Abstract
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) |
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Pages (from-to) | 330-338 |
Number of pages | 9 |
Journal | Journal of the American Medical Directors Association |
Volume | 23 |
Issue number | 3 |
DOIs | |
State | Published - Mar 2022 |
Bibliographical note
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
Keywords
- Pragmatic trials
PubMed: MeSH publication types
- Journal Article
- Pragmatic Clinical Trial
- Research Support, N.I.H., Extramural