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Difficulties in recruiting frail older inpatients to intervention studies
Author(s) -
MacFarlane Shauna,
Charlton Karen,
Ferguson Allison,
Barlogie Jessica,
Lynch Patricia,
McDonell Lyn,
Connolly Wendy,
Barone Lilliana,
Russell Peter,
Mason Michelle,
Potter Jan,
Milosavljevic Marianna
Publication year - 2016
Publication title -
nutrition and dietetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.479
H-Index - 31
eISSN - 1747-0080
pISSN - 1446-6368
DOI - 10.1111/1747-0080.12229
Subject(s) - medicine , multidisciplinary approach , intervention (counseling) , rehabilitation , multidisciplinary team , gerontology , population , clinical trial , physical therapy , family medicine , nursing , environmental health , social science , pathology , sociology
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.