Difficulties in recruiting frail older inpatients to intervention studies
| Autor: | Peter Russell, Wendy Connolly, Jan Potter, Jessica Barlogie, Allison Ferguson, Shauna MacFarlane, Lilliana Barone, Lyn McDonell, Marianna Milosavljevic, Karen E Charlton, Michelle Mason, Patricia Lynch |
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| Rok vydání: | 2015 |
| Předmět: |
Strategic planning
education.field_of_study medicine.medical_specialty Nutrition and Dietetics Rehabilitation business.industry 030503 health policy & services medicine.medical_treatment Population Cognition Clinical trial 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach Intervention (counseling) Family medicine Physical therapy Medicine 030212 general & internal medicine Ineligibility 0305 other medical science business education |
| Zdroj: | Nutrition & Dietetics. 73:348-355 |
| ISSN: | 1446-6368 |
| DOI: | 10.1111/1747-0080.12229 |
| Popis: | Aim To describe difficulties experienced with recruitment of frail, malnourished inpatients aged 65+ years to a 12-week multidisciplinary home-based nutrition and physical activity intervention (SUSTAIN) and to identify factors associated with non-participation. Methods A multidisciplinary team approach to recruitment involved monthly team meetings, weekly clinician case conferences and strategic planning to accommodate patient needs (provision of transport, easy access to facilities, appropriate written/verbal information). Intensive recruitment occurred in eligible inpatients from a major acute tertiary and rehabilitation hospitals in a local health district over seven months. Results Of the 124 patients screened, 88 were not eligible, 32 declined, and 4 consented. Neither socio-demographic nor clinical characteristics (age, gender, clinical diagnosis, birthplace, cognitive function, length of stay or nutritional status) explained non-participation or ineligibility or refusals rates. Conclusions The advanced age and poor overall health status of this population necessitates alternative recruitment strategies to improve participation in clinical trials and improve generalisability for clinical practice. |
| Databáze: | OpenAIRE |
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