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Introduction <p>Cardiovascular trials often underrepresent non-White participants, women, and older individuals.</p> Methods <p>We evaluated the impact of digital recruitment on improving diversity in two large prospective cardiovascular studies: the Apple Heart Study (AHS) and the Project Baseline Health Study (PBHS). While both leveraged digital tools, their strategies differed—AHS used a passive, app-based approach followed by a direct-to-participant outreach effort, while PBHS implemented an enrollment model to reach a prespecified diversity goal.</p> Results <p>While both methods led to a cohort of participants who were comparably aligned with the US Census, we found that intentional, goal-driven digital outreach, and participant selection targeting demographic representation improved inclusion of historically underrepresented groups.</p> Conclusions <p>These findings suggest that digital tools, when paired with intentional strategy, may help support more inclusive, representative cardiovascular research.</p>

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Digital Strategies for Recruitment to Improve Diversity and Inclusion in Prospective Cardiovascular Clinical Research

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月16日

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  • Sneha S. Jain,
  • Fatima Rodriguez,
  • Marco V. Perez,
  • Jingzhi Yu,
  • Sumana Shashidhar,
  • Susan Swope,
  • Kaylin Nguyen,
  • Manisha Desai,
  • Haley Hedlin,
  • Svati H. Shah,
  • Adrian F. Hernandez,
  • Mintu P. Turakhia,
  • Kenneth W. Mahaffey

摘要

Introduction

Cardiovascular trials often underrepresent non-White participants, women, and older individuals.

Methods

We evaluated the impact of digital recruitment on improving diversity in two large prospective cardiovascular studies: the Apple Heart Study (AHS) and the Project Baseline Health Study (PBHS). While both leveraged digital tools, their strategies differed—AHS used a passive, app-based approach followed by a direct-to-participant outreach effort, while PBHS implemented an enrollment model to reach a prespecified diversity goal.

Results

While both methods led to a cohort of participants who were comparably aligned with the US Census, we found that intentional, goal-driven digital outreach, and participant selection targeting demographic representation improved inclusion of historically underrepresented groups.

Conclusions

These findings suggest that digital tools, when paired with intentional strategy, may help support more inclusive, representative cardiovascular research.