Pragmatic trials in long-term care: Research challenges and potential solutions in relation to key areas of care

Barbara Resnick*, Sheryl Zimmerman, Joseph Gaugler, Joseph Ouslander, Kathleen Abrahamson, Nicole Brandt, Cathleen Colón-Emeric, Elizabeth Galik, Stefan Gravenstein, Lona Mody, Philip D Sloane, Kathleen Unroe, Hilde 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)293-301
Number of pages9
JournalGeriatric Nursing
Volume44
Early online date23 Feb 2022
DOIs
Publication statusPublished - 5 Apr 2022

Keywords

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

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