Recruitment of women veterans into suicide prevention research: Improving response rates with enhanced recruitment materials and multiple survey modalities
Women veterans (WV) are the fastest growing veteran subpopulation and recognized to be at increased risk for suicide compared with civilians. Improving engagement (e.g., response rates) of WV in survey research is critical to ensuring valid and generalizable findings, which can inform suicide preven...
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| Published in: | Research in nursing & health Vol. 43; no. 5; pp. 538 - 547 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
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United States
Wiley Subscription Services, Inc
01.09.2020
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| ISSN: | 0160-6891, 1098-240X, 1098-240X |
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| Abstract | Women veterans (WV) are the fastest growing veteran subpopulation and recognized to be at increased risk for suicide compared with civilians. Improving engagement (e.g., response rates) of WV in survey research is critical to ensuring valid and generalizable findings, which can inform suicide prevention programs tailored for this population. Many factors are known to influence response rates, yet little is known about ways to optimize survey response rates among WV. Three recruitment cohorts (Waves 1 [W1], 2a [W2a], and 2b [W2b]) of WV were invited to participate in an online survey for a national, mixed‐methods study examining suicide risk among WV using reproductive health care services paid for or provided by the Veterans Health Administration. To examine the effects of enhanced recruitment efforts, standard recruitment materials were mailed to all three cohorts, with the additions of: a study flyer aiming to build trust between participants and researchers (W2a, W2b) and a paper survey (W2b). Characteristics of responders and non‐responders were compared by wave and across survey modalities. Response rates were significantly higher for groups receiving enhanced (W2a = 17.1%; W2b = 24.6%) versus standard (W1 = 12.2%) recruitment materials. WV residing in rural areas were significantly more likely to respond by paper (37.1%) than online (19.8%). Non‐respondents were disproportionately racial and ethnic minorities. Disclosure of sensitive information (e.g., military sexual trauma) did not differ by survey modality. Findings suggest that enhanced recruitment materials improve survey response rates among WV, an important consideration for future research with this population. |
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| AbstractList | Women veterans (WV) are the fastest growing veteran subpopulation and recognized to be at increased risk for suicide compared with civilians. Improving engagement (e.g., response rates) of WV in survey research is critical to ensuring valid and generalizable findings, which can inform suicide prevention programs tailored for this population. Many factors are known to influence response rates, yet little is known about ways to optimize survey response rates among WV. Three recruitment cohorts (Waves 1 [W1], 2a [W2a], and 2b [W2b]) of WV were invited to participate in an online survey for a national, mixed‐methods study examining suicide risk among WV using reproductive health care services paid for or provided by the Veterans Health Administration. To examine the effects of enhanced recruitment efforts, standard recruitment materials were mailed to all three cohorts, with the additions of: a study flyer aiming to build trust between participants and researchers (W2a, W2b) and a paper survey (W2b). Characteristics of responders and non‐responders were compared by wave and across survey modalities. Response rates were significantly higher for groups receiving enhanced (W2a = 17.1%; W2b = 24.6%) versus standard (W1 = 12.2%) recruitment materials. WV residing in rural areas were significantly more likely to respond by paper (37.1%) than online (19.8%). Non‐respondents were disproportionately racial and ethnic minorities. Disclosure of sensitive information (e.g., military sexual trauma) did not differ by survey modality. Findings suggest that enhanced recruitment materials improve survey response rates among WV, an important consideration for future research with this population. Women veterans (WV) are the fastest growing veteran subpopulation and recognized to be at increased risk for suicide compared with civilians. Improving engagement (e.g., response rates) of WV in survey research is critical to ensuring valid and generalizable findings, which can inform suicide prevention programs tailored for this population. Many factors are known to influence response rates, yet little is known about ways to optimize survey response rates among WV. Three recruitment cohorts (Waves 1 [W1], 2a [W2a], and 2b [W2b]) of WV were invited to participate in an online survey for a national, mixed-methods study examining suicide risk among WV using reproductive health care services paid for or provided by the Veterans Health Administration. To examine the effects of enhanced recruitment efforts, standard recruitment materials were mailed to all three cohorts, with the additions of: a study flyer aiming to build trust between participants and researchers (W2a, W2b) and a paper survey (W2b). Characteristics of responders and non-responders were compared by wave and across survey modalities. Response rates were significantly higher for groups receiving enhanced (W2a = 17.1%; W2b = 24.6%) versus standard (W1 = 12.2%) recruitment materials. WV residing in rural areas were significantly more likely to respond by paper (37.1%) than online (19.8%). Non-respondents were disproportionately racial and ethnic minorities. Disclosure of sensitive information (e.g., military sexual trauma) did not differ by survey modality. Findings suggest that enhanced recruitment materials improve survey response rates among WV, an important consideration for future research with this population.Women veterans (WV) are the fastest growing veteran subpopulation and recognized to be at increased risk for suicide compared with civilians. Improving engagement (e.g., response rates) of WV in survey research is critical to ensuring valid and generalizable findings, which can inform suicide prevention programs tailored for this population. Many factors are known to influence response rates, yet little is known about ways to optimize survey response rates among WV. Three recruitment cohorts (Waves 1 [W1], 2a [W2a], and 2b [W2b]) of WV were invited to participate in an online survey for a national, mixed-methods study examining suicide risk among WV using reproductive health care services paid for or provided by the Veterans Health Administration. To examine the effects of enhanced recruitment efforts, standard recruitment materials were mailed to all three cohorts, with the additions of: a study flyer aiming to build trust between participants and researchers (W2a, W2b) and a paper survey (W2b). Characteristics of responders and non-responders were compared by wave and across survey modalities. Response rates were significantly higher for groups receiving enhanced (W2a = 17.1%; W2b = 24.6%) versus standard (W1 = 12.2%) recruitment materials. WV residing in rural areas were significantly more likely to respond by paper (37.1%) than online (19.8%). Non-respondents were disproportionately racial and ethnic minorities. Disclosure of sensitive information (e.g., military sexual trauma) did not differ by survey modality. Findings suggest that enhanced recruitment materials improve survey response rates among WV, an important consideration for future research with this population. |
| Author | Hoffmire, Claire A. Katon, Jodie Gaeddert, Laurel A. Miller, Christin N. Schneider, Alexandra L. Brenner, Lisa A. Monteith, Lindsey L. |
| AuthorAffiliation | 6 Department of Health Services, University of Washington, Seattle, Washington 4 Department of Neurology, University of Colorado Anschutz Medical Campus, Aurora, Colorado 2 Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, Colorado 5 Health Services Research and Development Center of Innovation for Veteran-Centered and Value Driven Care, VA Puget Sound Health Care System, Seattle, Washington 1 Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC) for Suicide Prevention, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, Colorado 3 Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado |
| AuthorAffiliation_xml | – name: 6 Department of Health Services, University of Washington, Seattle, Washington – name: 5 Health Services Research and Development Center of Innovation for Veteran-Centered and Value Driven Care, VA Puget Sound Health Care System, Seattle, Washington – name: 4 Department of Neurology, University of Colorado Anschutz Medical Campus, Aurora, Colorado – name: 3 Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado – name: 2 Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, Colorado – name: 1 Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC) for Suicide Prevention, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, Colorado |
| Author_xml | – sequence: 1 givenname: Laurel A. orcidid: 0000-0002-6086-5167 surname: Gaeddert fullname: Gaeddert, Laurel A. organization: Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC) for Suicide Prevention, Rocky Mountain Regional Veterans Affairs Medical Center – sequence: 2 givenname: Alexandra L. surname: Schneider fullname: Schneider, Alexandra L. organization: Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC) for Suicide Prevention, Rocky Mountain Regional Veterans Affairs Medical Center – sequence: 3 givenname: Christin N. surname: Miller fullname: Miller, Christin N. organization: Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC) for Suicide Prevention, Rocky Mountain Regional Veterans Affairs Medical Center – sequence: 4 givenname: Lindsey L. orcidid: 0000-0002-8104-5280 surname: Monteith fullname: Monteith, Lindsey L. organization: University of Colorado Anschutz Medical Campus – sequence: 5 givenname: Lisa A. surname: Brenner fullname: Brenner, Lisa A. organization: University of Colorado Anschutz Medical Campus – sequence: 6 givenname: Jodie surname: Katon fullname: Katon, Jodie organization: University of Washington – sequence: 7 givenname: Claire A. surname: Hoffmire fullname: Hoffmire, Claire A. email: Claire.Hoffmire@va.gov organization: University of Colorado Anschutz Medical Campus |
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| Snippet | Women veterans (WV) are the fastest growing veteran subpopulation and recognized to be at increased risk for suicide compared with civilians. Improving... |
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| SubjectTerms | Adolescent Adult Biomedical Research - statistics & numerical data Demographic change Ethnic groups Female Health care Health services Human subjects Humans Mental depression Middle Aged Military hospitals Minority groups Patient Selection Polls & surveys Prevention Prevention programs Psychiatric research Recruitment Reproductive health Respondents Response rates Rural areas Rural communities Suicide Suicide - prevention & control Suicide - psychology Suicide prevention Suicides & suicide attempts Surveys and Questionnaires - standards Surveys and Questionnaires - statistics & numerical data Trauma United States Veterans Veterans - psychology Veterans - statistics & numerical data Women Womens health Young Adult |
| Title | Recruitment of women veterans into suicide prevention research: Improving response rates with enhanced recruitment materials and multiple survey modalities |
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