Exploring recruitment, willingness to participate, and retention of low-SES women in stress and depression preventionReport as inadecuate

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BMC Public Health

, 10:588

First Online: 05 October 2010Received: 18 May 2010Accepted: 05 October 2010DOI: 10.1186-1471-2458-10-588

Cite this article as: van der Waerden, J.E., Hoefnagels, C., Jansen, M.W. et al. BMC Public Health 2010 10: 588. doi:10.1186-1471-2458-10-588


BackgroundRecruitment, willingness to participate, and retention in interventions are indispensable for successful prevention. This study investigated the effectiveness of different strategies for recruiting and retaining low-SES women in depression prevention, and explored which sociodemographic characteristics and risk status factors within this specific target group are associated with successful recruitment and retention.

MethodsThe process of recruitment, willingness to participate, and retention was structurally mapped and explored. Differences between women who dropped out and those who adhered to the subsequent stages of the recruitment and retention process were investigated. The potential of several referral strategies was also studied, with specific attention paid to the use of GP databases.

ResultsAs part of the recruitment process, 12.1% of the target population completed a telephone screening. The most successful referral strategy was the use of patient databases from GPs working in disadvantaged neighborhoods. Older age and more severe complaints were particularly associated with greater willingness to participate and with retention.

ConclusionsLow-SES women can be recruited and retained in public health interventions through tailored strategies. The integration of mental health screening within primary care might help to embed preventive interventions in low-SES communities.

AbbreviationsCES-DCenter for Epidemiological Studies Depression scale

CMHSCommunity Mental Health Center

EWWExercise Without Worries

GPGeneral Practitioner

PHSPublic Health Service

PSSPerceived Stress Scale

SESSocioeconomic Status

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-10-588 contains supplementary material, which is available to authorized users.

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Author: Judith EB van der Waerden - Cees Hoefnagels - Maria WJ Jansen - Clemens MH Hosman

Source: https://link.springer.com/

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