TY - JOUR AU - Alcaraz, Kassandra I AU - Vereen, Rhyan N AU - Burnham, Donna PY - 2020 DA - 20/4/1 TI -在社会服务环境中，使用电话和数字渠道让社会经济状况不利的成年人参与健康差异研究:横断面研究JO - J Med Internet Res SP - e16680 VL - 22 IS - 4kw -横断面研究KW -电子邮件KW -健康状况差异KW -医疗保健差异KW -互联网KW -移动电话KW -电话KW -短信KW -社会服务AB -背景:让社会经济上处于不利地位的人群参与健康研究对于理解并最终消除健康方面的差异至关重要。数字通信渠道越来越多地用于招募研究参与者，最近的趋势表明，越来越需要与社会服务部门合作，以改善人口健康。然而，很少有研究使用多种数字渠道从社会服务环境中招募参与者。目的:本研究旨在通过电话和数字渠道招募和调查3791名社会服务机构的成年客户。本文旨在描述五种招聘渠道的招聘结果，并比较招聘渠道类型的参与者特征。方法:癌症交流渠道在情境研究中招募和调查成人客户2-1-1，一个以社会服务为重点的信息和转诊系统，使用五种渠道:电话、网站、短信、网络实时聊天和电子邮件。参与者通过电话(如果是通过电话招募)或网络(如果是从数字渠道，即网站、短信、基于网络的实时聊天或电子邮件)完成调查。目前分析的措施包括人口和健康特征。结果:总共招募了3293名参与者，其中1907人通过电话招募，1386人通过数字渠道招募。 Those recruited by phone had a moderate study eligibility rate (42.23%) and the highest survey completion rate (91.24%) of all channels. Individuals recruited by text message had a high study eligibility rate (94.14%) yet the lowest survey completion rate (74.0%) of all channels. Sample accrual goals were achieved for phone, text message, and website recruitment. Multivariable analyses found differences in participant characteristics by recruitment channel type. Compared with participants recruited by phone, those recruited from digital channels were younger (adjusted odds ratio [aOR] 0.96, 95% CI 0.96-0.97) and more likely to be female (aOR 1.52, 95% CI 1.23-1.88), married (aOR 1.52, 95% CI 1.22-1.89), and other than non-Hispanic black (aOR 1.48, 95% CI 1.22-1.79). Those recruited via phone also were more likely to have more than a high school education (aOR 2.17, 95% CI 1.67-2.82), have a household income ≥US $25,000 a year (aOR 2.02, 95% CI 1.56-2.61), and have children living in the home (aOR 1.26, 95% CI 1.06-1.51). Additionally, participants recruited from digital channels were less likely than those recruited by phone to have public health insurance (aOR 0.75, 95% CI 0.62-0.90) and more likely to report better overall health (aOR 1.52, 95% CI 1.27-1.83 for good-to-excellent health). Conclusions: Findings indicate the feasibility and utility of recruiting socioeconomically disadvantaged adults from the social service sector using multiple communication channels, including digital channels. As social service–based health research evolves, strategic recruitment using a combination of traditional and digital channels may be warranted to avoid underrepresentation of highly medically vulnerable individuals, which could exacerbate disparities in health. SN - 1438-8871 UR - //www.mybigtv.com/2020/4/e16680 UR - https://doi.org/10.2196/16680 UR - http://www.ncbi.nlm.nih.gov/pubmed/32234699 DO - 10.2196/16680 ID - info:doi/10.2196/16680 ER -