142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Community Health Worker Perspectives on Recruitment and Retention of Recent Immigrant Women in a Randomized Clinical Trial

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Hae-Ra Han, PhD, RN, FAAN , School of Nursing, The Johns Hopkins University, Baltimore, MD
Eunsuk Choi, PhD, MPH, RN , College of Nursing, Kyungpook National University, Daegu, South Korea
Grace Jeongim Heo, Ph.D , Bloomberg School of Public Health. Department of Health, Behavior & Society, Johns Hopkins University, Baltimore, MD
Youngshin Song, PhD, RN , College of Nursing, Chungnam National University, Daejeon, South Korea
Purpose: Based on a strong partnership built over the past ten years, this community-academic research team implemented a cluster-randomized trial designed to test a multi-faceted community health worker (CHW) intervention to promote cancer screening among Korean American (KA) women. The purpose of this paper is to report on the recruitment and retention success and specific strategies used by CHWs.

Methods: We used prescreening forms, participant logs, short CHW surveys, and interview data from focus groups with CHWs. Descriptive statistics and content analysis were used to summarize our findings.

Results: 28 CHWs from 23 ethnic churches screened 782 KA women and enrolled 560 eligible women in the trial (intervention, n=278; control, n=282), with direct and indirect personal and formal contacts within church being the most common recruitment sources utilized. Over the 6-month of intervention period, 31 women dropped from the study, resulting in a 94.5% retention rate. Four focus group interviews were conducted with 23 CHWs. Four themes were identified in relation to recruitment: building on trust and respect, use of formal network at the church, use of personal network, and facilitating non-threatening environment. The themes identified for retention were: trust, realizing benefits, and peer support.

Conclusions: Trust was a key strategy to successful recruitment and retention of KA women and it was the cornerstone for other strategies. CHWs should be ensured of core competencies for practice including recruitment and retention. Qualified and well-trained CHWs can recruit and retain hard-to-reach recent immigrant women in a randomized trial utilizing multiple culturally-sensitive strategies.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss community health worker intervention to promote cancer screening. Explain strategies to recruit ethnic minority women in a randomized trial. Articulate strategies to retain ethnic minority women in a randomized trial.

Keyword(s): Cancer and Women’s Health, Community Health Workers and Promoters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Han has presented at national and international conferences. As a PI of several federally funded research studies, she is nationally known for community-engaged health promotion research targeting prevention and management of common chronic conditions.
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.