Improving follow-up survey completion rates through pilot interventions in the All of Us Research Program: Results from a non-randomized intervention study.

<h4>Objective</h4>Retention to complete follow-up surveys in extensive longitudinal epidemiological cohort studies is vital yet challenging. All of Us developed pilot interventions to improve response rates for follow-up surveys.<h4>Study design and setting</h4>The pilot inte...

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Main Authors: Robert M Cronin, Xiaoke Feng, Ashley Able, Scott Sutherland, Ben Givens, Rebecca Johnston, Charlene Depry, Katrina W Le Blanc, Orlane Caro, Brandy Mapes, Josh Denny, Mick P Couper, Qingxia Chen, Irene Prabhu Das
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0308995
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author Robert M Cronin
Xiaoke Feng
Ashley Able
Scott Sutherland
Ben Givens
Rebecca Johnston
Charlene Depry
Katrina W Le Blanc
Orlane Caro
Brandy Mapes
Josh Denny
Mick P Couper
Qingxia Chen
Irene Prabhu Das
author_facet Robert M Cronin
Xiaoke Feng
Ashley Able
Scott Sutherland
Ben Givens
Rebecca Johnston
Charlene Depry
Katrina W Le Blanc
Orlane Caro
Brandy Mapes
Josh Denny
Mick P Couper
Qingxia Chen
Irene Prabhu Das
author_sort Robert M Cronin
collection DOAJ
description <h4>Objective</h4>Retention to complete follow-up surveys in extensive longitudinal epidemiological cohort studies is vital yet challenging. All of Us developed pilot interventions to improve response rates for follow-up surveys.<h4>Study design and setting</h4>The pilot interventions occurred from April 27, 2020, to August 3, 2020. The three arms were: (1) telephone appointment [staff members calling participants offering appointments to complete surveys over phone] (2) postal [mail reminder to complete surveys through U.S. Postal Service], and (3) combination of telephone appointment and postal. Controls received digital-only reminders [program-level digital recontact via email or through the participant portal]. Study sites chose their study arm and participants were not randomized.<h4>Results</h4>A total of 50 sites piloted interventions with 17,593 participants, while 47,832 participants comprised controls during the same period. Of all participants, 6,828 (10.4%) completed any follow-up surveys (1448: telephone; 522: postal; 486: combination; 4372: controls). Follow-up survey completions were 24% higher in the telephone appointment arm than in controls in bivariate analyses. When controlling for confounders, telephone appointment and combination arms increased rates of completion similarly compared to controls, while the postal arm had no significant effect (odds ratio [95% Confidence Interval], telephone appointment:2.01[1.81-2.23]; combination:1.91[1.66-2.20]; postal:0.92[0.79-1.07]). Although the effects of the telephone appointment and combination arms were similar, differential effects were observed across sub-populations.<h4>Conclusion</h4>Telephone appointments appeared to be the most successful intervention in our study. Lessons learned about retention interventions, and improvement in follow-up survey completion rates provide generalizable knowledge for similar cohort studies and demonstrate the potential value of precision reminders and engagement with sub-populations of a cohort.
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spelling doaj-art-714d4ea6475c48d382ca54ec0e5bc5ce2025-01-18T05:31:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011910e030899510.1371/journal.pone.0308995Improving follow-up survey completion rates through pilot interventions in the All of Us Research Program: Results from a non-randomized intervention study.Robert M CroninXiaoke FengAshley AbleScott SutherlandBen GivensRebecca JohnstonCharlene DepryKatrina W Le BlancOrlane CaroBrandy MapesJosh DennyMick P CouperQingxia ChenIrene Prabhu Das<h4>Objective</h4>Retention to complete follow-up surveys in extensive longitudinal epidemiological cohort studies is vital yet challenging. All of Us developed pilot interventions to improve response rates for follow-up surveys.<h4>Study design and setting</h4>The pilot interventions occurred from April 27, 2020, to August 3, 2020. The three arms were: (1) telephone appointment [staff members calling participants offering appointments to complete surveys over phone] (2) postal [mail reminder to complete surveys through U.S. Postal Service], and (3) combination of telephone appointment and postal. Controls received digital-only reminders [program-level digital recontact via email or through the participant portal]. Study sites chose their study arm and participants were not randomized.<h4>Results</h4>A total of 50 sites piloted interventions with 17,593 participants, while 47,832 participants comprised controls during the same period. Of all participants, 6,828 (10.4%) completed any follow-up surveys (1448: telephone; 522: postal; 486: combination; 4372: controls). Follow-up survey completions were 24% higher in the telephone appointment arm than in controls in bivariate analyses. When controlling for confounders, telephone appointment and combination arms increased rates of completion similarly compared to controls, while the postal arm had no significant effect (odds ratio [95% Confidence Interval], telephone appointment:2.01[1.81-2.23]; combination:1.91[1.66-2.20]; postal:0.92[0.79-1.07]). Although the effects of the telephone appointment and combination arms were similar, differential effects were observed across sub-populations.<h4>Conclusion</h4>Telephone appointments appeared to be the most successful intervention in our study. Lessons learned about retention interventions, and improvement in follow-up survey completion rates provide generalizable knowledge for similar cohort studies and demonstrate the potential value of precision reminders and engagement with sub-populations of a cohort.https://doi.org/10.1371/journal.pone.0308995
spellingShingle Robert M Cronin
Xiaoke Feng
Ashley Able
Scott Sutherland
Ben Givens
Rebecca Johnston
Charlene Depry
Katrina W Le Blanc
Orlane Caro
Brandy Mapes
Josh Denny
Mick P Couper
Qingxia Chen
Irene Prabhu Das
Improving follow-up survey completion rates through pilot interventions in the All of Us Research Program: Results from a non-randomized intervention study.
PLoS ONE
title Improving follow-up survey completion rates through pilot interventions in the All of Us Research Program: Results from a non-randomized intervention study.
title_full Improving follow-up survey completion rates through pilot interventions in the All of Us Research Program: Results from a non-randomized intervention study.
title_fullStr Improving follow-up survey completion rates through pilot interventions in the All of Us Research Program: Results from a non-randomized intervention study.
title_full_unstemmed Improving follow-up survey completion rates through pilot interventions in the All of Us Research Program: Results from a non-randomized intervention study.
title_short Improving follow-up survey completion rates through pilot interventions in the All of Us Research Program: Results from a non-randomized intervention study.
title_sort improving follow up survey completion rates through pilot interventions in the all of us research program results from a non randomized intervention study
url https://doi.org/10.1371/journal.pone.0308995
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