Stacia A Finch1, Richard Wasserman2, Emara Nabi-Burza3, Bethany Hipple3, Robert Oldendick4, Jonathan P Winickoff5. 1. Pediatric Research in Office Settings, American Academy of Pediatrics, Elk Grove Village, Illinois. 2. Pediatric Research in Office Settings, American Academy of Pediatrics, Elk Grove Village, Illinois Department of Pediatrics, University of Vermont, Burlington, Vermont. 3. Center for Child and Adolescent Health and Research Policy, Massachusetts General Hospital, Boston, Massachusetts Julius B. Richmond Center of Excellence, American Academy of Pediatrics, Elk Grove Village, Illinois. 4. University of South Carolina, Institute for Public Service and Policy Research, Columbia, South Carolina. 5. Center for Child and Adolescent Health and Research Policy, Massachusetts General Hospital, Boston, Massachusetts Julius B. Richmond Center of Excellence, American Academy of Pediatrics, Elk Grove Village, Illinois Jwinickoff@mgh.harvard.edu.
Abstract
PURPOSE: Conducting studies in national practice-based research networks presents logistic and methodologic challenges. Pediatric Research in Office Settings (PROS) has learned valuable lessons in implementing new strategies and adapting to challenges. We describe practical challenges and results of novel applied strategies in implementing and testing the Clinical Effort Against Secondhand Smoke Exposure (CEASE) intervention as part of a national-level cluster-randomized controlled trial. METHODS: In the trial, 20 PROS practices were randomized to either a CEASE intervention arm or a control arm. Parents of children seen in the office who indicated smoking in the past 7 days were asked to complete a postvisit enrollment interview and telephone interviews 3 and 12 months later. Identified challenges included (1) recruiting 20 practices serving a high percentage of parent smokers; (2) screening all parents bringing children for visits and enrolling eligible parents who smoked; and (3) achieving an acceptable 12-month telephone response rate. RESULTS:A total of 47 interested practices completed the Practice Population Survey, of which 20 practices in 16 states completed parent enrollment. Thirty-two research assistants screened 18,607 parents and enrolled 1,980 of them. The initial telephone interview response rate was 56% at 12 months, with incorrect and disconnected numbers accounting for nearly 60% of nonresponses. The response rate rose to 67% after practices supplied 532 new contact numbers and 754 text messages were sent, with 389 parents completing interviews. CONCLUSION: The strategies we used to overcome methodologic barriers in conducting a national intervention trial allowed data collection to be completed in the office setting and increased the telephone interview response rate.
RCT Entities:
PURPOSE: Conducting studies in national practice-based research networks presents logistic and methodologic challenges. Pediatric Research in Office Settings (PROS) has learned valuable lessons in implementing new strategies and adapting to challenges. We describe practical challenges and results of novel applied strategies in implementing and testing the Clinical Effort Against Secondhand Smoke Exposure (CEASE) intervention as part of a national-level cluster-randomized controlled trial. METHODS: In the trial, 20 PROS practices were randomized to either a CEASE intervention arm or a control arm. Parents of children seen in the office who indicated smoking in the past 7 days were asked to complete a postvisit enrollment interview and telephone interviews 3 and 12 months later. Identified challenges included (1) recruiting 20 practices serving a high percentage of parent smokers; (2) screening all parents bringing children for visits and enrolling eligible parents who smoked; and (3) achieving an acceptable 12-month telephone response rate. RESULTS: A total of 47 interested practices completed the Practice Population Survey, of which 20 practices in 16 states completed parent enrollment. Thirty-two research assistants screened 18,607 parents and enrolled 1,980 of them. The initial telephone interview response rate was 56% at 12 months, with incorrect and disconnected numbers accounting for nearly 60% of nonresponses. The response rate rose to 67% after practices supplied 532 new contact numbers and 754 text messages were sent, with 389 parents completing interviews. CONCLUSION: The strategies we used to overcome methodologic barriers in conducting a national intervention trial allowed data collection to be completed in the office setting and increased the telephone interview response rate.
Authors: K Resnicow; F McMaster; S Woolford; E Slora; A Bocian; D Harris; J Drehmer; R Wasserman; R Schwartz; E Myers; J Foster; L Snetselaar; D Hollinger; K Smith Journal: Pediatr Obes Date: 2011-12-13 Impact factor: 4.000
Authors: Jonathan P Winickoff; Emara Nabi-Burza; Yuchiao Chang; Stacia Finch; Susan Regan; Richard Wasserman; Deborah Ossip; Heide Woo; Jonathan Klein; Janelle Dempsey; Jeremy Drehmer; Bethany Hipple; Victoria Weiley; Sybil Murphy; Nancy A Rigotti Journal: Pediatrics Date: 2013-07 Impact factor: 7.124
Authors: Jeremy E Drehmer; Deborah J Ossip; Nancy A Rigotti; Emara Nabi-Burza; Heide Woo; Richard C Wasserman; Yuchiao Chang; Jonathan P Winickoff Journal: Am J Prev Med Date: 2012-11 Impact factor: 5.043
Authors: Shari L Barkin; Stacia A Finch; Edward H Ip; Benjamin Scheindlin; Joseph A Craig; Jennifer Steffes; Victoria Weiley; Eric Slora; David Altman; Richard C Wasserman Journal: Pediatrics Date: 2008-07 Impact factor: 7.124
Authors: Joan Friebely; Nancy A Rigotti; Yuchiao Chang; Nicole Hall; Victoria Weiley; Janelle Dempsey; Bethany Hipple; Emara Nabi-Burza; Sybil Murphy; Heide Woo; Jonathan P Winickoff Journal: BMC Public Health Date: 2013-02-22 Impact factor: 3.295