Online Program

Minority recruitment and enrollment into integrative research: Yoga as self-care for arthritis

Monday, November 4, 2013

Kimberly R. Middleton, BSN, MPH, MS, RYT500, Nursing Research and Practice Development, NIH/Clinical Center, Bethesda, MD
Regina Andrade, BA, Nursing Research and Practice Development, National Institutes of Health, Bethesda, MD
Alice Fike, MSN, National Institutes of Health/NIAMS, National Institutes of Health, Silver Spring, MD
Gwenyth R. Wallen, RN, PhD, Nursing Research and Translational Science, National Institutes of Health Clinical Center, Bethesda, MD
This abstract describes recruitment on an ongoing pilot study providing yoga to minority patients with arthritis. Previous yoga studies have shown a positive effect on quality of life and physical function for arthritis patients. However, this study addresses two important areas of research: the feasibility of offering yoga as an approach to self-care for arthritis; and the acceptability of yoga for minority patients not typically identified as practicing yoga.

The study examines a convenience sample of adults with osteoarthritis or rheumatoid arthritis as they undergo an 8-week program of yoga classes. Research participants are recruited from the National Institute of Arthritis and Musculoskeletal Disease (NIAMS) community health clinic, serving the Washington DC metro area. Recruitment materials are available in English and Spanish due to the large percentage of Latino/Hispanic clinic patients. The study provides racially concordant images for recruitment materials, culturally similar investigators and yoga instructors, and a yoga intervention created specifically for rheumatoid arthritis and osteoarthritis. Recommendation by a rheumatology clinician or physiatrist appears to be the best enrollment facilitator for participants unfamiliar with yoga. Previous experience with other integrative modalities or rehabilitation medicine are often also cited as motivators. Barriers to enrollment include lack of time, lack of interest in yoga, and child care issues.

There are a number of challenges in recruiting and retaining participants from a community clinic serving minority populations. This study looks to explore and document the feasibility and acceptability of offering yoga as an integrative modality to an often under-represented population.

Learning Areas:

Diversity and culture
Implementation of health education strategies, interventions and programs
Public health or related research

Learning Objectives:
Discuss the facilitators and barriers of recruiting minority patients into a clinical trial studying yoga as an integrative modality.

Keyword(s): Minority Research, Alternative Medicine/Therapies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator on the study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.