Masel Meredith C, Cavanaugh Kerri L, Croisant Sharon P, Bohn Krista, Goodwin James S, Bruce Martha L, Barr Paul J
Department of Population Health & Health Disparities, The University of Texas Medical Branch School of Public & Population Health, Galveston, TX, USA.
Claude D. Pepper Older Americans Independence Center, The University of Texas Medical Branch, Galveston, TX, USA.
J Clin Transl Sci. 2024 Oct 31;8(1):e186. doi: 10.1017/cts.2024.630. eCollection 2024.
Operationalizing multi-site Community Engagement (CE) Studios to inform a research program is valuable for researchers. We describe the process and outcomes of hosting three CE Studios with Community Experts aged 65 years or older with chronic conditions and care partners of older adults. Experts gave feedback about processes for testing the feasibility, efficacy, effectiveness, and implementation of audio recording clinic visits and sharing recordings with patients who have multimorbidity and their care partners.
The CE Cores of the Clinical and Translational Science Awards Programs at three academic health science centers created a joint CE Studio guide. Studios were conducted iteratively by site. Following receipt of the final reports, responses were compared to find themes, similarities, and differences on four topics in addition to overall commentary: Recruitment and Retention, Study Protocol, Study Reminders and Frequency, and Recording Technology.
Eighteen older adults and care partners in three states provided valuable feedback to inform multi-site trials. Feedback influenced multiple aspects of trials in process or subsequently funded. Experts provided critique on the wording of study invitations, information sheets, and reminders to engage in study procedures. Experts were concerned for participants being disappointed by randomization to a control arm and advised how investigators should prepare to address that.
Multi-site CE Studios should be consecutive, so each team can learn from the previous teams. Using the CES Toolkit ensures that final reports were easily comparable and utilized to develop a research program that now includes three federally funded clinical trials.
将多中心社区参与(CE)工作室付诸实践以指导研究项目,对研究人员而言具有重要价值。我们描述了与65岁及以上患有慢性病的社区专家以及老年人的护理伙伴共同举办三个CE工作室的过程和成果。专家们就测试音频记录门诊就诊的可行性、疗效、有效性及实施情况,以及与患有多种疾病的患者及其护理伙伴分享录音的过程提供了反馈。
三个学术健康科学中心的临床与转化科学奖项目的CE核心团队共同制定了一份CE工作室指南。各工作室在不同地点反复开展。收到最终报告后,对反馈进行比较,以找出除总体评论外四个主题方面的主题、异同点:招募与保留、研究方案、研究提醒与频率以及录音技术。
来自三个州的18名老年人及其护理伙伴提供了宝贵反馈,为多中心试验提供了参考。这些反馈影响了正在进行或后续资助的试验的多个方面。专家们对研究邀请、信息表以及参与研究程序的提醒的措辞提出了批评。专家们担心参与者会因被随机分配到对照组而感到失望,并就研究人员应如何准备应对这一情况提出了建议。
多中心CE工作室应连续开展,以便每个团队都能从前一个团队吸取经验。使用CE工具包可确保最终报告易于比较,并用于制定一项研究计划,该计划目前包括三项由联邦政府资助的临床试验。