title: Recruitment in Clinical Versus Community-Based Sites for a Pilot Youth Diabetes Prevention Program, East Harlem, New York, 2011-2012.
abstract: BACKGROUND
  Little is known about successful strategies for recruitment of youth for research. The objective of this study was to compare clinical sites with community sites in the recruitment of teenagers for a new youth diabetes prevention program in East Harlem, New York.
  
  
  METHODS
  We assessed diabetes risk for youth (aged 13-19 y) by measuring body mass index (BMI). We then screened overweight and obese youth for prediabetes using oral glucose tolerance testing, had them complete a health and lifestyle survey, and enrolled prediabetic youth into peer-led workshops. The recruitment strategies were 1) clinical referrals and 2) screenings at community sites. We compared the number of adolescents screened, the proportion eligible for testing, the proportion diagnosed with prediabetes, baseline characteristics, and the retention rates between those recruited in clinical and community sites.
  
  
  RESULTS
  In 3 months, we completed BMI screening for 156 adolescents from community sites and 30 from clinical sites. Overall, 47% were at risk for diabetes on the basis of BMI, and 63% returned for diabetes testing; 35% had prediabetes, and 1 teenager had diabetes. Clinical sites yielded higher rates of diabetes risk on the basis of BMI and higher rates of return for screening and diagnosed prediabetes. Although demographics and BMI did not vary by recruitment site, we found differences in behaviors, self-efficacy, body image, and social support. There were no differences by recruitment site in workshop enrollment or completion or return for follow-up.
  
  
  CONCLUSIONS
  Both recruitment strategies were successful, and participants from both groups had high rates of undiagnosed prediabetes. Our approach allowed access to more adolescents and opportunities for education about diabetes in the community.
authors.affiliation: Departments of Pediatrics and Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1202A, New York, NY 10029. Email: nita.vangeepuram@mssm.edu.
authors.forename: Nita
authors.initials: N
authors.lastname: Vangeepuram
authors.affiliation: Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Kenya
authors.initials: K
authors.lastname: Townsend
authors.affiliation: Institute for Family Health, New York, New York.
authors.forename: Guedy
authors.initials: G
authors.lastname: Arniella
authors.affiliation: Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Crispin
authors.initials: C
authors.lastname: Goytia
authors.affiliation: Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Carol R
authors.initials: CR
authors.lastname: Horowitz
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000517:prevention & control*; D006266:Health Education; D006801:Humans; D009519:New York City / Q000453:epidemiology; D009765:Obesity; D010865:Pilot Projects; D055815:Young Adult
references.citation: Am J Public Health. 2010 Apr 1;100 Suppl 1:S232-9
references.pmid: 20147680
references.citation: Am J Prev Med. 2009 Dec;37(6 Suppl 1):S195-200
references.pmid: 19896019
references.citation: Diabetes Care. 2009 Feb;32(2):342-7
references.pmid: 18957533
references.citation: J Child Fam Stud. 2012 Apr 1;21(2):273-280
references.pmid: 22984337
references.citation: Diabetes Care. 2003 Jan;26(1):36-47
references.pmid: 12502656
references.citation: Diabetes Care. 2007 Mar;30(3):753-9
references.pmid: 17327355
references.citation: Ethn Dis. 2011 Winter;21(1):91-8
references.pmid: 21462737
references.citation: Prev Med. 2003 Jul;37(1):41-51
references.pmid: 12799128
references.citation: Health Promot Pract. 2012 Nov;13(6):779-87
references.pmid: 21540195
references.citation: Int J Obes (Lond). 2009 Jan;33(1):2-7
references.pmid: 19065147
references.citation: J Child Adolesc Psychiatr Nurs. 2011 Aug;24(3):137-49
references.pmid: 21810129
references.citation: BMC Pediatr. 2014 Feb 19;14:53
references.pmid: 24552207
references.citation: Diabetes Care. 2011 Jun;34(6):1306-11
references.pmid: 21515842
references.citation: Am J Health Behav. 2011 Nov;35(6):712-25
references.pmid: 22251762
references.citation: Diabetes Care. 2012 Dec;35(12):2515-20
references.pmid: 23173134
references.citation: J Adolesc Health. 2014 Mar;54(3):247-54
references.pmid: 24161585
references.citation: Int J Behav Med. 2014;21(5):794-803
references.pmid: 24198037
references.citation: J Pediatr Psychol. 2011 Nov-Dec;36(10):1093-101
references.pmid: 21685459