Abstract
Engaging and retaining adolescents in research studies is challenging. Social media offers utility for expanding the sphere of research recruitment. This study examined and compared traditional and Facebook-based recruitment strategies on reach, enrollment, cost, and retention. Substance users aged 13–17 years were recruited through several methods, including social media, a study website, fliers, talks in schools, bus ads, and referrals. Study involvement included a one-time visit and semiannual follow-up surveys. 1265 individuals contacted study personnel; 629 were ineligible; 129 declined; and 200 participants enrolled. Facebook drew the greatest volume but had a high rate of ineligibles. Referrals were the most successful and cost-effective ($7 per enrolled participant); school talks were the least. Recruitment source was unrelated to retention success. Facebook may expand recruitment reach, but had greater financial costs and more ineligible contacts, resulting in fewer enrollees relative to traditional interpersonal recruitment methods. Referrals, though useful for study engagement, did not provide a differential benefit in terms of long-term retention.
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References
Ahmed N, Jayasinghe Y, Wark JD, et al. Attitudes to chlamydia screening elicited using the social networking site Facebook for subject recruitment. Sex Health. 2013; 10: 224-228. doi:10.1071/SH12198.
Alexa. Top sites in United States. http://www.alexa.com/topsites/countries/US; 2013.
Amon KL, Campbell AJ, Hawke C, et al. Facebook as a recruitment tool for adolescent health research: a systematic review. Acad Pediatr. 2014; 14: 439-447. doi:10.1016/j.acap.2014.05.049.
Chartier M, Vander Stoep A, McCauley E, et al. Passive versus active parental consent: implications for the ability of school-based depression screening to reach youth at risk. J Sch Health. 2008; 78: 157-186. doi:10.1111/j.1746-1561.2007.00278.x.
Close S, Smaldone A, Fennoy I, et al. Using information technology and social networking for recruitment of research participants: experience from an exploratory study of pediatric Klinefelter syndrome. J Med Internet Res. 2013; 15: e48. doi:10.2196/jmir.2286.
Diviak KR, Wahl SK, O’Keefe JJ, et al. Recruitment and retention of adolescents in a smoking trajectory study: who participates and lessons learned. Subst Use Misuse. 2006; 41: 175-182. doi:10.0180/10826080500391704.
Fenner Y, Garland SM, Moore EE, et al. Web-based recruiting for health research using a social networking site: an exploratory study. J Med Internet Res. 2012; 14: e20. http://www.jmir.org/2012/1/e20/ doi:10.2196/jmir.1978.
Graham AL, Fang Y, Moreno JL, et al. Online advertising to reach and recruit Latino smokers to an internet cessation program: impact and costs. J Med Internet Res. 2012; 14: e116. doi:10.2196/jmir.2162.
Hamed A, Wu X, Rubin A. A twitter recruitment intelligent system: association rule mining for smoking cessation. Soc Netw Anal Min. 2014; 4: 212. doi:10.1007/s13278-014-0212-6.
Hartlieb KB, Jaques-Tiura AJ, Naar-King S, et al. Recruitment strategies and the retention of obese urban racial/ethnic minority adolescents in clinical trials: the FIT families project, Michigan, 2010–2014. Prev Chronic Dis. 2015; 12: E22. doi:10.5888/pcd12.140409.
Jaycox LH, McCaffrey DF, Ocampo BW, et al. Challenges in the evaluation and implementation of school-based prevention and intervention programs on sensitive topics. Am J Eval. 2006; 27: 320-336.
Jones L, Saksvig BI, Grieser M, et al. Recruiting adolescent girls into a follow-up study: benefits of using a social networking website. Contemp Clin Trials. 2012; 33: 268-272. doi:10.1016/j.cct.2011.10.011.
Lamb J, Puskar KR, Tusaie-Mumford K. Adolescent research recruitment issues and strategies: application in a rural school setting. J Pediatr Nurs. 2001; 16: 43-52. doi:10.1053/jpdn.2001.20552.
Lenhart A, Pucell K, Smith A, et al. Social Media and Mobile Internet Use Among Teens and Young Adults. Washington: Pew Internet & American Life Project; 2010. Retrieved from http://web.pewinternet.org/~/media/Files/Reports/2010/PIP_Social_Media_and_Young_Adults_Report_Final_with_toplines.pdf.
Logsdon MC, Rushton J, Myers J, et al. Use of social media for research recruitment with adolescent mothers. J Adolesc Health. 2015; 56: S21-S22. doi:10.1016/j.jadohealth.2014.10.043.
McCormick LK, Crawford M, Anderson RH, et al. Recruiting adolescents into qualitative tobacco research studies: experiences and lessons learned. J Sch Health. 1999; 69: 95-99. doi:10.1111/j.17461561.1999.tb07215.x.
Moolchan ET, Mermelstein R. Research on tobacco use among teenagers: ethical challenges. J Adolesc Health. 2002; 30: 409-417.
Morton LM, Cahill J, Hartge P. Reporting participation in epidemiologic studies: a survey of practice. Am J Epidemiol. 2006; 163: 197-203. doi:10.1093/aje/kwj036.
Nguyen B, McGregor KA, O’Connor JO, et al. Recruitment challenges and recommendations for adolescent obesity trials. J Paediatr Child Health. 2012; 48: 38-43. doi:10.1111/j.1440-1754.2011.02183.x.
Park BK, Clamaro C. A systematic review of social networking sites: innovative platforms for health research targeting adolescents and young adults. J Nurs Scholarsh. 2013; 45: 256-264. doi:10.1111/jnu.12032.
Pew Research Center. Millennials: a portrait of generation next. Accessed from http://www.pewresearch.org/millennials/teen-internet-use-graphic/ 2014a.
Pew Research Center. Pew research internet project: teen fact sheet. Accessed from http://www.pewinternet.org/fact-sheets/teens-fact-sheet/ 2014b.
Ramo DE, Prochaska JJ. Broad reach and targeted recruitment using Facebook for an online survey of young adult substance use. J Med Internet Res. 2012; 14: e28. doi:10.2196/jmir.1878.
Robinson JL, Fuerch JH, Winiewicz DD, et al. Cost effectiveness of recruitment methods in an obesity prevention trial for young children. Prev Med. 2007; 44: 499-503. doi:10.1016/j.ypmed.2007.03.004.
Rodrigo S, Sinclair M, Cunliffe D, et al. Effectiveness and cost of recruitment strategies for a community-based randomized trial among rainwater drinkers. BMC Med Res Methodol. 2009; 9: 51-57.
Rojas NL, Sherritt L, Harris S, et al. The role of parental consent in adolescent substance use research. J Adolesc Health. 2008; 42: 192.197. doi:10.1016/j.jadohealth.2007.07.011.
Rubinstein ML, Shiffman S, Moscicki AB, et al. Nicotine metabolism and addiction among adolescent smokers. Addiction. 2013; 108: 406-412. doi:10.1111/j.1360-0443.2012.04026.x.
Sadasivam RS, Cutrona SL, Volz E, et al. Web-based peer-driven chain referrals for smoking cessation. Stud Health Technol Inform. 2013; 192: 357-361. doi:10.3233/978-1-61499-289-9-357.
Spigarelli M. Adolescent participation in research. J Adolesc Health. 2008; 43: 1-2.
Acknowledgments
The authors thank Jennifer Simington and Maxwell Berlyant for their data collection efforts and study support. This work was supported by the National Cancer Institute (grant number R01CA140216) and the National Institute on Drug Abuse (grant number R01DA036508).
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None
Adherence to Ethical Principles
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.
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The work was performed at the University of California, San Francisco, San Francisco, CA.
Implications
Social media can be used in recruitment to achieve a large number of initial responses from which referrals can then be generated.
Interpersonal referrals may be the most cost-effective and successful means of building a study population.
Retention rates did not differ between Facebook and referral recruitment methods, suggesting that both methods can be used in longitudinal research.
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Rait, M.A., Prochaska, J.J. & Rubinstein, M.L. Recruitment of adolescents for a smoking study: use of traditional strategies and social media. Behav. Med. Pract. Policy Res. 5, 254–259 (2015). https://doi.org/10.1007/s13142-015-0312-5
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DOI: https://doi.org/10.1007/s13142-015-0312-5