Predictors of retention among African American and Hispanic older adult research participants in the Well Elderly 2 randomized controlled trial.

Mike Carlson, Jeanne Jackson, Deborah Mandel, Jeanine Blanchard, Jess Holguin, Mei-Ying Lai, Abbey Marterella, Cheryl Vigen, Sarah Gleason, Claudia Lam, Stan Azen, Florence Clark

Journal: Journal of applied gerontology : the official journal of the Southern Gerontological Society 2015;33(3):357-82

PMID: 24652865

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Abstract

The purpose of this study was to document predictors of long-term retention among minority participants in the Well Elderly 2 Study, a randomized controlled trial of a lifestyle intervention for community-dwelling older adults. The primary sample included 149 African American and 92 Hispanic men and women aged 60 to 95 years, recruited at senior activity centers and senior residences. Chi-square and logistic regression procedures were undertaken to examine study-based, psychosocial and health-related predictors of retention at 18 months following study entry. For both African Americans and Hispanics, intervention adherence was the strongest predictor. Retention was also related to high active coping and average (vs. high or low) levels of activity participation among African Americans and high social network strength among Hispanics. The results suggest that improved knowledge of the predictors of retention among minority elders can spawn new retention strategies that can be applied at individual, subgroup, and sample-wide levels.

Address: University of Southern California, Los Angeles, CA, USA.

DOI: 10.1177/0733464812471444

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MeSH Terms: Activities of Daily Living, Adaptation, Psychological, Black or African American, Aged, Aged, 80 and over, Aging, Female, Hispanic or Latino, Humans, Independent Living, Life Style, Male, Middle Aged, Patient Selection, Refusal to Participate, Social Behavior, Social Networking, United States