Kashyap Bhavani, Crouse Bethany, Fields Beth, Aguirre Alyssa, Ali Talha, Hays Rachel, Li Xiaojuan, Shapiro Lily N, Tao Meng-Hua, Vaughn Ivana A, Hanson Leah R
HealthPartners Institute, Bloomington, Minnesota, USA.
Department of Kinesiology, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Gerontologist. 2024 Dec 17;65(2). doi: 10.1093/geront/gnae189.
Studies involving dementia caregivers are essential to transform care and inform new policies. However, identifying and recruiting this population for research is an ongoing challenge. This scoping review aimed to capture the current methodology for identifying and recruiting dementia caregivers in clinical studies. A focus was placed on methods for underrepresented populations and pragmatic trials to guide pragmatic and equitable clinical studies.
Researchers conducted a literature search using PubMed, PsycINFO, EMBASE, and Web of Science databases. Studies conducted in the US that enrolled at least 10 caregivers and were published within the last 10 years (2013-2023) were included.
Overall, 148 articles were included in the review. The most common method for identification was community outreach, and paper advertisements for recruitment. Caregivers were most often approached in community settings, formal organizations, and/or dementia research centers. Most enrolled caregivers were female, White, and spouses of persons living with dementia. Race and ethnicity were underreported, as were the target recruitment goals. Limited studies were self-reported as pragmatic. Additionally, limited studies reported adaptations for methods of identification and recruitment in underrepresented populations.
We identified gaps in current practices for the identification and recruitment of dementia caregivers. Future identification and recruitment methodologies should be tailored to the intervention's intent, health care setting, and the research questions that need to be answered, while balancing available resources. Additionally, transparent reporting of identification and recruitment procedures, target recruitment goals, and comprehensive demographic data is warranted.
涉及痴呆症照护者的研究对于改善照护及制定新政策至关重要。然而,识别并招募这一人群参与研究一直是一项挑战。本范围综述旨在梳理当前临床研究中识别和招募痴呆症照护者的方法。重点关注针对代表性不足人群的方法以及务实试验,以指导务实且公平的临床研究。
研究人员使用PubMed、PsycINFO、EMBASE和Web of Science数据库进行文献检索。纳入了过去10年(2013 - 2023年)在美国开展的、至少招募10名照护者的研究。
综述共纳入148篇文章。最常见的识别方法是社区宣传以及纸质招募广告。招募照护者最常通过社区场所、正式组织和/或痴呆症研究中心进行。大多数纳入的照护者为女性、白人且是痴呆症患者的配偶。种族和族裔情况报告不足,目标招募对象也未充分说明。自称务实的研究有限。此外,针对代表性不足人群的识别和招募方法的调整研究也有限。
我们发现了当前痴呆症照护者识别和招募实践中的差距。未来的识别和招募方法应根据干预意图、医疗保健环境以及需要回答的研究问题进行调整,同时平衡可用资源。此外,有必要透明地报告识别和招募程序、目标招募对象以及全面的人口统计数据。