Pragmatic Trials in Long-Term Care: Research Challenges and Potential Solutions in Relation to Key Areas of Care

B. Resnick*, S. Zimmerman, J. Gaugler, J. Ouslander, K. Abrahamson, N. Brandt, C. Colon-Emeric, E. Galik, S. Gravenstein, L. Mody, P.D. Sloane, K. Unroe, H. Verbeek

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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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 languageEnglish
Pages (from-to)718-730
Number of pages13
JournalJournal of the American Geriatrics Society
Volume70
Issue number3
Early online date23 Feb 2022
DOIs
Publication statusPublished - Mar 2022

Keywords

  • pragmatic trials
  • NURSING-HOME RESIDENTS
  • FUNCTION-FOCUSED CARE
  • DEMENTIA
  • IMPLEMENTATION
  • INTERVENTION
  • PREVALENCE
  • SYMPTOMS
  • FIDELITY
  • BATTLE

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