The dementia care study (D‐CARE): Recruitment strategies and demographic characteristics of participants in a pragmatic randomized trial of dementia care

Author:

Yang Mia1ORCID,Samper‐Ternent Rafael23,Volpi Elena34,Green Aval‐Na'Ree5,Lichtenstein Maya6,Araujo Katy7,Borek Pamela6,Charpentier Peter7,Dziura James8,Gill Thomas M.7,Galloway Rebecca3,Greene Erich J.8,Lenoir Kristin1,Peduzzi Peter8,Meng Can8,Reese Jordan5,Shelton Amy8,Skokos Eleni A.8,Summapund Jenny9,Unger Erin9,Reuben David B.9,Williamson Jeff D.1,Stevens Alan B.5

Affiliation:

1. Section on Geriatric Medicine & Gerontology and the Sticht Center for Healthy Aging and Alzheimer's Prevention, Department of Internal Medicine Wake Forest School of Medicine, Atrium Health Wake Forest Baptist Winston Salem North Carolina USA

2. School of Public Health and Institute on Aging The University of Texas Health Science Center in Houston Houston Texas USA

3. Sealy Center on Aging The University of Texas Medical Branch‐ Galveston Galveston Texas USA

4. Sam and Ann Barshop Institute for Longevity and Aging Studies The University of Texas Health Science Center at San Antonio San Antonio Texas USA

5. Center for Applied Health Research Baylor Scott & White Health & Texas A&M Health Sciences Center Temple Texas USA

6. Department of Neurology Geisinger Medical Center Wilkes‐Barre Pennsylvania USA

7. Department of Internal Medicine Section of Geriatrics Yale School of Medicine New Haven Connecticut USA

8. Yale Center for Analytical Sciences Yale School of Public Health New Haven Connecticut USA

9. Multicampus Program in Geriatric Medicine & Gerontology, Division of Geriatrics David Geffen School of Medicine at UCLA University of California Los Angeles California USA

Abstract

AbstractINTRODUCTIONPragmatic research studies that include diverse dyads of persons living with dementia (PLWD) and their family caregivers are rare.METHODSCommunity‐dwelling dyads were recruited for a pragmatic clinical trial evaluating three approaches to dementia care. Four clinical trial sites used shared and site‐specific recruitment strategies to enroll health system patients.RESULTSElectronic health record (EHR) queries of patients with a diagnosis of dementia and engagement of their clinicians were the main recruitment strategies. A total of 2176 dyads were enrolled, with 80% recruited after the onset of the pandemic. PLWD had a mean age of 80.6 years (SD 8.5), 58.4% were women, and 8.8% were Hispanic/Latino, and 11.9% were Black/African American. Caregivers were mostly children of the PLWD (46.5%) or spouses/partners (45.2%), 75.8% were women, 9.4% were Hispanic/Latino, and 11.6% were Black/African American.DISCUSSIONHealth systems can successfully enroll diverse dyads in a pragmatic clinical trial.

Funder

Patient-Centered Outcomes Research Institute

National Institute on Aging

Publisher

Wiley

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