학술논문

The dementia care study (D‐CARE): Recruitment strategies and demographic characteristics of participants in a pragmatic randomized trial of dementia care
Document Type
article
Source
Subject
Biomedical and Clinical Sciences
Biological Psychology
Clinical Sciences
Neurosciences
Psychology
Clinical Research
Brain Disorders
Patient Safety
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
Clinical Trials and Supportive Activities
Aging
Alzheimer's Disease
Dementia
Behavioral and Social Science
Acquired Cognitive Impairment
Neurodegenerative
Neurological
Good Health and Well Being
caregivers
dementia care
pragmatic clinical trials
recruitment
Geriatrics
Clinical sciences
Biological psychology
Language
Abstract
IntroductionPragmatic research studies that include diverse dyads of persons living with dementia (PLWD) and their family caregivers are rare.MethodsCommunity-dwelling dyads were recruited for a pragmatic clinical trial evaluating three approaches to dementia care. Four clinical trial sites used shared and site-specific recruitment strategies to enroll health system patients.ResultsElectronic health record (EHR) queries of patients with a diagnosis of dementia and engagement of their clinicians were the main recruitment strategies. A total of 2176 dyads were enrolled, with 80% recruited after the onset of the pandemic. PLWD had a mean age of 80.6 years (SD 8.5), 58.4% were women, and 8.8% were Hispanic/Latino, and 11.9% were Black/African American. Caregivers were mostly children of the PLWD (46.5%) or spouses/partners (45.2%), 75.8% were women, 9.4% were Hispanic/Latino, and 11.6% were Black/African American.DiscussionHealth systems can successfully enroll diverse dyads in a pragmatic clinical trial.