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Online Recruitment Methods for Web-Based and Mobile Health Studies: A Review of the Literature

UA Open Access Publishing Fund / Background: Internet and mobile health (mHealth) apps hold promise for expanding the reach of evidence-based health
interventions. Research in this area is rapidly expanding. However, these studies may experience problems with recruitment and
retention. Web-based and mHealth studies are in need of a wide-reaching and low-cost method of recruitment that will also
effectively retain participants for the duration of the study. Online recruitment may be a low-cost and wide-reaching tool in
comparison to traditional recruitment methods, although empirical evidence is limited.
Objective: This study aims to review the literature on online recruitment for, and retention in, mHealth studies.
Methods: We conducted a review of the literature of studies examining online recruitment methods as a viable means of obtaining
mHealth research participants. The data sources used were PubMed, CINAHL, EbscoHost, PyscINFO, and MEDLINE. Studies
reporting at least one method of online recruitment were included. A narrative approach enabled the authors to discuss the
variability in recruitment results, as well as in recruitment duration and study design.
Results: From 550 initial publications, 12 studies were included in this review. The studies reported multiple uses and outcomes
for online recruitment methods. Web-based recruitment was the only type of recruitment used in 67% (8/12) of the studies. Online
recruitment was used for studies with a variety of health domains: smoking cessation (58%; 7/12) and mental health (17%; 2/12)
being the most common. Recruitment duration lasted under a year in 67% (8/12) of the studies, with an average of 5 months spent
on recruiting. In those studies that spent over a year (33%; 4/12), an average of 17 months was spent on recruiting. A little less
than half (42%; 5/12) of the studies found Facebook ads or newsfeed posts to be an effective method of recruitment, a quarter
(25%; 3/12) of the studies found Google ads to be the most effective way to reach participants, and one study showed better
outcomes with traditional (eg in-person) methods of recruitment. Only one study recorded retention rates in their results, and half
(50%; 6/12) of the studies recorded survey completion rates.
Conclusions: Although online methods of recruitment may be promising in experimental research, more empirical evidence is
needed to make specific recommendations. Several barriers to using online recruitment were identified, including participant
retention. These unique challenges of virtual interventions can affect the generalizability and validity of findings from Web-based
and mHealth studies. There is a need for additional research to evaluate the effectiveness of online recruitment methods and
participant retention in experimental mHealth studies.

Identiferoai:union.ndltd.org:arizona.edu/oai:arizona.openrepository.com:10150/621267
Date22 July 2015
CreatorsLane, Taylor S, Armin, Julie, Gordon, Judith S
ContributorsUniversity of Arizona, Department of Family and Community Medicine
PublisherJMIR
Source SetsUniversity of Arizona
LanguageEnglish
Detected LanguageEnglish
TypeArticle
Rights©Taylor S Lane, Julie Armin, Judith S Gordon. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 22.07.2015. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The completebibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
Relationhttp://www.jmir.org/2015/7/e183/

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