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Embedding research recruitment in a community resource e-prescribing system: Lessons from an implementation study on Chicago's south side

G. Feldmeth, E.T. Naureckas, J. Solway, S.T. Lindau
J Am Med Inform Assoc

Objective: The study sought to implement and assess the CommunityRx e-prescribing system to recruit research participants from a predominantly non-Hispanic Black community on Chicago's South Side.

Materials and methods: CommunityRx integrates with electronic medical record systems to generate a personalized list of health-promoting community resources (HealtheRx). Between December 2015 and December 2016, HealtheRxs distributed at outpatient visits to adults with asthma or chronic obstructive pulmonary disease also incentivized participation in a pulmonary research registry. Usual practices for registry recruitment continued in parallel.

Results: Focus groups established acceptability and appropriateness among the target population. Pulmonary research registry recruitment information was included on 13 437 HealtheRxs. Forty-one (90% non-Hispanic Black) patients responded with willingness to participate and 9 (8 non-Hispanic Black) returned a signed consent required to enroll. Usual recruitment practices enrolled 4 registrants (1 non-Hispanic Black).

Discussion: Automating research recruitment using a community e-prescribing system is feasible.

Conclusions: Implementation of an electronic medical record-integrated, community resource referral tool promotes enrollment of eligible underrepresented research participants; however, enrollment was low.

Feldmeth G, Naureckas ET, Solway J, Lindau ST. Embedding research recruitment in a community resource e-prescribing system: Lessons from an implementation study on Chicago's south side. J Am Med Inform Assoc. 2019. Epub ahead of print. PMID: 31181137. DOI: 10.1093/jamia/ocz059.

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