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. 2022 Jun 17;5(1):4786.

Recruitment, retention, and intervention adherence for a chronic illness self-management intervention with the Apsáalooke Nation

Laurel Fimbel  1 , Mikayla Pitts  1 , Mark Schure  1 , Alma Knows His Gun McCormick  2 , Suzanne Held  1
Affiliations

Recruitment, retention, and intervention adherence for a chronic illness self-management intervention with the Apsáalooke Nation

Laurel Fimbel et al. Public Health Rev (Minneap). .

Abstract

Recruitment, retention, and adherence within health intervention research have been understudied in Indigenous communities, where well-known health disparities exist. The purpose of this paper is to describe planned versus actual recruitment, retention, and adherence strategies and the evaluation of retention and adherence strategies for a community-based research study of a Chronic Illness (CI) self-management intervention within an Indigenous community. A Community-Based Participatory Research (CBPR) approach was used to develop and implement Báa nnilah, a culturally consonant educational intervention to improve CI self-management. Reasons for participant adherence and retention were tracked and recorded over time. A post-intervention survey assessed barriers and facilitators to intervention adherence. Overall, recruitment, retention, and adherence methods were successful in enrolling and maintaining participation. Using a CBPR approach and culturally consonant strategies may assist in meeting recruitment goals and improving sustained participation of community members, thus impacting health disparities among Indigenous communities.

Keywords: Adherence; Chronic Illness; Indigenous; Intervention Evaluation; Recruitment; Retention.

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Figures

Figure 1:
Figure 1:
Barriers to Program Attendance
Figure 2:
Figure 2:
Facilitators to Program Attendance
Figure 3:
Figure 3:
Reasons for Study Attrition
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