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社区老龄化研究 75+(CARE75+)远程研究:一种远程招募和评估老年人健康、福祉和社会环境的模式。

Community Ageing Research 75+ (CARE75+) REMOTE study: a remote model of recruitment and assessment of the health, well-being and social circumstances of older people.

机构信息

Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK

Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK.

出版信息

BMJ Open. 2021 Nov 22;11(11):e048524. doi: 10.1136/bmjopen-2020-048524.

Abstract

INTRODUCTION

The Community Ageing Research 75+ (CARE75+) study is a longitudinal cohort study collecting extensive health and social data, with a focus on frailty, independence and quality of life in older age. CARE75+ was the first international experimental frailty research cohort designed using trial within cohorts (TwiCs) methodology, aligning epidemiological research with clinical trial evaluation of interventions to improve the health and well-being of older people. CARE75+ REMOTE is an extension of CARE75+ using a remote model that does not require face-to-face interactions for data collection in the current circumstances of a global pandemic and will provide an efficient, sustainable data collection model.

METHODS AND ANALYSIS

Prospective cohort study using TwiCs. One thousand community-dwelling older people (≥75 years) will be recruited from UK general practices by telephone. Exclusions include: nursing home/care home residents; those with an estimated life expectancy of 3 months or less; and people receiving palliative care.

DATA COLLECTION

Assessments will be conducted by telephone, web-submission or postal questionnaire: baseline, 6 months, 12 months, 18 months, 24 months, 30 months and 36 months. Measures include activities of daily living, mood, health-related quality of life, comorbidities, medications, frailty, informal care, healthcare and social care service use. Consent will be sought for data linkage and invitations to additional studies (sub-studies).

ETHICS AND DISSEMINATION

CARE75+ was approved by the National Research Ethics Service (NRES) Committee Yorkshire and the Humber-Bradford Leeds 10 October 2014 (14/YH/1120). CARE75+ REMOTE (amendment 13) was approved on the 18th November 2020. Consent is sought if an individual is willing to participate and has capacity to provide informed consent. Consultee assent is sought if an individual lacks capacity. Results will be disseminated in peer-reviewed scientific journals and conferences. Results will be summarised and disseminated to study participants via newsletters, local engagement events and on a bespoke website.

TRIAL REGISTRATION NUMBER

ISRCTN16588124.

摘要

简介

社区老龄化研究 75+(CARE75+)是一项纵向队列研究,收集广泛的健康和社会数据,重点关注老年人的脆弱性、独立性和生活质量。CARE75+是第一个使用试验内队列(TwiCs)方法设计的国际实验性脆弱性研究队列,将流行病学研究与临床试验评估相结合,以改善老年人的健康和福祉。CARE75+ REMOTE 是 CARE75+的扩展,使用远程模式,在当前全球大流行的情况下,不需要面对面的互动即可进行数据收集,并将提供一种高效、可持续的数据收集模式。

方法与分析

采用 TwiCs 的前瞻性队列研究。通过电话从英国的普通诊所招募 1000 名社区居住的老年人(≥75 岁)。排除标准包括:疗养院/护理院居民;预计寿命不足 3 个月的人;以及正在接受姑息治疗的人。

数据收集

通过电话、网络提交或邮寄问卷进行评估:基线、6 个月、12 个月、18 个月、24 个月、30 个月和 36 个月。测量包括日常生活活动、情绪、健康相关生活质量、合并症、药物、脆弱性、非正式护理、医疗保健和社会保健服务使用。将征求数据链接和邀请参加额外研究(子研究)的同意。

伦理与传播

CARE75+于 2014 年 10 月 10 日获得国家研究伦理服务(NRES)委员会约克郡和亨伯-布拉德福德利兹 10 号(14/YH/1120)的批准。CARE75+ REMOTE(修正案 13)于 2020 年 11 月 18 日获得批准。如果个人愿意参与并有能力提供知情同意,则征求同意。如果个人没有能力,则征求顾问同意。结果将在同行评议的科学期刊和会议上发表。结果将通过通讯、当地参与活动和专门网站总结并传达给研究参与者。

试验注册编号

ISRCTN64644027。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/8609936/1726eb51bd3a/bmjopen-2020-048524f01.jpg

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