Career development in pragmatic clinical trials to improve care for people living with dementia.

Autor: Gabbard J; Department of Internal Medicine, Section of Gerontology and Geriatrics, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA., Sadarangani TR; Rory Meyers College of Nursing, New York University, New York, New York, USA., Datta R; Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.; Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut, USA., Fabius CD; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Gettel CJ; Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.; Center for Outcomes Research and Evaluation, Yale School of Medicine, New Haven, Connecticut, USA., Douglas NF; Department of Communication Sciences and Disorders, The Herbert H. and Grace A. Dow College of Health Professions, Central Michigan University, Mt. Pleasant, Michigan, USA., Juckett LA; School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, Ohio, USA., Kiselica AM; Department of Health Psychology, School of Health Professions, University of Missouri, Columbia, Missouri, USA., Murali KP; Rory Meyers College of Nursing, New York University, New York, New York, USA., McCarthy EP; Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.; Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA., Torke AM; Division of General Medicine and Geriatrics, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.; Indiana University Center for Aging Research, Regenstrief Institute, Inc., Indianapolis, Indiana, USA., Callahan CM; Division of General Medicine and Geriatrics, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.; Indiana University Center for Aging Research, Regenstrief Institute, Inc., Indianapolis, Indiana, USA.
Jazyk: angličtina
Zdroj: Journal of the American Geriatrics Society [J Am Geriatr Soc] 2023 Nov; Vol. 71 (11), pp. 3554-3565. Date of Electronic Publication: 2023 Sep 21.
DOI: 10.1111/jgs.18599
Abstrakt: The growing number of people living with dementia (PLWD) requires a coordinated clinical response to deliver pragmatic, evidence-based interventions in frontline care settings. However, infrastructure to support such a response is lacking. Moreover, there are too few researchers conducting rigorous embedded pragmatic clinical trials (ePCTs) to make the vision of high quality, widely accessible dementia care a reality. National Institute on Aging (NIA) Imbedded Pragmatic Alzheimer's disease and Related Dementias Clinical Trials (IMPACT) Collaboratory seeks to improve the pipeline of early career researchers qualified to lead ePCTs by funding career development awards. Even with support from the Collaboratory, awardees face practical and methodological challenges to success, recently exacerbated by the COVID-19 pandemic. We first describe the training opportunities and support network for the IMPACT CDA recipients. This report then describes the unique career development challenges faced by early-career researchers involved in ePCTs for dementia care. Topics addressed include challenges in establishing a laboratory, academic promotion, mentoring and professional development, and work-life balance. Concrete suggestions to address these challenges are offered for early-career investigators, their mentors, and their supporting institutions. While some of these challenges are faced by researchers in other fields, this report seeks to provide a roadmap for expanding the work of the IMPACT Collaboratory and initiating future efforts to recruit, train, and retain talented early-career researchers involved in ePCTs for dementia care.
(© 2023 The American Geriatrics Society.)
Databáze: MEDLINE
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