Strengths and Limitations
Several factors related to the study population and design must be considered when interpreting the results. First, the relatively small, homogenous sample and low response rate among CA-CORD participants (29.8%) may limit generalizability. Notwithstanding, participants represented a predominately Hispanic/Latinx population with higher-than-average socioeconomic barriers to health, a group that has historically been underrepresented in research. Therefore, results provide valuable information about a unique population and on how to reach similarly high-risk groups. Second, this study used attendance to measure engagement. Attendance is an important objective measure of engagement, but future studies may benefit from also incorporating assessments of active participation in intervention activities.Third, despite the robust, theoretically-driven list of predictors assessed and prospective design, the model did not account for program experiences that could affect engagement. Research suggests satisfaction with the program and/or program leaders can positively impact engagement [