TY - JOUR
T1 - Pragmatic Trials in Long-Term Care
T2 - Research Challenges and Potential Solutions in Relation to Key Areas of Care
AU - Resnick, Barbara
AU - Zimmerman, Sheryl
AU - Gaugler, Joseph
AU - Ouslander, Joseph
AU - Abrahamson, Kathleen
AU - Brandt, Nicole
AU - Colón-Emeric, Cathleen
AU - Galik, Elizabeth
AU - Gravenstein, Stefan
AU - Mody, Lona
AU - Sloane, Philip D.
AU - Unroe, Kathleen
AU - Verbeek, Hilde
N1 - Funding Information:
This work was supported by the National Institute on Aging (NIA) of the National Institutes of Health , Award R13 AG067681 .
Publisher Copyright:
© 2021 AMDA – The Society for Post-Acute and Long-Term Care Medicine
PY - 2022/3
Y1 - 2022/3
N2 - As a method of research, pragmatic trials are recommended so as to generate results that are applicable to real-world care. This intent is especially important for the millions of older adults who receive long-term care in thousands of nursing homes and assisted living communities across the country—and many millions more around the globe. This article presents key points raised by experts participating in a conference funded by the National Institute of Aging held at the 2021 conference of the Society for Post-Acute and Long-term Care Medicine. The purpose of the conference was to convene leading clinicians, researchers, and industry partners to address special considerations of pragmatic trials in long-term care. Cross-cutting and unique challenges and solutions to conducting pragmatic trials were discussed focusing on 3 areas of clinical relevance to long-term care: (1) functional care and outcomes, (2) psychosocial care and quality of life, and (3) medical care and outcomes, with a special focus on persons with dementia. Challenges and innovative solutions were organized across the 9 domains of the revised Pragmatic-Explanatory Continuum Indicator Summary (PRECIS) Tool, and future research recommendations for pragmatic trials in long-term care were identified.
AB - As a method of research, pragmatic trials are recommended so as to generate results that are applicable to real-world care. This intent is especially important for the millions of older adults who receive long-term care in thousands of nursing homes and assisted living communities across the country—and many millions more around the globe. This article presents key points raised by experts participating in a conference funded by the National Institute of Aging held at the 2021 conference of the Society for Post-Acute and Long-term Care Medicine. The purpose of the conference was to convene leading clinicians, researchers, and industry partners to address special considerations of pragmatic trials in long-term care. Cross-cutting and unique challenges and solutions to conducting pragmatic trials were discussed focusing on 3 areas of clinical relevance to long-term care: (1) functional care and outcomes, (2) psychosocial care and quality of life, and (3) medical care and outcomes, with a special focus on persons with dementia. Challenges and innovative solutions were organized across the 9 domains of the revised Pragmatic-Explanatory Continuum Indicator Summary (PRECIS) Tool, and future research recommendations for pragmatic trials in long-term care were identified.
KW - Pragmatic trials
UR - http://www.scopus.com/inward/record.url?scp=85124689549&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85124689549&partnerID=8YFLogxK
U2 - 10.1016/j.jamda.2021.12.011
DO - 10.1016/j.jamda.2021.12.011
M3 - Article
C2 - 35219505
AN - SCOPUS:85124689549
SN - 1525-8610
VL - 23
SP - 330
EP - 338
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 3
ER -
