Challenges and solutions of conducting dementia clinical trials: A palliative care at home pilot for persons with dementia.
Leah V EstradaLaura GelfmanMeng ZhangChristian EspinoNathan E GoldsteinPublished in: Journal of the American Geriatrics Society (2024)
Electronic health records are not set up to include discrete fields for dementia severity, which makes enrollment of older adults with dementia in a clinical trial challenging. The strain of caring for a loved one with advanced dementia may also make participation in health-services research difficult for patients and their families. Novel approaches have the potential to counteract these challenges, improve recruitment and retention, and ultimately improve care for people with dementia and their caregivers.
Keyphrases
- mild cognitive impairment
- clinical trial
- palliative care
- cognitive impairment
- electronic health record
- end stage renal disease
- physical activity
- healthcare
- chronic kidney disease
- advanced cancer
- newly diagnosed
- study protocol
- ejection fraction
- randomized controlled trial
- peritoneal dialysis
- open label
- phase ii
- clinical decision support
- risk assessment
- quality improvement
- double blind