291931
Improving retention and data collection rates for a community health worker intervention to promote diabetes prevention among koreans in New York City
Kay Chun, MD,
Public Health and Research Center, Korean Community Services of Metropolitan New York, Inc., New York, NY
Christina Choi,
Public Health and Research Center, Korean Community Services of Metropolitan New York, Inc., New York, NY
Hyunjae Yim,
Public Health and Research Center, Korean Community Services of Metropolitan New York, Inc., New York, NY
Linda Lee, MSW,
Korean Community Services of Metro NY, Inc, Flushing, NY
Laura Wyatt, MPH,
Department of Population Health, NYU School of Medicine, New York, NY
Mariano Rey, MD,
Center for the Study of Asian American Health, NYU Institute of Community Health and Research, New York University School of Medicine, New York, NY
Nadia Islam, PhD,
Department of Population Health, NYU School of Medicine, New York, NY
Background: Challenges in recruitment, retention, and data collection can impede the effective implementation of community-based health interventions. Ongoing process and pilot evaluations can help in identifying how programs can make strategic improvements to overcome these challenges. Between 2011 and 2013, three rounds of a culturally-tailored diabetes prevention intervention were implemented in a New York City (NYC) Korean community. Objective: To examine the impact of ongoing program evaluation in a diabetes prevention intervention in the NYC Korean community. Methods: Evaluation tools included analysis of process data from a pilot study, program satisfaction questionnaires, focus groups with program participants, and strategic planning meetings with program staff and community and academic partners. Results: Recruitment challenges, such as low turn-out at community screening events, perceptions of need by community members, and lack of understanding about the role of CHWs were addressed through multiple strategies, including increased outreach to community partners, providers, and media, and community-awareness events. Challenges with retention and data collection were addressed through increased activities to keep participants engaged, and CHW trainings to improve goal-setting and follow-up. In the pilot, 60% of participants completed the intervention. All participants completed baseline surveys. Of the treatment group, 88% and 84% completed 3-month and 6-month surveys, respectively. Of the control group, 57% and 61% completed 3-month and 6-month surveys, respectively. Retention and data collection rates will be presented from all three rounds. Conclusions: Recruitment, retention, and data collection rates in a community-based diabetes prevention intervention can be improved through meaningful program evaluation, which can greatly enhance study implementation and validity.
Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Learning Objectives:
Evaluate factors affecting study recruitment, retention and data collection rates in a community health worker (CHW) intervention for Koreans at risk for diabetes in New York City
Assess how factors affecting recruitment, study retention and data collection rates can be controlled or improved using evaluation data, as well as input from staff and community coalition members
Keyword(s): Community Research, Asian Americans
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am the Director of the Korean Community Services Public Health and Research Center, and I provide guidance and oversight for a community-based diabetes prevention intervention in the NYC Korean community, in partnership with the NYU Health Promotion and Prevention Research Center (NYU PRC)
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.
