244079 Barriers to and facilitators of optimal functioning of respondent-driven sampling for recruitment of young men who have sex with men (YMSM) into HIV-related research

Tuesday, November 1, 2011: 1:05 PM

Lisa M. Kuhns, PhD, MPH , Department of Research, Howard Brown Health Center, Chicago, IL
Amy K. Johnson, MSW , Department of Research, Children's Memorial Hospital & Howard Brown Health Center, Chicago, IL
Brian Mustanski, PhD , Department of Medical and Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL
Robert Garofalo, MD, MPH , Howard Brown Health Center/Children's Memorial Hospital, Chicago, IL
The purpose of this study was to identify and describe facilitators of and barriers to optimal functioning of respondent-driven sampling (RDS) for recruitment of young men who have sex with men (YMSM) into HIV-related research. RDS is being used to recruit a sample of 450 YMSM between ages 16- 20 into a longitudinal study of HIV-related risk, known as “Crew 450.” Recruitment for Crew 450 began in 2009 with a recruitment rate of approximately 6-8 participants/ month in the initial seven months; a rate approximately 50%-60% slower than expected. A set of three focus groups were held in late 2010 with 16 Crew 450 participants to identify barriers and facilitators from the participants' perspective. Data were analyzed using a content analysis approach. Respondents reported barriers and facilitators in three main areas: social network factors, recruitment process, and study-related accessibility and acceptability. The most salient barriers were relatively small eligible network size and participants' ability to understand and describe the study to others to effectively recruit into the study. Key facilitators included the flexibility and accessibility of front-line staff members to assist in the recruitment process and the perceived benefits of study participation (e.g., free HIV testing). Based on participant feedback, study procedures and materials were revised to respond to participant suggestions and optimize identified facilitators. Analysis of study enrollment data to date suggests some success with these changes; the recruitment rate has steadily increased towards the target rate. These findings are important for future use of RDS with this population.

Learning Areas:
Public health or related research
Social and behavioral sciences

Learning Objectives:
At the end of the session, the participant will be able to: 1) describe the potential barriers to recruitment using RDS among YMSM 2) describe the potential facilitators of recruitment using RDS among YMSM 3) Identify strategies to optimize use of RDS among YMSM.

Keywords: HIV Risk Behavior, Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author on the content I am responsible for because I am a co-investigator on this study for which findings are being reported.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.