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.
|Original language||English (US)|
|Number of pages||9|
|Journal||Journal of the American Medical Directors Association|
|State||Published - Mar 2022|
Bibliographical noteFunding Information:
This work was supported by the National Institute on Aging (NIA) of the National Institutes of Health , Award R13 AG067681 .
© 2021 AMDA – The Society for Post-Acute and Long-Term Care Medicine
- Pragmatic trials
PubMed: MeSH publication types
- Journal Article
- Pragmatic Clinical Trial
- Research Support, N.I.H., Extramural