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Materials and Methods for Recruiting Systematically Marginalized Youth and Families for Weight-Management

Heather K Hardin1, Anna E Bender, Cheryl M Killion

  • 1Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (Drs Hardin, Killion, and Moore); and Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington (Dr Bender).

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|November 16, 2022
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Summary

Recruiting systematically marginalized families for youth weight management research requires engaging materials and community-based events. Trust issues with healthcare providers necessitate alternative recruitment strategies for effective intervention research.

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Area of Science:

  • Public Health
  • Health Disparities
  • Community Health

Background:

  • Overweight and obesity rates are high among systematically marginalized youth.
  • These populations are often hard-to-reach for intervention research.
  • Existing research needs to address recruitment challenges.

Purpose of the Study:

  • Identify facilitators and barriers to recruiting systematically marginalized families in youth weight-management intervention research.
  • Explore effective recruitment materials and processes.
  • Involve diverse stakeholders in understanding recruitment needs.

Main Methods:

  • Conducted seven focus groups with 48 participants from four stakeholder groups: youth, parents, community agency workers, and school nurses.
  • Utilized a codebook approach to thematic analysis for identifying recruitment themes.
  • Applied Ecological Systems Theory to contextualize findings.

Main Results:

  • Engaging and fun recruitment materials and processes are crucial for active recruitment.
  • Community-based events are preferred recruitment locations over healthcare providers due to distrust.
  • Stakeholders emphasized the need for tailored recruitment strategies.

Conclusions:

  • Effective recruitment of systematically marginalized families requires community-centered approaches.
  • Addressing distrust in the healthcare system is vital for successful intervention research.
  • Recommendations are proposed for optimizing recruitment materials and processes for future studies.