학술논문

Recruitment of a multi‐site randomized controlled trial of aerobic exercise for older adults with amnestic mild cognitive impairment: The EXERT trial
Document Type
article
Source
Alzheimer's & Dementia. 17(11)
Subject
Biomedical and Clinical Sciences
Biological Psychology
Clinical Sciences
Neurosciences
Psychology
Prevention
Clinical Research
Clinical Trials and Supportive Activities
Behavioral and Social Science
Aging
Brain Disorders
Good Health and Well Being
Aged
Amnesia
Cognition
Cognitive Dysfunction
Exercise
Female
Humans
Male
Pamphlets
Patient Selection
Postal Service
Alzheimer's disease
clinical trial
exercise
lifestyle intervention
mild cognitive impairment
nonpharmacological
recruitment
ADCS EXERT Study Group
Geriatrics
Clinical sciences
Biological psychology
Language
Abstract
IntroductionEffective strategies to recruit older adults with mild cognitive impairment (MCI) into nonpharmacological intervention trials are lacking.MethodsRecruitment for EXERT, a multisite randomized controlled 18-month trial examining the effects of aerobic exercise on cognitive trajectory in adults with amnestic MCI, involved a diverse portfolio of strategies to enroll 296 participants.ResultsRecruitment occurred September 2016 through March 2020 and was initially slow. After mass mailings of 490,323 age- and geo-targeted infographic postcards and brochures, recruitment rates increased substantially, peaking at 16 randomizations/month in early 2020. Mass mailings accounted for 52% of randomized participants, whereas 25% were recruited from memory clinic rosters, electronic health records, and national and local registries. Other sources included news broadcasts, public service announcements (PSA), local advertising, and community presentations.DiscussionAge- and geo-targeted mass mailing of infographic materials was the most effective approach in recruiting older adults with amnestic MCI into an 18-month exercise trial.