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 |
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Pages (from-to) | 718-730 |
Number of pages | 13 |
Journal | Journal of the American Geriatrics Society |
Volume | 70 |
Issue number | 3 |
Early online date | 23 Feb 2022 |
DOIs | |
Publication status | Published - Mar 2022 |
Keywords
- pragmatic trials
- NURSING-HOME RESIDENTS
- FUNCTION-FOCUSED CARE
- DEMENTIA
- IMPLEMENTATION
- INTERVENTION
- PREVALENCE
- SYMPTOMS
- FIDELITY
- BATTLE