1. Retention strategies in longitudinal cohort studies: a systematic review and meta-analysis
- Author
-
Jennifer McIntosh, Samantha Teague, Delyse Hutchinson, Matthew Fuller-Tyszkiewicz, Jacqui A. Macdonald, George J. Youssef, Craig A. Olsson, Adrian Shatte, Emma Sciberras, and Christopher J Greenwood
- Subjects
Gerontology ,Epidemiology ,PsyArXiv|Social and Behavioral Sciences|Quantitative Methods|Mathematical Psychology ,Social and Behavioral Sciences ,Cohort Studies ,0302 clinical medicine ,Psychology ,Attrition ,Longitudinal Studies ,030212 general & internal medicine ,lcsh:R5-920 ,Engagement ,Data Collection ,Follow-up ,Cohort ,Drop-out ,PsyArXiv|Social and Behavioral Sciences|Quantitative Methods|Computational Modeling ,Quantitative Psychology ,PsyArXiv|Social and Behavioral Sciences|Quantitative Methods|Psychometrics ,FOS: Psychology ,Retention ,Meta-analysis ,lcsh:Medicine (General) ,Research Article ,Cohort study ,Patient Dropouts ,bepress|Social and Behavioral Sciences|Psychology|Quantitative Psychology ,Health Informatics ,03 medical and health sciences ,PsyArXiv|Social and Behavioral Sciences|Quantitative Methods|Experimental Design and Sample Surveys ,PsyArXiv|Social and Behavioral Sciences|Quantitative Methods|Quantitative Psychology ,medicine ,Humans ,PsyArXiv|Social and Behavioral Sciences|Quantitative Methods|Statistical Methods ,Patient participation ,Data collection ,business.industry ,Patient Selection ,Retention rate ,medicine.disease ,PsyArXiv|Social and Behavioral Sciences ,Sample size determination ,Longitudinal ,bepress|Social and Behavioral Sciences ,PsyArXiv|Social and Behavioral Sciences|Quantitative Methods ,Patient Participation ,business ,030217 neurology & neurosurgery - Abstract
Background Participant retention strategies that minimise attrition in longitudinal cohort studies have evolved considerably in recent years. This study aimed to assess, via systematic review and meta-analysis, the effectiveness of both traditional strategies and contemporary innovations for retention adopted by longitudinal cohort studies in the past decade. Methods Health research databases were searched for retention strategies used within longitudinal cohort studies published in the 10-years prior, with 143 eligible longitudinal cohort studies identified (141 articles; sample size range: 30 to 61,895). Details on retention strategies and rates, research designs, and participant demographics were extracted. Meta-analyses of retained proportions were performed to examine the association between cohort retention rate and individual and thematically grouped retention strategies. Results Results identified 95 retention strategies, broadly classed as either: barrier-reduction, community-building, follow-up/reminder, or tracing strategies. Forty-four of these strategies had not been identified in previous reviews. Meta-regressions indicated that studies using barrier-reduction strategies retained 10% more of their sample (95%CI [0.13 to 1.08]; p = .01); however, studies using follow-up/reminder strategies lost an additional 10% of their sample (95%CI [− 1.19 to − 0.21]; p = .02). The overall number of strategies employed was not associated with retention. Conclusions Employing a larger number of retention strategies may not be associated with improved retention in longitudinal cohort studies, contrary to earlier narrative reviews. Results suggest that strategies that aim to reduce participant burden (e.g., flexibility in data collection methods) might be most effective in maximising cohort retention. Electronic supplementary material The online version of this article (10.1186/s12874-018-0586-7) contains supplementary material, which is available to authorized users.
- Published
- 2018
- Full Text
- View/download PDF