Evaluation of conceptual framework for recruitment of African American patients with breast cancer

Oncol Nurs Forum. 2010 May;37(3):E160-7. doi: 10.1188/10.ONF.E160-E167.


Purpose/objectives: To describe the Heiney-Adams Recruitment Framework (H-ARF); to delineate a recruitment plan for a randomized, behavioral trial (RBT) based on H-ARF; and to provide evaluation data on its implementation.

Data sources: All data for this investigation originated from a recruitment database created for an RBT designed to test the effectiveness of a therapeutic group convened via teleconference for African American women with breast cancer.

Data synthesis: Major H-ARF concepts include social marketing and relationship building. The majority of social marketing strategies yielded 100% participant recruitment. Greater absolute numbers were recruited via Health Insurance Portability and Accountability Act waivers. Using H-ARF yielded a high recruitment rate (66%).

Conclusions: Application of H-ARF led to successful recruitment in an RBT. The findings highlight three areas that researchers should consider when devising recruitment plans: absolute numbers versus recruitment rate, cost, and efficiency with institutional review board-approved access to protected health information.

Implications for nursing: H-ARF may be applied to any clinical or population-based research setting because it provides direction for researchers to develop a recruitment plan based on the target audience and cultural attributes that may hinder or help recruitment.

Publication types

  • Evaluation Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • African Americans / education
  • African Americans / ethnology*
  • Audiovisual Aids
  • Breast Neoplasms / ethnology*
  • Cultural Competency
  • Female
  • Humans
  • Models, Nursing
  • Models, Psychological*
  • Nursing Evaluation Research
  • Patient Acceptance of Health Care / ethnology
  • Patient Selection*
  • Program Development
  • Program Evaluation
  • Randomized Controlled Trials as Topic
  • Researcher-Subject Relations / psychology
  • Self-Help Groups
  • Social Marketing*
  • Telecommunications
  • Trust
  • Women / education
  • Women / psychology*