Document Detail

Enrolling older adults with cognitive impairment in research: lessons from a study of Tai Chi for osteoarthritis knee pain.
MedLine Citation:
PMID:  20077977     Owner:  NLM     Status:  MEDLINE    
Exercise is an adjunct intervention for treating osteoarthritis (OA) knee pain, but many older adults, especially those with cognitive impairment, refuse to participate because of their frailty. Tai chi is a gentle alternative to Western-style aerobic exercise. In this article, we report recruitment experiences based on older adults' comments and on staff's observations and reports in a pilot randomized controlled trial (RCT) using tai chi as an intervention to reduce OA knee pain in a population of older adults with cognitive impairment. Recruitment challenges included issues with retirement apartment site staff, the older adults, study criteria or study design, and insufficient research staff. Strategies included networking and staying connected with site staff, using various recruiting approaches, providing incentives/motivation, and using informal leaders or residents as a way to recruit participants. Finally, modifying strict study criteria, securing staff for recruiting, and considering alternative designs to the classical RCT can also help overcome recruitment challenges.
Pao-Feng Tsai; Jason Y Chang; Nupur Chowdhury; Cornelia Beck; Paula K Roberson; Karl Rosengren
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2009-10-27
Journal Detail:
Title:  Research in gerontological nursing     Volume:  2     ISSN:  1940-4921     ISO Abbreviation:  Res Gerontol Nurs     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2010-01-18     Completed Date:  2010-02-05     Revised Date:  2013-05-31    
Medline Journal Info:
Nlm Unique ID:  101392499     Medline TA:  Res Gerontol Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  228-34     Citation Subset:  IM; N    
Copyright Information:
Copyright 2009, SLACK Incorporated.
College of Nursing, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
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MeSH Terms
Aged* / psychology
Assisted Living Facilities
Attitude to Health
Cognition Disorders / complications*
Geriatric Assessment
Nursing Evaluation Research / methods*
Nursing Staff / psychology
Osteoarthritis, Knee / complications,  prevention & control*
Pain / etiology,  prevention & control,  psychology
Patient Selection*
Pilot Projects
Randomized Controlled Trials as Topic / methods
Research Design
Research Subjects / psychology
Tai Ji* / methods
Grant Support
R21 NR010003/NR/NINR NIH HHS; R21 NR010003-02/NR/NINR NIH HHS; R21NR010003/NR/NINR NIH HHS

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