a systematic review of the effect of retention methods in population-based cohort studies系统回顾的影响保留在以人群为基础的队列研究方法.pdfVIP
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a systematic review of the effect of retention methods in population-based cohort studies系统回顾的影响保留在以人群为基础的队列研究方法
Booker et al. BMC Public Health 2011, 11:249
/1471-2458/11/249
RESEARCH ARTICLE Open Access
A systematic review of the effect of retention
methods in population-based cohort studies
Cara L Booker1,2*, Seeromanie Harding1 and Michaela Benzeval1
Abstract
Background: Longitudinal studies are of aetiological and public health relevance but can be undermined by
attrition. The aim of this paper was to identify effective retention strategies to increase participation in population-
based cohort studies.
Methods: Systematic review of the literature to identify prospective population-based cohort studies with health
outcomes in which retention strategies had been evaluated.
Results: Twenty-eight studies published up to January 2011 were included. Eleven of which were randomized
controlled trials of retention strategies (RCT). Fifty-seven percent of the studies were postal, 21% in-person, 14%
telephone and 7% had mixed data collection methods. A total of 45 different retention strategies were used,
categorised as 1) incentives, 2) reminder methods, repeat visits or repeat questionnaires, alternative modes of data
collection or 3) other methods. Incentives were associated with an increase in retention rates, which improved
with greater incentive value. Whether cash was the most effective incentive was not clear from studies that
compared cash and gifts of similar value. The average increase in retention rate was 12% for reminder letters, 5%
for reminder calls and 12% for repeat questionnaires. Ten studies used alternative data collection methods, mainly
as a last resort. All postal studies offered telephone interviews to non-responders, which increased retention rates
by 3%. Studies that used face-to-face interviews increased their retention rates by 24% by offering alternative
locations and modes of data collection.
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