Recruitment, Retention and Intervention Delivery Experiences With Hospice Family Caregivers

Author:

Cruz-Oliver Dulce M.1ORCID,Milner Gabrielle E.2,Abshire Saylor Martha3,Nelson Katie E.3ORCID,Blinka Marcela D.4,Durkin Nowella5,Smith Thomas J.1,Oliver Debra Parker6ORCID

Affiliation:

1. Palliative Medicine Section, Division of General Internal Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA

2. Johns Hopkins University School of Medicine, Baltimore, MD, USA

3. Johns Hopkins University School of Nursing, Baltimore, MD, USA

4. Division of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA

5. Division of General Internal Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA

6. Goldfarb School of Nursing, Barnes Jewish HospitalDivision of Palliative Medicine, Washington University, St Louis, MO, USA

Abstract

Background Recruitment and attrition are inherently challenging issues in hospice research. We sought to describe strategies of recruitment, retention, and delivery of NOVELA (short for tele novela), an intervention for hospice family caregivers (HFCG). Methods Statistics were kept of every referral, consenting participant, visit session, and intervention activity. We used the Social Marketing Mix Framework to describe recruiting strategies employed and lessons learned. Results Two hospices in the U.S. Mid-Atlantic region referred 47 HFCG and N = 20 agreed to participate, out of which 50% (N = 10) completed all 4 sessions with an average of 2.8 sessions per person, each lasting an average duration of 13.5 minutes (range 8.0-25.7). The main reason for missing a session was a patient’s death (N = 8). Successful recruitment strategies employed in NOVELA included: (a) intensive start-up hospice engagement, (b) remote recruitment and delivery of NOVELA, and (c) scheduling flexibility to work around caregivers’ other demands. Conclusion The recruitment and intervention delivery had successes and challenges resulting in the identification of multiple opportunities to strengthen our strategy and inform future studies with HFCGs.

Funder

National Institute of Nursing Research

Publisher

SAGE Publications

Subject

General Medicine

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