050

Source: U.S. Census Bureau

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

slide4

Language spoken at home

  • US Census – 11% (23.1 million) of the total population (>= 5 yrs) spoke a language other than English in 1980 to 14% (31.8 million) in 1990 to 18% (47.0 million) in 2000.
  • American Community Survey – 19.7% (54.9 million) in 2006

Source: U.S. Census Bureau. Available from http://factfinder.census.gov/servlet/STTable?-geo_id=01000US&-qr_name=ACS_2006_EST_G00_S1601&-ds_name=ACS_2006_EST_G00_

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

slide5

Source: Han et al. (work in progress). Exposure to smoking-related media campaign: A report on a linguistically isolated population.

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

slide6

Barriers to Research Participation

1. Individual Level

- Schedule conflicts

- Distrust of research

- Fear of losing services

- Confidentiality

- Cultural beliefs/attitudes

- Language

- Transportation

2. Community Level

- Gate-keepers

- Lack of health insurance

- Limited health literacy

- Consent procedure

- Physician perceptions

- Bias against research (perhaps related to type of research)

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

cultural beliefs
Cultural Beliefs

“Please forgive me for not helping you out. As much as I want to be out there, asking Korean women to get a mammogram, I need to think about my family. I have a son to be wed soon. Who will give us a daughter if one found out my family has an inferior gene running…”

Source: Han HR et al. J Immigr Minor Health. 2007;9(2):137-46.

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

slide8

Strategies to enhance minority inclusion

  • Community involvement in all stages of a trial
  • - Establishing a strong, positive relationship with the community, family, and potential referral sources
  • - Going out into the community to recruit trial subjects
  • - Educating about the disease under study and benefits of participating
  • - Having members of the community as part of the research team
  • - Giving something back to the community for their involvement

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

slide9

Strategies to enhance minority inclusion

2. Conduct the study in the target community.

- Research site is conveniently located

- Less travel time and expenses

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

slide10

Strategies to enhance minority inclusion

3. Develop a tailored recruitment strategy design.

- Mailing vs. face-to-face contact

- Ethnic groceries and churches

- Available community directories

- Incentives

- Bilingual-bicultural staff

- Flexible times and places for recruitment and interventions

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

self help intervention program for hypertension ship hbp
Self-Help Intervention Program for Hypertension (SHIP-HBP)
  • A community-based HBP management program specially designed for Korean Americans with HBP (2003-2007)
  • Employed CBPR principles in all phases of the study, including planning, implementing, and evaluating

Funded by AHRQ (R01 HS13160, PI: M Kim)

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

recruitment methods
Recruitment Methods
  • Word of mouth
  • Ads through ethnic TV stations, radios, and newspapers
  • Mass mailing using available community directories
  • Weekend BP screening at ethnic groceries and churches

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

slide13

Source: Han HR et al. J Community Health. 2007;32(5):324-42.

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

script from the korea times
Script from the Korea Times

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

slide17

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009

Source: Han HR et al. J Immigr Minor Health. 2007;9(2):137-46.

successful strategies so far
Successful strategies so far
  • Bilingual interviewers
  • Utilization of available community human resource
  • Small group approach
  • Face-to-face contacts
  • Flexible interview times and places
  • Advertising with the language of a target population
  • Ethnic groceries and churches
  • Flexibility to change
  • Frequent research team meetings
  • Additional resources for health care access

The Office of Recruitment and Retention Lunch Lecture Series

December 17, 2009