Workforce Development Engages Diverse Older Adults to Catalyze Innovative Approaches for Enhanced Recruitment and Retention

劳动力发展吸引不同的老年人参与，以促进创新方法，以加强招聘和保留

• 批准号: 10491054
• 负责人: Kathryn Allen Nearing
• 金额: $ 59.91万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-30 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10491054
• 关键词: Access to Information; Address; Adult; Advocate; Age; Aging; Awareness; Clinical Research; Clinical Sciences; Clinical Trials; Clinical Trials Network; Colorado; Communication; Communities; Community Outreach; Consent; Data; Development; Drops; E-learning; Educational Background; Educational Curriculum; Effectiveness; Elderly; Enrollment; Ethics; Evaluation; Event; Family; Feedback; Fostering; Funding; Geography; Goals; Health Status; Healthcare Systems; Hispanic Populations; Hybrids; Immersion; Individual; Informed Consent; Institutes; Language; Learning; Longevity; Medical; Modeling; Monoclonal Antibody R24; Newsletter; Participant; Persons; Policies; Politics; Population; Population Heterogeneity; Positioning Attribute; Process; Recording of previous events; Research; Research Infrastructure; Research Personnel; Research Support; Resources; Role; Rural; Services; Site; Socioeconomic Status; Specialist; Standardization; Thinking; Training; Training Programs; Training and Infrastructure; Translational Research; Travel; Trust; United States National Institutes of Health; Universities; Workforce Development; Writing; age group; age related; base; clinical research site; clinical trial participant; cohort; community based participatory research; community engagement; ethnic diversity; frontier; gaps in access; health literacy; innovation; instrument; multidisciplinary; novel; novel strategies; peer; pragmatic trial; program dissemination; racial and ethnic; recruit; role model; social; socioeconomics; tool; virtual; web site

PROJECT SUMMARY Recognizing policy Anschutz this the need to increase representation of diverse older adults in clinical trials, NIH instituted a new (NOT-OD-18-116) requiring the inclusion of i ndividuals across the life span. The University of Colorado Medical Campus (AMC) has struggled to address adequately the ethical and scientific imperative of policy.Among AMC adult clinical trials, only 25% (n=498) enrolled even one subject over age 50 in Colorado during 2019. Hispanics were significantly underrepresented (5% of enrolled v. 22% of the state's population). Data by age strata show a noticeable drop in the number of participants 75+ -- the fastest growing age group in Colorado. We are failing to successfully recruit important segments of our state population to clinical trials. Further, only 4% of staff who do recruiting/ consenting for clinical trials at AMC are 60+. We have a major age-related disparity between those doing recruitment and those we need to recruit. We propose Research centralized to narrow this age gap by training and hiring diverse older adults to fulfill new paid positions as Engagement Specialists (RESs) and Informed Consent Specialists (ICSs) who will be part of our research support services.We will utilize well-established training infrastructure and adapt existing curricula, available through project partners, to prepare 45 diverse older adults in Years 1-3 for these new roles (Aim 1). Training will be rigorous, engaging cohorts of 15 diverse older adults in 6 months of immersive learning, including didactic and experiential, in-person and online/virtual components. Through team-based projects (a required component of training), diverse older adults will catalyze the development of new resources to support recruitment/retention. Once trained, RESs/ICSs will be hired by clinical research support centers/teams with extensive clinical trial networks across AMC and affiliated healthcare systems. RESs/ICSs will use their nuanced understanding of different populations to inform community outreach/engagement, and address these considerations appropriately to facilitate informed consent. In Years 2 and 3, we will organize “Research Roadshows” to bring research and research teams to diverse older adults throughout Colorado; we will travel to 8 geographically-distinct rural/frontier communities, each with a unique geo-political history, cultural milieu, and racial/ethnic composition (Aim 2). Our goal is to reach 2000 individuals. We will sustain engagement through multiple communication strategies that infuse messages/language and other products created by RESs/ICSs. These include novel approaches will increase both the percentage of AMC clinical trials that diverse older adults, and the percentage of diverse older adults in clinical trials.

项目 概括 认可 政策 Anschutz 这 在临床试验中，需要增加潜水员老年人的代表性，NIH建立了一个新的 （NOT-OD-18-116）要求在整个寿命中包含个体。科罗拉多大学 医疗校园（AMC）一直在努力应对适当的道德和科学要求 政策。AMCAMC成人临床试验，只有25％（n = 498）在50岁以上的一名受试者中 科罗拉多州2019年。西班牙裔人的代表性大大不足（占该州22％的22％ 人口）。年龄层的数据显示，75+的参与者人数明显下降 - 增长最快 科罗拉多州的年龄段。我们未能成功招募国家人口的重要部分 进行临床试验。此外，在AMC进行临床试验的招聘/同意的员工中，只有4％的员工为60+。我们 在招募人员和我们需要招募的人之间存在与年龄相关的主要差异。我们 提议 研究 集中 通过培训和雇用不同的老年人来履行新的付费职位，以缩小这个年龄段的差距 参与专家（RES）和知情同意专家（ICS）将成为我们的一部分 研究支持服务。我们将利用良好的培训基础设施并适应现有 通过项目合作伙伴获得的课程，在1 - 3年内准备45名潜水员老年人担任这些新角色 （目标1）。培训将在6个月的沉浸式中进行严格，吸引15位潜水员的老年人 学习，包括教学和专家，面对面和在线/虚拟组件。通过基于团队的 潜水员老年人的项目（培训的必需组成部分）将促进新的发展 支持招聘/保留的资源。一旦接受培训，RESS/ICS将由临床研究支持雇用 在AMC和会员医疗保健系统中拥有广泛的临床试验网络的中心/团队。 Ress/ICSS 将利用他们对不同人群的细微理解来告知社区外展/参与，并 适当地解决这些注意事项以促进知情同意。在第2年和3年中，我们将组织 “研究路线”将研究和研究团队带到科罗拉多州的潜水老年人； 将前往8个地理上现有的农村/边境社区，每个社区都有独特的地理政治历史， 文化环境和种族/族裔组成（目标2）。我们的目标是吸引2000个人。我们将维持 通过抑制消息/语言和其他产品的多种沟通策略参与 由Ress/ICS创建。这些 包括 新颖的方法将增加AMC临床试验的百分比 多样化的老年人，以及在临床试验中分歧的老年人的百分比。