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同意参与研究的家庭护理人员和痴呆症患者的招募方法及概况:一项试验中的招募研究

Recruitment approaches and profiles of consenting family caregivers and people living with dementia: A recruitment study within a trial.

作者信息

Baker Felicity A, Blauth Laura, Bloska Jodie, Bukowska Anna A, Flynn Libby, Hsu Ming-Hung, Janus Edyta, Johansson Kjersti, Odell-Miller Helen, Miller Hayley, Petrowitz Carina, Pool Jonathan, Stensæth Karette, Tamplin Jeanette, Teggelove Kate, Wosch Thomas, Sousa Tanara Vieira

机构信息

Faculty of Fine Arts and Music, The University of Melbourne, Melbourne, Victoria, Australia.

Centre for Research in Music and Health, Norwegian Academy of Music, Oslo, Norway.

出版信息

Contemp Clin Trials Commun. 2023 Jan 31;32:101079. doi: 10.1016/j.conctc.2023.101079. eCollection 2023 Apr.

Abstract

BACKGROUND

While studies have identified strategies that are useful for recruiting people living with dementia, none have focused on psychosocial interventions involving arts therapies, or have examined the profiles of older people living in the community who consent or decline participation, particularly during a global pandemic. We aimed to identify the most effective recruitment strategies according to participant characteristics and transnational differences and develop a profile of consenting and non-consenting participants.

METHODS

Recruitment teams in Australia, Norway, Germany, Poland, and the United Kingdom, recorded participants' source of study awareness and characteristics of consenting and non-consenting participants. Distributions of participants 'consenting to participate' were compared and logistic regressions were used to estimate the odds ratios.

RESULTS

Consenting female caregivers were disproportionally represented. Study awareness differed between countries but overall, most expressions of interest to participate were derived from referrals from professionals or organisations, or from databases of people wanting to participate in research. Troughs in recruitment rates occurred during Northern Hemisphere summer vacation periods, and during Christmas periods.

CONCLUSIONS

This study found that recruiting for a trial with community-dwelling family caregivers and people living with dementia is challenging, especially during a global pandemic. While spousal caregivers comprised the highest proportion of dyads recruited, overall spousal caregivers were more reluctant to consent to participate than adult child caregivers. More targeted recruitment strategies designed for minority groups are also needed to ensure broader representation in dementia treatment studies.

摘要

背景

虽然已有研究确定了有助于招募痴呆症患者的策略,但尚无研究聚焦于涉及艺术疗法的心理社会干预措施,也未考察社区中同意或拒绝参与研究的老年人的特征,尤其是在全球大流行期间。我们旨在根据参与者特征和跨国差异确定最有效的招募策略,并描绘同意和不同意参与的参与者的特征。

方法

澳大利亚、挪威、德国、波兰和英国的招募团队记录了参与者了解研究的来源以及同意和不同意参与的参与者的特征。比较了同意参与的参与者的分布情况,并使用逻辑回归来估计比值比。

结果

同意参与的女性照料者占比过高。各国对研究的知晓情况有所不同,但总体而言,大多数参与意向表达来自专业人士或组织的推荐,或来自想参与研究的人员数据库。招募率低谷出现在北半球暑假期间和圣诞节期间。

结论

本研究发现,招募社区家庭照料者和痴呆症患者参与试验具有挑战性,尤其是在全球大流行期间。虽然配偶照料者在招募的配对中占比最高,但总体而言,配偶照料者比成年子女照料者更不愿意同意参与。还需要为少数群体设计更有针对性的招募策略,以确保在痴呆症治疗研究中有更广泛的代表性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6443/10025412/74e99b904863/gr1.jpg

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