Hart Ariel R, Dillard Rebecca, Perkins Molly M, Vaughan Camille P, Kinlaw Kathy, McKay J Lucas, Waldrop-Valverde Drenna, Hagen Kimberley, Wincek Ron C, Hackney Madeleine E
Department of Medicine, School of Medicine, Emory University, Atlanta, GA, USA.
Emory University Center for Ethics and Department of Medicine, School of Medicine, Emory University, Atlanta, GA, USA.
Educ Gerontol. 2017;43(9):440-450. doi: 10.1080/03601277.2017.1321449. Epub 2017 May 22.
The DREAMS Team research advocacy training program helps clinical faculty and health students introduce basic clinical research concepts to diverse older adults to galvanize their active involvement in the research process. Older adults are frequently underrepresented in clinical research, due to barriers to participation including distrust, historical mistreatment, and their lack of health literacy. The DREAMS Team program aims to involve diverse older adults throughout all phases of research and increase research participation, thereby contributing to the growth of quality patient-centered, evidence-based health care. This course was developed for clinical faculty to deliver to diverse adults aged 55+ in eight 50-minute lectures, followed by half-hour small group discussions moderated by health students. A pilot cohort of 24 individuals was assessed for satisfaction post-program, and self-efficacy before and after the program. Older adult participants improved on a survey measure of self-efficacy, and indicated satisfaction on a post-program questionnaire. All agreed or strongly agreed that they enjoyed participating, and that classes enhanced knowledge/skills about the topics, were high quality, and provided useful information. Twenty-two out of 24 individuals who completed the program indicated they planned to get involved as research advocates. The DREAMS Team program can be offered either on its own, or as a follow-up program to a general health education course led by health students and/or professional researchers or clinicians. Educating older adults about the research process and advocacy through interactive seminars led by congenial and respectful researchers and health students may remove some barriers to research participation and involvement among diverse older adults.
“梦想”团队研究倡导培训项目帮助临床教师和健康专业学生向不同的老年人介绍基本的临床研究概念,以促使他们积极参与研究过程。在临床研究中,老年人的代表性常常不足,这是由于参与障碍,包括不信任、历史上的虐待以及他们缺乏健康素养。“梦想”团队项目旨在让不同的老年人参与研究的各个阶段,并提高研究参与度,从而推动以患者为中心的高质量循证医疗的发展。本课程是为临床教师开发的,通过八次50分钟的讲座向55岁及以上的不同成年人授课,随后由健康专业学生主持半小时的小组讨论。对24名参与者组成的试点队列在项目结束后进行了满意度评估,并在项目前后评估了自我效能感。老年参与者在自我效能感的调查指标上有所提高,并在项目后的问卷中表示满意。所有人都同意或强烈同意他们喜欢参与其中,并且课程增强了他们对相关主题的知识/技能,课程质量很高,提供了有用的信息。完成该项目的24人中,有22人表示他们计划成为研究倡导者。“梦想”团队项目既可以单独提供,也可以作为由健康专业学生和/或专业研究人员或临床医生主导的一般健康教育课程的后续项目。通过由友善且尊重他人的研究人员和健康专业学生主持的互动研讨会,让老年人了解研究过程和倡导工作,可能会消除不同老年人群体参与研究的一些障碍。