247571 Successful participatory recruitment strategies informing research directions on nutrition interventions for older Chinese Americans living in South Florida

Monday, October 31, 2011: 2:48 PM

Yi-Ling Pan, PhD, RD, LDN , Department of Family and Consumer Sciences, North Carolina Agricultural and Technical State University, Greensboro, NC
Frederick L. Newman, PhD , Department of Health Policy and Management, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL
Susan P. Himburg, PhD, RD , Department of Dietetics and Nutrition, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL
Effective recruitment strategies of racial and ethnic minorities are essential in health disparity research. Chinese American population, the largest Asian group, is transitioning into an at-risk group for ethnically associated health disparity as the prevalence of certain diet-related chronic diseases in the fast growing Chinese American community is higher than whites. This study aimed to describe effective strategies for recruiting the community-living aging population of this ethnic group in South Florida and examine characteristics of 100 participants (mean age = 70.96.8) recruited through proactive (in-person recruitment at various social/cultural and religious organizations), reactive (flyers or ads inviting participants), and participant-driven chain referral approaches. Strategies were most effective when collaborating with the community through a stakeholder advisory panel, seeking assistance of key informants and community insiders to gain access to the hard-to-reach elderly population, and matching cultural competence and background of the research team. The use of multiple strategies enhanced recruitment of qualified older Chinese in this study. Proactive recruitment was most successful (75%), followed by chain referral (25%). Compared to proactive recruitment, chain referral subjects were significantly associated with lower nutrient adequacy and higher nutritional risk using the univariate analyses. Proactive recruitment was essential to enhance inclusion rate, while chain referral might facilitate the inclusion of subjects who were at high nutritional risk and might not have been identified. The differences based on recruitment strategy might be used to tailor nutrition interventions for older Chinese. These findings provide strategies for successful conduct of research with racial and ethnic aging minorities.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Identify effective strategies for recruiting hard-to-reach racial and ethnic minority aging populations in health research

Keywords: Participatory Research, Minority Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a registered dietitian and an assistant professor of food and nutritional sciences. I completed this research as a doctoral student. At that time, I designed and conducted this study, collected and analyzed the data, and interpreted findings and provided recommendations.
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.

See more of: Nutrition and Aging
See more of: Aging & Public Health