Characteristics of nonparticipants differed based on reason for nonparticipation: a study involving the chronically ill.
BACKGROUND
Individuals who do and do not participate in studies often have different characteristics. The profile of nonparticipants may vary by type of nonparticipation. Few cross-sectional or longitudinal studies of chronically ill individuals identify these differences at baseline and of those that do; many do not have information on type of nonparticipation. We compared characteristics of chronically ill individuals to determine if they differ by type of nonparticipation.


METHODS
Data are from an evaluation of a chronic disease management program conducted in New South Wales, Australia during 2001 and 2002. Characteristics were compared using routinely collected hospital data. Reasons for nonparticipation were categorized as refusal, death, or untraceable.


RESULTS
Individuals who refused to participate were older, female, discharged at risk, and have heart failure. Those untraceable were younger, not married, Indigenous, and receiving care during the intervention phase but not recruited. Individuals not participating due to death were older, male, not cohabiting, discharged at risk, and have a diagnosis of cancer or heart failure.


CONCLUSIONS
The significant differences between untraceable, refused, and deceased individuals should be considered when designing studies and when adjusting for nonparticipation bias.
Holden
Libby
L
School of Medicine, Faculty of Health, Griffith University, University Drive, Meadowbrook, Brisbane, Queensland 4131, Australia. l.holden@griffith.edu.au
Ware
Robert S
RS
Passey
Megan
M
D000367:Age Factors; D000368:Aged; D015982:Bias; D002908:Chronic Disease / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D045808:Refusal to Participate; D012107:Research Design; D012306:Risk; D012737:Sex Factors