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Pragmatic Trials in Long-Term Care
- Source :
- J Am Med Dir Assoc, Geriatric Nursing, 44, 293-301. MOSBY-ELSEVIER, J Am Geriatr Soc, Geriatr Nurs, Journal of the American Geriatrics Society, 70(3), 718-730. Wiley, Journal of the American Medical Directors Association, 23(3), 330-338. Elsevier Science
- Publication Year :
- 2022
- Publisher :
- Elsevier Science, 2022.
-
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.
- Subjects :
- FUNCTION-FOCUSED CARE
SYMPTOMS
Health Policy
DEMENTIA
NURSING-HOME RESIDENTS
General Medicine
FIDELITY
Long-Term Care
Research Personnel
Article
Nursing Homes
PREVALENCE
BATTLE
Research Design
Quality of Life
IMPLEMENTATION
Humans
Geriatrics and Gerontology
Gerontology
INTERVENTION
General Nursing
Aged
Pragmatic trials
Subjects
Details
- Language :
- English
- ISSN :
- 15389375, 15258610, 01974572, and 00028614
- Volume :
- 23
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of the American Medical Directors Association
- Accession number :
- edsair.doi.dedup.....c7ed6421f343980b339181566ab5cf15