To describe the recruitment strategies and lessons learned when enrolling African American parents/caregivers of school-aged children (ages 6–12 years) in an online survey of physical activity. With physical activity serving as a modifiable behavioral risk factor for several chronic diseases (obesity and cardiovascular diseases), little is understood regarding the influences on African Americans’ physical activity participation to develop culturally appropriate physical activity interventions. Gaining a better understanding of physical activity influences is possible through research, yet recruiting and enrolling African Americans in health research is a challenge.
Methods
Over a three-month period, a multidimensional approach (distribution of flyers, community partnerships, network sampling, African American researcher, effective communication, and data collection procedures) was used for study recruitment.
Results
We exceeded our recruitment goal of 105 participants. A total of 127 African American parent/caregivers of school-aged children enrolled, which included both females/mothers (n = 87, 69%) and males/fathers (n = 40, 31%). Network sampling was the single most effective recruitment strategy for reaching this population. Lessons learned in this study includes considering participant burden and their comfort with technology, as well as gaining community trust.
Discussion
Lessons learned in recruiting African American parents provides a guide for future research. Efforts are needed to further increase the representation of African American males in health research.
McNeill TP, Shirley A, Orey ES, et al. A community-based approach to address health disparities among African American Medicare beneficiaries in Mississippi. Generations 2015; 38(4): 52–59.
2.
CarnethonMRPuJHowardG, et al.
Cardiovascular health in African Americans: a scientific statement from the American Heart Association. Circulation2017;
136: e1–e31.
3.
BellEJLutseyPLWindhamBG, et al.
Physical activity and cardiovascular disease in African Americans in ARIC. Med Sci Sports Exerc2013;
45: 901–907.
4.
DubbertPMRobinsonJCTaylorH.Physical activity and obesity in African Americans: the Jackson Heart Study. Ethn Dis2010;
20: 383–389.
5.
OtadoJKwagyanJEdwardsD, et al. Culturally competent strategies for recruitment and retention of AA populations into clinical trials. Clin Transl Sci2015; 8(5): 460–466.
6.
CoakleyMFadrianEOParrishLJ, et al.
Dialogues on diversifying clinical trials: Successful strategies for engaging women and minorities in clinical trials. J Womens Health2012;
21: 713–716.
7.
ByrdGSEdwardsCLKelkarVA, et al.
Recruiting intergenerational African American males for biomedical research studies: a major research challenge. J Natl Med Assoc2011;
103: 480–487.
8.
KimSHTannerAFriedmanDB, et al.
Barriers to clinical trial participation: comparing perceptions and knowledge of African American and White South Carolinians. J Health Commun2015;
20: 816–826.
9.
HaughtonCFSilfeeVJWangML, et al.
Racial/ethnic representation in lifestyle weight loss intervention studies in the United States: a systematic review. Prev Med Rep2018;
9: 131–137.
10.
ScharffDMathewsKJacksonP, et al.
More than Tuskegee: understanding mistrust about research participation. J Health Care Poor Underserved2010;
21: 879–897.
11.
HuangHHCokerAD.Examining issues affecting African American participation in research studies. J Black Stud2010;
40: 619–636.
12.
GeorgeSDuranNNorrisK.A systematic review of barriers and facilitators to minority research participation among African Americans, Latinos, Asian Americans, and Pacific Islanders. Am J Public Health2014;
104: e16–e31.
13.
LuebbertRPerezA.Barriers to clinical research participation among African Americans. J Transcult Nurs2016;
27: 456–463.
14.
Webber-RitcheyKJTaylor-PiliaeRECinselK, et al.
Physical activity among African American parents of young children: personal and environmental factors. Int J Sport Psychol2016;
47: 523–544.
15.
Scott-JonesD.Ethical issues in reporting and referring in research with low-income minority children. Ethics Behav1994;
4: 97–108.
Breland-NobleAMBellCCBurrissA, et al.
The significant of strategic community engagement in recruiting African American youth & families for clinical research. J Child Fam Stud2011;
21: 273–280.
18.
SmithYRJohnsonAMNewmanLA, et al.
Perceptions of clinical research participation among African American women. J Womens Health2007;
16: 423–428.
19.
FordMESiminoffLAPickelsimerE, et al.
Unequal burden of disease, unequal participation in clinical trials: solutions from African American and Latino community members. Health Soc Work2013;
38: 29–38.
HalbertCHKumanyikaSBowmanM, et al.
Participation rates and representativeness of African Americans recruited to a health promotion program. Health Educ Res2010;
25: 6–13.
22.
OwensOLJacksonDDThomasTL, et al.
African American men’s and women’s perceptions of clinical trial research. Focusing on prostate cancer among a high risk population in the South. J Health Care Poor Underserved2013;
24: 1784–1800.
23.
McCoyPLeggettSBhuiyanA, et al.
Text-messaging: an intervention to increase physical activity among African American participants in a faith-based, competitive weight loss program. IJERPH2017;
14: pii: E326.
24.
RogersCRGoodsonPFosterMJ.Factors associated with colorectal cancer screening among younger African American men: a systematic review. J Health Dispar Res Pract2015;
8: 133–156.
25.
RogersCRGoodsonP.Male role norms, knowledge, attitudes, and perceptions of colorectal cancer screening among Young Adult African American men. Front Public Health2014;
2: 1–12.
26.
RogersCRGoodsonPDietzLR, et al.
Predictors of intention to obtain colorectal cancer screening among African American men in a state fair setting. Am J Mens Health2016; 12:851–862.
WatsonBRobinsonDHZHarkerL, et al.
The inclusion of African-American study participants in web-based research studies: viewpoint. J Med Internet Res2016;
18: e.168.
29.
BrewerLPJenkinsSLackoreK, et al.
mHealth intervention promoting cardiovascular health among African Americans: recruitment and baseline characteristics of a pilot study. JMIR Res Protoc2018;
7: e31.
30.
BarrettNJIngrahamKLHawkinsTV, et al.
Engaging African Americans in research: the recruiter’s perspective. Ethn Dis2017;
27: 453–462.
31.
Whitt-GloverMCBordenSLAlexanderDS, et al.
Recruiting African American churches to participate in research: the learning and developing individual exercise skills for a better life study. Health Promot Pract2016;
17: 297–306.
32.
HuffmanLEWilsonDKKitzman-UlrishH, et al.
Associations between culturally relevant recruitment strategies and participant interest, enrollment, and generalizability in a weight-loss intervention for African American families. Ethn Dis2016;
26: 295–304.
33.
CarrollJKYanceyAKSpringB, et al.
What are successful recruitment and retention strategies for underserved populations? Examining physical activity interventions in primary care and community settings. Transl Behav Med2011;
1: 234–251.
34.
SankaréICBrossRBrownAF, et al.
Strategies to build trust and recruit African American and Latino community residents in health research: a cohort study. Clin Transl Sci2015;
8: 412–420.
35.
WilburJBraunLTBuchholzSW, et al.
Effectiveness, efficiency, durations, and costs of recruiting for an African American women’s lifestyle physical activity program. Res Nurs Health2013;
36: 487–499.
36.
ZhouYElashoffDKremenS, et al.
African Americans are less likely to enroll in preclinical Alzheimer’s disease clinical trials. Alzheimers Dement2017;
3: 57–64.
37.
WebbFJKhubchandaniJStrileyCW, et al.
Black-white differences in willingness to participate and perceptions about health research: results from the population-based HeathStreet study. J Immigr Minor Health2019;
21: 299–305.
38.
SpenceCTOltmannsTF.Recruitment of African American men: overcoming challenges for an epidemiological study of personality and health. Cultur Divers Ethnic Minor Psychol2011;
17: 377–380.
39.
WilburJMcDevittJWangE, et al.
Recruitment of African American women to a walking program: eligibility, ineligibility, and attrition during screening. Res Nurs Health2006;
29: 179–189.
40.
FriedmanDBHookerSPWilcoxS, et al.
African American men’s perspectives on promoting physical activity: “We’re not that difficult to figure out!’. J Health Commun2012;
17: 1151–1170.
41.
RollinsLSyACrowellN, et al.
Learning and action in community health: using health belief model to assess and educate African American community residents about participation in clinical research. IJERPH2018;
15: 1862.
42.
NeshterukCDNezamiBTNino-TapiasG, et al.
The influence of fathers on children’s physical activity: a review of the literature from 2009 to 2015. Prev Med2017;
102: 12–19.
43.
Namageyo-FunaARimandoMBraceAM, et al.
Recruitment in qualitative public health research: lessons learned during dissertation sample recruitment. Qual Rep2014;
19: 1–17.
44.
WilburJMillerAMChandlerP.Recruitment and cardiovascular risk characteristics of African American and Caucasian midlife women. J Cardiovasc Nurs2001;
15: 88–104.
45.
HughesTBVarmaVRPettigrewC, et al.
African Americans and clinical research: evidence concerning barriers and facilitators to participation and recruitment recommendations. Gerontologist2017;
57: 348–358.
46.
RandolphSCoakleyTShearsJ.Recruiting and engaging African American men in health research. Nurse Res2018;
26: 8–12.
47.
GrahamLFScottLLopeyokE, et al.
Outreach strategies to recruit low-income African American men to participate in health promotion programs and research: lessons from the Men of Color Health Awareness (MOCHA) project. Am J Mens Health2018;
12: 1307–1316.
48.
BryantKWicksMNWillisN.Recruitment of older African American males for depression research: lessons learned. Arch Psychiatr Nurs2014;
28: 17–20.
49.
GriffithDMBergnerEMCornishEK, et al.
Physical activity interventions with African American or Latino men: a systematic review. Am J Mens Health2018;
12: 1102–1117.
50.
KumanyikaSKWhitt-GloverMCHaire-JoshuD.What works for obesity prevention and treatment in black Americans? Research directions. Obes Rev2014;
15: 204–212.
51.
Mogro-WilsonCLoomisAMHayesC, et al.
Supporting recruitment and retention of young African American and Hispanic fathers in community-based parenting interventions research. ASW2018;
18: 1068–1084.
52.
PowellWAdamsLBCole-LewisY, et al.
Masculinity and race-related factors as barriers to health help-seeking barriers among African American men. Behav Med2016;
42: 150–163.
