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Telephone-delivered Walk With Ease program recruitment strategies compared in adults with arthritis

Telephone-delivered Walk With Ease program recruitment strategies compared in adults with arthritis
Photo by Shutter Speed / Unsplash
Key Takeaway
Consider tailoring arthritis program recruitment using Facebook for general reach and radio ads for Black and lower-income groups.

This randomized trial (n=267) evaluated recruitment strategies for a 6-week telephone-delivered Walk With Ease program in adults with arthritis. The population was primarily female (92%) and Black (60%), with an average age of 64.1 ± 9.4 years and average BMI of 34.2 ± 7.7 kg/m². The primary outcome was enrollment yield per recruitment strategy.

The most successful strategies were Facebook (32%), radio advertisements (24%), word of mouth (13%), and community events or organizations (10%). For Black participants, radio advertisements were the top strategy (39%); for lower-income participants, radio advertisements were also top (28%). Facebook was most effective among non-Black and higher-income participants. No difference in recruitment strategies was found by age group (<65 years vs ≥65 years).

Safety and tolerability were not reported. Key limitations include that recruitment strategies were not randomly assigned, making enrollment yields observational comparisons; the study focused on recruitment, not intervention outcomes; and the sample was primarily female and Black, which may limit generalizability. Practice relevance is that public health practitioners can tailor recruitment strategies based on priority population, using Facebook for general effectiveness and radio advertisements for Black and lower-income participants.

Study Details

Study typeRct
Sample sizen = 267
EvidenceLevel 2
Follow-up1.4 mo
PublishedMay 2026
View Original Abstract ↓
This study describes the recruitment strategies for a 6-week telephone-delivered walking program for adults with arthritis, enrollment yields per strategy, and differences in participant sociodemographic characteristics (e.g., age, income, and race) across strategies. Adults with arthritis were recruited to participate in a clinical trial examining the effects of a telephone-delivered Walk With Ease (WWE) program. Enrollment yield was calculated as the ratio of participants randomized by recruitment strategy. Enrollment yields by each recruitment method were compared between age (<65 years and ≥65 years), income (<$66,990 and ≥$66,990), and race (Black and Non-Black). Participants (n = 267) were primarily female (92%) and Black (60%) with an average age of 64.1 ± 9.4 years and an average BMI of 34.2 ± 7.7kg/m. The most successful recruitment strategies were Facebook (32%), radio advertisements (24%), word of mouth (13%), and community events or organizations (10%). There was no difference in recruitment strategies by age group; however, for Black and lower income participants, the top recruitment strategy was radio advertisements (39% and 28%, respectively). Facebook was the most effective recruitment strategy among the sample population, followed by radio advertisements and word of mouth. Radio advertisements were more effective at recruiting Black and lower income participants, and Facebook remained the most effective recruitment strategy among non-Black and higher-income participants. The approach to recruitment and strategies used may differ depending on the population of interest. Public health practitioners can use these results to tailor their recruitment strategies based on the priority population.
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