2.4. Recruitment Strategy
RECRUITMENT
Eligible patients were sent a study invitation letter and information sheet in their preferred language (English or Spanish). A research assistant followed up by phone to confirm eligibility and complete recruitment. Due to the shift to virtual classes, a screening question about internet access was added to the inclusion criteria. Interested patients provided verbal informed consent and completed a baseline telephone survey in their preferred language. After we recruited enough patients (i.e., 30–40) to form a class, each language/class grouping was randomized 1:1 to a treatment arm. During the three-year study period, we randomized three class groupings, each exposed to the intervention for 6 months, followed by an additional 6-month follow-up period.