Population Reach and Recruitment Bias in a Maintenance RCT in Physically Active Older Adults

in Journal of Physical Activity and Health

Click name to view affiliation

Brian C. Martinson
Search for other papers by Brian C. Martinson in
Current site
Google Scholar
PubMed
Close
,
A. Lauren Crain
Search for other papers by A. Lauren Crain in
Current site
Google Scholar
PubMed
Close
,
Nancy E. Sherwood
Search for other papers by Nancy E. Sherwood in
Current site
Google Scholar
PubMed
Close
,
Marcia G. Hayes
Search for other papers by Marcia G. Hayes in
Current site
Google Scholar
PubMed
Close
,
Nicolaas P. Pronk
Search for other papers by Nicolaas P. Pronk in
Current site
Google Scholar
PubMed
Close
, and
Patrick J. O’Connor
Search for other papers by Patrick J. O’Connor in
Current site
Google Scholar
PubMed
Close
Restricted access

Objective:

To assess the representativeness of older adults recruited to a physical activity maintenance RCT by conducting sequential comparisons to characterize study sample composition changes occurring between sampling frame construction and study enrollment.

Method:

Study subjects (N = 1049) were 50 to 70 year old men and women who had increased physical activity within the past year recruited from a Midwestern managed care organization.

Results:

Those responding to an initial mailed screener differed on demographic, behavioral, and SES characteristics from those not responding. Compared with ineligibles, eligible individuals were significantly younger, more highly educated, and more likely to report improved health in the prior year. Compared with eligible individuals who did not enroll, enrollees had generally higher education and income.

Conclusions:

Physical activity promotion programs in older adults may have limited reach and substantial volunteer bias. Additional strategies to increase the reach of physical activity interventions into the target population are needed.

The authors are with the HealthPartners Research Foundation, Minneapolis, MN. Pronk is also with JourneyWell, Minneapolis, MN.

  • Collapse
  • Expand