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. 2016 Apr 14:13:6.
doi: 10.1186/s12982-016-0046-y. eCollection 2016.

Maximising follow-up participation rates in a large scale 45 and Up Study in Australia

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Maximising follow-up participation rates in a large scale 45 and Up Study in Australia

Adrian Bauman et al. Emerg Themes Epidemiol. .

Abstract

Background: The issue of poor response rates to population surveys has existed for some decades, but few studies have explored methods to improve the response rate in follow-up population cohort studies.

Methods: A sample of 100,000 adults from the 45 and Up Study, a large population cohort in Australia, were followed up 3.5 years after the baseline cohort was assembled. A pilot mail-out of 5000 surveys produced a response rate of only 41.7 %. This study tested methods of enhancing response rate, with three groups of 1000 each allocated to (1) receiving an advance notice postcard followed by a questionnaire, (2) receiving a questionnaire and then follow-up reminder letter, and (3) both these strategies.

Results: The enhanced strategies all produced an improved response rate compared to the pilot, with a resulting mean response rate of 53.7 %. Highest response was found when both the postcard and questionnaire reminder were used (56.4 %) but this was only significantly higher when compared to postcard alone (50.5 %) but not reminder alone (54.1 %). The combined approach was used for recruitment among the remaining 92,000 participants, with a resultant further increased response rate of 61.6 %.

Conclusions: Survey prompting with a postcard and a reminder follow-up questionnaire, applied separately or combined can enhance follow-up rates in large scale survey-based epidemiological studies.

Keywords: Epidemiological studies; Follow-up; Recruitment strategies; Response rates.

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Figures

Fig. 1
Fig. 1
Phases of testing different recruitment strategies
Fig. 2
Fig. 2
Flow diagram of three mail-out enhanced recruitment strategies [Study 2]

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