Recruiting and Retaining Dyads of Hospitalized Persons with Dementia and Family Caregivers

Persons with dementia have high rates of hospitalization, and along with their caregivers commonly experience negative hospital outcomes. The recruitment and retention of acutely ill older adults with dementia and caregivers can pose a challenge to investigators and threaten the validity of findings. The challenges encountered in an ongoing cluster randomized clinical trial in dyads of hospitalized persons with dementia and family care partners are described. The trial tests the efficacy of a nurse–family partnership model that aims to improve the following: (a) the physical and cognitive recovery in hospitalized persons with dementia, and (b) caregiver preparedness and anxiety. Strategies that address challenges include careful preplanning and preparation with the hospital site, strong communication with dyads and between team members, and honoring preferences and needs related to communication.

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The Challenges of Recruiting and Retaining Dyads of Hospitalized Persons With Dementia and Their Family Carers

Innovation in Aging ◽

10.1093/geroni/igaa057.2733 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 758-758

Author(s):

Marie Boltz ◽

Ashley Kuzmik

Keyword(s):

Older Adults ◽

Clinical Trial ◽

Family Caregivers ◽

Hospital Environment ◽

Family Carers ◽

Retention Strategies ◽

Recruitment And Retention ◽

Team Meetings ◽

Partnership Model ◽

Cluster Randomized

Abstract Persons with dementia (PWD) have high rates of hospitalization, and along with their family caregivers (FCGs), commonly experience negative hospital experiences and outcomes. The recruitment and retention challenges encountered in an ongoing cluster randomized clinical trial in PWDs and FCGs are described. The trial tests the efficacy of a nurse-FCG partnership model that aims to improve: 1) the physical and cognitive recovery in hospitalized PWD, and 2) FCG preparedness and anxiety. Recruitment and retention challenges, identified in team meetings and extracted from team documentation,.include factors in the hospital environment, the PWD, and FCGs. Strategies that address these challenges include careful pre-planning and preparation with the site, strong communication with dyads, and honoring preferences for communication. The recruitment and retention of acutely ill older adults with dementia and FCGs can pose a challenge to investigators and threaten the validity of findings. Recruitment and retention strategies that help improve validity are described

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Problem-Solving Training for Family Caregivers: A Randomized Clinical Trial

PsycEXTRA Dataset ◽

10.1037/e513402007-001 ◽

2006 ◽

Author(s):

Timothy R. Elliott ◽

Patricia Rivera ◽

Jack W. Berry ◽

Kim Oswald ◽

Joan Grant ◽

...

Keyword(s):

Clinical Trial ◽

Problem Solving ◽

Randomized Clinical Trial ◽

Family Caregivers

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Faculty Opinions recommendation of Antibiotic selection pressure and macrolide resistance in nasopharyngeal Streptococcus pneumoniae: a cluster-randomized clinical trial.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.7903957.8261055 ◽

2011 ◽

Author(s):

Ric Price ◽

Nicholas Douglas

Keyword(s):

Clinical Trial ◽

Streptococcus Pneumoniae ◽

Randomized Clinical Trial ◽

Selection Pressure ◽

Macrolide Resistance ◽

Antibiotic Selection ◽

Antibiotic Selection Pressure ◽

Cluster Randomized

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Using increased trust in medical researchers to increase minority recruitment: The RECRUIT cluster randomized clinical trial

Contemporary Clinical Trials ◽

10.1016/j.cct.2021.106519 ◽

2021 ◽

pp. 106519

Author(s):

Barbara C. Tilley ◽

Arch G. Mainous ◽

Rossybelle P. Amorrortu ◽

M. Diane McKee ◽

Daniel W. Smith ◽

...

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Minority Recruitment ◽

Medical Researchers ◽

Cluster Randomized

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Effect of Aerobic Exercise Training and Essential Amino Acid Supplementation for 24 Weeks on Physical Function, Body Composition, and Muscle Metabolism in Healthy, Independent Older Adults: A Randomized Clinical Trial

The Journals of Gerontology Series A ◽

10.1093/gerona/gly109 ◽

2018 ◽

Vol 74 (10) ◽

pp. 1598-1604 ◽

Cited By ~ 11

Author(s):

Melissa M Markofski ◽

Kristofer Jennings ◽

Kyle L Timmerman ◽

Jared M Dickinson ◽

Christopher S Fry ◽

...

Keyword(s):

Older Adults ◽

Clinical Trial ◽

Body Composition ◽

Protein Synthesis ◽

Muscle Strength ◽

Randomized Clinical Trial ◽

Walking Speed ◽

Muscle Protein ◽

Muscle Protein Synthesis ◽

Before And After

Abstract Background Essential amino acids (EAA) and aerobic exercise (AE) acutely and independently stimulate skeletal muscle protein anabolism in older adults. Objective In this Phase 1, double-blind, placebo-controlled, randomized clinical trial, we determined if chronic EAA supplementation, AE training, or a combination of the two interventions could improve muscle mass and function by stimulating muscle protein synthesis. Methods We phone-screened 971, enrolled 109, and randomized 50 independent, low-active, nonfrail, and nondiabetic older adults (age 72 ± 1 years). We used a 2 × 2 factorial design. The interventions were: daily nutritional supplementation (15 g EAA or placebo) and physical activity (supervised AE training 3 days/week or monitored habitual activity) for 24 weeks. Muscle strength, physical function, body composition, and muscle protein synthesis were measured before and after the 24-week intervention. Results Forty-five subjects completed the 24-week intervention. VO2peak and walking speed increased (p < .05) in both AE groups, irrespective of supplementation type, but muscle strength increased only in the EAA + AE group (p < .05). EAA supplementation acutely increased (p < .05) muscle protein synthesis from basal both before and after the intervention, with a larger increase in the EAA + AE group after the intervention. Total and regional lean body mass did not change significantly with any intervention. Conclusions In nonfrail, independent, healthy older adults AE training increased walking speed and aerobic fitness, and, when combined with EAA supplementation, it also increased muscle strength and EAA-stimulated muscle protein synthesis. These increases occurred without improvements in muscle mass.

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