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 - Publisher Copyright:
© 2022 The American Geriatrics Society.
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
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U2 - 10.1111/jgs.17699
DO - 10.1111/jgs.17699
M3 - Article
C2 - 35195283
AN - SCOPUS:85125093977
SN - 0002-8614
VL - 70
SP - 718
EP - 730
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 3
ER -