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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >A Multipronged, Adaptive Approach for the Recruitment of Diverse Community-Residing Elders with Memory Impairment: The MIND at Home Experience
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A Multipronged, Adaptive Approach for the Recruitment of Diverse Community-Residing Elders with Memory Impairment: The MIND at Home Experience

机译：招募具有记忆障碍的多元化社区居民老年人的多管齐下，适应性方法：MIND在家体验

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摘要

Objective: To provide a critical review of a multipronged recruitment approach used to identify, recruit, and enroll a diverse community-based sample of persons with memory disorders into an 18-month randomized, controlled dementia care coordination trial. Methods: Descriptive analysis of a recruitment approach comprised five strategies: community liaison ("gatekeepers") method, letters sent from trusted community organizations, display and distribution of study materials in the community, research registries, and general community outreach and engagement activities. Participants were 55 community organizations and 63 staff of community organizations in Baltimore, Maryland. Participant referral sources, eligibility, enrollment status, demographics, and loss to follow-up were tracked in a relational access database. Results: In total, 1,275 referrals were received and 303 socioeconomically, cognitively, and racially diverse community-dwelling persons with cognitive disorders were enrolled. Most referrals came from letters sent from community organizations directly to clients on the study's behalf (39%) and referrals from community liaison organizations (29%). African American/black enrollees were most likely to come from community liaison organizations. Conclusion: A multipronged, adaptive approach led to the successful recruitment of diverse community-residing elders with memory impairment for an intervention trial. Key factors for success included using a range of evidence-supported outreach strategies, forming key strategic community partnerships, seeking regular stakeholder input through all research phases, and obtaining "buy-in" from community stakeholders by aligning study objectives with perceived unmet community needs.
机译：目的：对一项多学科招募方法进行批判性审查，该招募方法用于识别，招募和招募各种基于社区的记忆障碍患者样本，并将其纳入一项为期18个月的随机，对照痴呆症护理协调试验。方法：对招募方法的描述性分析包括五种策略：社区联络（“守门人”）方法，受信任的社区组织发送的信函，在社区中展示和分发学习资料，研究注册表以及一般的社区外展和参与活动。马里兰州巴尔的摩的55个社区组织和63位社区组织工作人员参加了会议。在关系访问数据库中跟踪了参与者的推荐来源，资格，入学状态，人口统计学以及后续工作的损失。结果：总共收到了1,275份推荐信，并招募了303位社会经济，认知和种族差异的认知障碍社区居民。大多数推荐来自社区组织代表研究直接发送给客户的信（39％）和社区联络组织（29％）的推荐。非裔美国人/黑人入学者最有可能来自社区联络组织。结论：多管齐下，适应性强的方法成功地招募了具有记忆障碍的社区居民，参与一项干预性试验。成功的关键因素包括使用一系列证据支持的外展策略，建立关键的战略社区合作伙伴关系，在所有研究阶段中寻求利益相关者的定期投入，以及通过使研究目标与未满足的社区需求相一致来获得社区利益相关者的“认同”。

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