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Difficulties in recruiting frail older inpatients to intervention studies

Journal Article


Abstract


  • Aim

    To describe difficulties experienced with recruitment of frail, malnourished inpatients aged 65+ years to a 12-week multidisciplinary home-based nutrition and physical activity intervention (SUSTAIN) and to identify factors associated with non-participation.

    Methods

    A multidisciplinary team approach to recruitment involved monthly team meetings, weekly clinician case conferences and strategic planning to accommodate patient needs (provision of transport, easy access to facilities, appropriate written/verbal information). Intensive recruitment occurred in eligible inpatients from a major acute tertiary and rehabilitation hospitals in a local health district over seven months.

    Results

    Of the 124 patients screened, 88 were not eligible, 32 declined, and 4 consented. Neither socio-demographic nor clinical characteristics (age, gender, clinical diagnosis, birthplace, cognitive function, length of stay or nutritional status) explained non-participation or ineligibility or refusals rates.

    Conclusions

    The advanced age and poor overall health status of this population necessitates alternative recruitment strategies to improve participation in clinical trials and improve generalisability for clinical practice

Authors


  •   MacFarlane, Shauna (external author)
  •   Charlton, Karen E.
  •   Ferguson, Allison (external author)
  •   Barlogie, Jessica (external author)
  •   Lynch, Patricia (external author)
  •   McDonell, Lyn (external author)
  •   Connolly, Wendy (external author)
  •   Barone, Lilliana (external author)
  •   Russell, Peter (external author)
  •   Mason, Michelle (external author)
  •   Potter, Jan M. (external author)
  •   Milosavljevic, Marianna

Publication Date


  • 2015

Citation


  • Macfarlane, S., Charlton, K., Ferguson, A., Barlogie, J., Lynch, P., Mcdonell, L., Connolly, W., Barone, L., Russell, P., Mason, M., Potter, J. & Milosavljevic, M. (2015). Difficulties in recruiting frail older inpatients to intervention studies. Nutrition and Dietetics, Online First

Scopus Eid


  • 2-s2.0-84950141253

Ro Metadata Url


  • http://ro.uow.edu.au/smhpapers/3542

Volume


  • Online First

Abstract


  • Aim

    To describe difficulties experienced with recruitment of frail, malnourished inpatients aged 65+ years to a 12-week multidisciplinary home-based nutrition and physical activity intervention (SUSTAIN) and to identify factors associated with non-participation.

    Methods

    A multidisciplinary team approach to recruitment involved monthly team meetings, weekly clinician case conferences and strategic planning to accommodate patient needs (provision of transport, easy access to facilities, appropriate written/verbal information). Intensive recruitment occurred in eligible inpatients from a major acute tertiary and rehabilitation hospitals in a local health district over seven months.

    Results

    Of the 124 patients screened, 88 were not eligible, 32 declined, and 4 consented. Neither socio-demographic nor clinical characteristics (age, gender, clinical diagnosis, birthplace, cognitive function, length of stay or nutritional status) explained non-participation or ineligibility or refusals rates.

    Conclusions

    The advanced age and poor overall health status of this population necessitates alternative recruitment strategies to improve participation in clinical trials and improve generalisability for clinical practice

Authors


  •   MacFarlane, Shauna (external author)
  •   Charlton, Karen E.
  •   Ferguson, Allison (external author)
  •   Barlogie, Jessica (external author)
  •   Lynch, Patricia (external author)
  •   McDonell, Lyn (external author)
  •   Connolly, Wendy (external author)
  •   Barone, Lilliana (external author)
  •   Russell, Peter (external author)
  •   Mason, Michelle (external author)
  •   Potter, Jan M. (external author)
  •   Milosavljevic, Marianna

Publication Date


  • 2015

Citation


  • Macfarlane, S., Charlton, K., Ferguson, A., Barlogie, J., Lynch, P., Mcdonell, L., Connolly, W., Barone, L., Russell, P., Mason, M., Potter, J. & Milosavljevic, M. (2015). Difficulties in recruiting frail older inpatients to intervention studies. Nutrition and Dietetics, Online First

Scopus Eid


  • 2-s2.0-84950141253

Ro Metadata Url


  • http://ro.uow.edu.au/smhpapers/3542

Volume


  • Online First