痴呆症护理研究和心理社会因素
Robert L Newton1, Robbie Beyl1, Floyd Hodoh2
1Pennington Biomedical Research Center, Baton Rouge, LA, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 26, 2025
概括
为了有效地招募老年非裔美国人参加临床试验,需要混合策略. 电子媒体和社区宣传是参与这个代表性不足的群体参与衰老研究的关键.
科学领域:
- 老年学和临床试验招聘
- 公共卫生与健康差异
背景情况:
- 非洲裔美国人在衰老研究中代表性不足.
- 很少有研究在临床试验中评估老年非洲裔美国人的招聘方法.
- 在RAATE研究中,只注册了久坐不动,认知健康的老年非洲裔美国人.
研究的目的:
- 评估老年非洲裔美国人的各种招聘方法的有效性.
- 确定最佳策略,让代表性不足的人群参与临床研究.
主要方法:
- 采用了基于社区 (活动,教堂,健康展) 和基于媒体 (电子邮件,社交媒体,广告) 的招聘策略.
- 招聘发生在一个定义的时期,由于COVID-19大流行病而暂停.
- 利用一个指定的招聘机构进行社区外展,并利用一个学术机构进行基于媒体的外展.
主要成果:
- 608名老年非洲裔美国人进行了查,129人被录取 (平均年龄68岁,76%是女性).
- 最重要的招聘来源包括电子邮件,朋友/家人,社区活动,过去的参与者和社交媒体.
- 基于媒体的方法占了44.3%的选者和47.4%的入学者;基于社区的努力产生了27.5%的选者和16.4%的入学者.
结论:
- 电子媒体的有效性可能与参与者的教育水平或老年人群的数字访问增加有关.
- 虽然以社区为基础的努力在历史上取得了成功,但大流行可能限制了他们的影响.
- 多面性招聘方法对于让代表性不足的群体参与长期临床试验至关重要.
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