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Scientific Concept of the National Cohort (status ... - Nationale Kohorte

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A.3.1.2 Population sampling<br />

Sampling procedure<br />

61<br />

A.3 Study design<br />

A random sample <strong>of</strong> <strong>the</strong> underlying source population, stratified by sex and 10-year age<br />

groups, will be drawn from population registries.<br />

In Germany, all inhabitants are obliged to register with population registries. Upon request,<br />

<strong>the</strong> local population registries will select a sex- and age-stratified random sample <strong>of</strong> inhabitants<br />

and will transmit <strong>the</strong> following data for each subject:<br />

� First name, surname<br />

� Gender<br />

� Full postal address<br />

� Date <strong>of</strong> birth<br />

� <strong>National</strong>ity<br />

� Date <strong>of</strong> move to current address<br />

The personal data <strong>of</strong> <strong>the</strong> population sample as identified by <strong>the</strong> population registries will<br />

be transferred to and stored in a database located at <strong>the</strong> local study center in accordance<br />

with data protection rules and concepts (see Sect. A.4). The data will be used to initiate <strong>the</strong><br />

recruitment process.<br />

Random samples from <strong>the</strong> population registries will be collected twice (at <strong>the</strong> beginning <strong>of</strong><br />

<strong>the</strong> study and again 2.5 years later) during <strong>the</strong> 5-year recruitment period.<br />

Inclusion and exclusion criteria<br />

The selection <strong>of</strong> eligible subjects will adhere to <strong>the</strong> following general inclusion and exclusion<br />

criteria:<br />

Subjects are eligible for inclusion in <strong>the</strong> random sample from <strong>the</strong> population registry if:<br />

� They are 20–69 years <strong>of</strong> age at a fixed time point (middle <strong>of</strong> each 2.5-year recruitment<br />

periods for which a randon sample will be drawn).<br />

� Their primary residence is within <strong>the</strong> selected study area.<br />

Subjects will be excluded from baseline recruitment if:<br />

� They are not capable <strong>of</strong> providing informed consent, including not being capable <strong>of</strong><br />

understanding <strong>the</strong> study information.<br />

� They are not able to respond to <strong>the</strong> questions and are unable to participate in most<br />

examinations.<br />

Exclusion criteria will be checked when establishing contact with <strong>the</strong> invited participant and<br />

before signing <strong>the</strong> informed consent form. Detailed instructions will be provided to <strong>the</strong> staff<br />

in charge <strong>of</strong> contacting <strong>the</strong> subjects by telephone and <strong>of</strong> obtaining <strong>the</strong> informed consent.<br />

Selection <strong>of</strong> subjects for <strong>the</strong> intensified baseline assessment program<br />

A 20% random subsample <strong>of</strong> each stratum <strong>of</strong> <strong>the</strong> sex and 10-year age groups will be invited<br />

to participate in <strong>the</strong> intensified assessment program. Subjects included in <strong>the</strong> sample<br />

provided by <strong>the</strong> population registries will be randomly assigned ei<strong>the</strong>r to <strong>the</strong> intensified subgroup<br />

or to <strong>the</strong> basic assessment subgroup by <strong>the</strong> respective study center. Randomization<br />

will be performed before initiating <strong>the</strong> contacting process since <strong>the</strong> informational material<br />

<strong>of</strong>fered to potential study subjects is distinct from that provided to participants <strong>of</strong> <strong>the</strong> core<br />

baseline program. Self-selection <strong>of</strong> participation into <strong>the</strong> core or <strong>the</strong> intensified program by<br />

A.3

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