Original ArticlesMaterials and Methods for Recruiting Systematically Marginalized Youth and Families for Weight-Management Intervention Trials Community Stakeholders' PerspectivesHardin, Heather K. PhD, RN; Bender, Anna E. PhD, LSW; Killion, Cheryl M. PhD, RN, FAAN; Moore, Shirley M. PhD, RN, FAAN Author Information Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (Drs Hardin, Killion, and Moore); and Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington (Dr Bender). Correspondence: Heather K. Hardin, PhD, RN, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106 ([email protected]). The authors thank their editor, Matthew McManus, at the Center for Research and Scholarship at the Frances Payne Bolton School of Nursing, for his assistance in editing the manuscript. This study was funded by the National Institutes of Health grant no. P30NR015326, and Dr Hardin's time was supported by the National Institutes of Health grant no. T32NR015433. The authors declare that they have no known competing financial interests or personal relationships that could appear to influence the work reported in this article. Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.familyandcommunityhealth.com). Family & Community Health: January/March 2023 - Volume 46 - Issue 1 - p 13-27 doi: 10.1097/FCH.0000000000000352 Buy SDC Metrics Abstract Rates of overweight and obesity are problematic among systematically marginalized youth; however, these youth and their families are a hard-to-reach research population. The purpose of our study was to identify facilitators and barriers for recruiting systematically marginalized families in youth weight-management intervention research. This study built upon existing evidence through involvement of youth, parents, community agency workers, and school nurses, and an exploration of both recruitment materials and processes. Seven focus groups were conducted with 48 participants from 4 stakeholder groups (youth, parents, school nurses, and community agency workers). A codebook approach to thematic analysis was used to identify key facilitator and barrier themes related to recruitment materials and processes across the stakeholder groups. Ecological systems theory was applied to contextualize the facilitators and barriers identified. Participants reported the need to actively recruit youth in the study through engaging, fun recruitment materials and processes. Participants reported greater interest in recruitment at community-based events, as compared to recruitment through health care providers, underscoring the depth of distrust that this sample group has for the health care system. Recommendations for recruitment materials and processes for weight-management intervention research with systematically marginalized families are proposed. © 2023 Wolters Kluwer Health, Inc. All rights reserved.