Quiñones Maria M, Silva Caroline, Ross Carmona, Sörensen Silvia, Serrano Raquel, Van Orden Kimberly, Heffner Kathi
Elaine C. Hubbard Center for Nursing Research on Aging School of Nursing, University of Rochester Medical Center, New York, USA.
Department of Psychiatry, University of Rochester Medical Center, New York, USA.
Clin Gerontol. 2023 Apr 2:1-14. doi: 10.1080/07317115.2023.2197895.
The purpose of this article is to present conceptual and methodological challenges to recruitment strategies in enrolling socially disconnected middle-aged and older Latino caregivers of a loved one with Alzheimer's disease and related dementias (ADRD).
Middle-aged and older Latino ADRD caregivers were recruited into two early stage, intervention development studies during the COVID-19 pandemic via online or in-person methods. Recruitment criteria included Latino ADRD caregivers over the age of 40 reporting elevated loneliness on the UCLA 3-item Loneliness Scale (LS) during screening.
Middle-aged, Latino caregivers were recruited predominantly from online methods whereas older caregivers were mostly recruited from in-person methods. We report challenges identifying socially disconnected Latino caregivers using the UCLA 3-item LS.
Our findings support previously reported disparities in recruitment by age and language and suggest further methodological considerations to assess social disconnection among Latino caregivers. We discuss recommendations to overcome these challenges in future research.
Socially disconnected Latino ADRD caregivers have an elevated risk for poor mental health outcomes. Successful recruitment of this population in clinical research will ensure the development of targeted and culturally sensitive interventions to improve the mental health and overall well-being of this marginalized group.
本文旨在探讨在招募患有阿尔茨海默病及相关痴呆症（ADRD）的社会孤立的拉丁裔中年及老年护理人员时，招募策略所面临的概念和方法上的挑战。
在新冠疫情期间，通过线上或线下方式，将拉丁裔中年及老年ADRD护理人员招募到两项早期干预开发研究中。招募标准包括年龄在40岁以上、在筛查时使用加州大学洛杉矶分校3项孤独量表（LS）报告孤独感较高的拉丁裔ADRD护理人员。
中年拉丁裔护理人员主要通过线上方式招募，而老年护理人员大多通过线下方式招募。我们报告了使用加州大学洛杉矶分校3项孤独量表识别社会孤立的拉丁裔护理人员时遇到的挑战。
我们的研究结果支持了之前报道的在招募方面存在的年龄和语言差异，并建议在评估拉丁裔护理人员的社会孤立状况时进一步考虑方法问题。我们讨论了在未来研究中克服这些挑战的建议。
社会孤立的拉丁裔ADRD护理人员心理健康状况不佳的风险较高。在临床研究中成功招募这一人群将确保开发出有针对性的、对文化敏感的干预措施，以改善这一边缘化群体的心理健康和整体幸福感。
